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Home My WebLink AboutXC2023-0224 - Permitsk�EWPoRT City of Newport Beach II IIII II I IIII III II II IIIII II II II COMB Permit : XC2023-0224 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0088-2022 2. Permit Counter Phone: (949) 718-1888 Issued Date : 08/14/2023 newportbeachca.gov/civic Final Date: cgtiroaa�" Combination Type - ELEC MECH PLUM Permit Status: Issued Work Class - Tenant Improvement Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 849 NEWPORT CENTER DR Legal Dose : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 POR OF PAR AND POR PA R 1 OF P.M. Description: COMM TI (DELTA 2 TO ADD SCOPE): TI FOR SUITE 845 AND 845S; UPDATE RTU AND STOREFRONT Owner: IRVINE CO Address : 111 INNOVATION IRVINE, CA 92618 Phone : (714) 366-7205 Applicant: AMY BAGLEY Address : 17800 MITCHELL NORTH IRVINE, CA 92614 Phone : (714) 299-5957 Owner/Builder : Address : Contractor: ALTA CONTRACTING Address : 369 E Blaine St Corona, CA 92879 Phone : (951) 201-5050 Con State Lie : 742360 Lie Expire : 11130/2023 Bus Lie: BT01020983 Bus Lie Expire : 01/31/2025 Workers' Compensation Insurance Carrier: CYPRESS INS. COMPANY Policy No : ALWC451627 W. C. Expire: 6/24/2024 Architect: AMY BAGLEY Address : 17800 MITCHELL NORTH IRVINE, CA 92614 Phone : (714) 299-5957 State Lie : Engineer : BISHOFF RYAN WILLIAM Address : 3300 IRVINE AVE #245 NEWPORT BEACH, CA 92660 Phone : (949) 862-8510 Designer Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $110,000.00 Type of Construction : III-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : A-3 No of Units : 0 Alteration sq. ft. Bldg : 3,237 Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone: PC - North Center hNNeeww�ppoorrt PROCESSED BY: / SPECIAL CONDITIONS INSPIECTOR OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmarkls) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500).. 3 I, as owner of the property, or my employees with wages as their sole compensation, will do L_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort. builds or improves the property, provided that the rlprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion. the Owner-Buiider will have the burden of proving that it was not built or nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors l0 construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not p€y to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).. I am exempt from licensure under the Contractors' State License Law for the following reasun ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally oil a structure that I have built as an ownor-builder if It has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code., is available upon request when this application is submitted or at the following Web siterhttp:iiwww.leginfo.ca.govfcalaw.html, lignature of Property Owner or Authorized Agent Date .ICEN'SED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3of the Business and Professions .ode, and my license is in full force nd effect. License Class License No Date Contractor Signature L �� VORKEll COMPENSATION DECLARATION d 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100,00i IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the, Director of Industrial Relations as provided Tor by Section 3700 of the Labor Code, for the erformance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the Work for which this permit is issued. My workers' carrier and policy number are: Policy Number re of Agent Phone # Date certify that, in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / nature of Applicant ��/ �._ _._..._._ Date CLARATtON REGARDING CONSTRUCTION LENDING AGENCY ueby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). w ar's Name _ Lender's Address my signature below, I certify to each of the fallowing: I am the properly owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to entertheabove-identified prope - for inspection purposes. e- ,/ _ nature of Prooertv Owner or Authorized Agent v 1/�"�/1? � Print Prooertv Owner's or Authorized Aeent's Name 1 �P�arrii� r7r')L_;A natR [i�t''!f, a DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGULATIONS PART 61. OF TITLE 40 AND AOMD RUIE 1403 PERMIT EXPIRED ':, LJ I SUEMI',TED ASRFSTOS NOTIFICATION TO PERMIT CANCELLECI ', � CTfAL. rZIAU dJ — PERMIT FINAL '%Z PROPOSED O IFICAIION I5 NOTAPPLiCABLE TO CERTIFICATE OF OENIT OCCUPANCY ISSUED SI GNATLI