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HomeMy WebLinkAboutXC2023-0096 - Permits�EWPO�T City of Newport Beach II IIIIII I I I II IIIIIIII III IIIIIIIII IIII II COMB Permit : XC2023-0096 Community Development Department- Building Division X C 2 0 2 3 0 0 9 6 100 Civic Center Drive, Newport Beach, CA 926BO Plan Check No : PC2023-0715 Permit Counter Phone: (949) 718-1888 Issued Date : OB/01/2023 u ems. newportbeachca.gov/civic Final Date: C'�C/F00.N\P 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 : 843 NEWPORT CENTER DR Description : COMM TI "LENSCRAFTERS" 3246 SF Owner: IRVINE CO Address : 111 INNOVATION IRVINE, CA 92618 Phone : (949) 720-3100 Applicant : Joyce Agulan Address : 16720 INDEX ST. GRANADA HILLS, CA 91344 Phone : (818) 720-2147 Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR AND FOR PA R 1 OF P.M. Contractor: CEDARS ENTERPRISES TOO INC Address : 18757 TURFWAY PARK YORBA LINDA, CA 92886 Phone: (714)685-0775 Con State Lie: 650785 Lie Expire : 06/30/2024 Bus Lie: BT30081955 Bus Lie Expire : 06/30/2024 Architect : SARGENTI ROBERT JON JR Address : 461 FROM ROAD, STE 255 PARAMUS NJ 07652, CA Phone : (973) 253-9393 State Lie Engineer Address Workers' Compensation Insurance Phone Carrier: STATE+COMPENSATION+INSURANCE+FUN D Owner/Builder : Policy No: 9215110 Designer Address : W. C. Expire : 8/1/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $332,000.00 Type of Construction : III-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : M No of Units : 0 Alteration sq. ft. Bldg : 3,246 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 Newport Center PROCESSED BY: SPECIAL CONDITIONS I e % r-"% T 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 cheokmark(s) 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' State 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). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' Gr personal effort, builds or improves the property, provided that the nprovements are not Intended or offered for sale, if, however, the building or Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was net built or nproved for the purpose df sale). 1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 3 1 am exempt from licensure under the Contractors' Slate License Law for the following reason: _ 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 ell a structure that I have built as an owner -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 site:http:llwww.leginfo.ca.gov/calaw.htmi. Wgnature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjW that I am licensed under provisions of Chapte 9,(.�ommencing with Section 7000) of D'yvrsion 3 of the Business and Profess{ e,./y`�d II ense is in full force ,nd effect. license Class License NoCirJ iS Date 5` / / / 2i Contractor Signature �//.,�� VORKERS' COMPENSATION DECLARATION [ARMING: 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 (S100:0001, IN AODRION TO THE GET OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEEi hereby affirm under penalty of perjury one of the following declarations: I I have and Will maintain a certificate of consent to selPrisure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thl erfor lance of the work for which this permit Is issued. Policy No. �I have and will maintain workers' compensation insurance, as required by Section e 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' eompensatior tsurence viler a d policy numb/er ar8: y —/ /_../ ,� p /� /2b 0y :abler /'z7 Ff//I !n• Policy Number Z/ S (% — Z C�Z Expiration Date lame of Agent Phone tf certify that, in the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre if I should become sub' o the work n c anon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 4ature of Appllcantt ..�. Date z ., ,r .�.. ...c.,..,. hereby 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). ender's Name Lender's Address ly my signature below, I oertify to each of the following: I am the property 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 cou r the roperty for inspection purposes. �� / ;iaoature of PrODertv Owner or Authonzed Aaent���.�✓�.`% Print Property Owner's or Authorized A9erfs Namei'^�l�r I 1 yr ACTION DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 4 1 REGULATIONS PART 61 OFTITLE 40AND AQMD RULE PERMIT EXPIRED — _�--_--- L-I i $ 1BM'TTED A<RbSTOS NOTIFICATION TO PERMIT CANCELLEDL RA PERMIT EXTENDED PERMITFINAL S-C/-Zd( IRSaESTDS NOT IFICA'HON 15 NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUED i CIGNATUR5: