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Home My WebLink AboutX2022-0078 - PermitsQ4�EvuPo? o City Community of Development Department ar- Building Division II IIIIIIII II IIIIIIII IIIIII I IIII III IIIIIIIIII I II COMB Permit: X2022-0078 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0088-2022 n Permit Counter Phone: (949) 718-1888 Issued Date : 06/01/2023 u a newportbeachca.gov/civic Inspection Area C7</FOF�\P Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement - 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 SPEC SUITE 250 SF Owner: IRVINE CO Address: 111INNOVATION IRVINE, CA 92618 Phone Applicant: AMY BAGLEY Address : 17800 MITCHELL NORTH IRVINE, CA 92614 Phone: (714)299-5957 Owner/Builder : Address: Legal Desc : Contractor: ALTA CONTRACTING Address : 369 E. BLAINE STREET CORONA, CA 92879 Phone: (714)380-9233 Con State Lic : 742360 Lic Expire: 11/30/2023 Bus Lic: BT01020983 Bus Lic Expire : 01/31/2024 Workers' Compensation Insurance Carrier: CYPRESS INS. CO Policy No: ALWC347983 W. C. Expire : 6/24/2023 Architect : AMY BAGLEY Address : 17800 MITCHELL NORTH IRVINE, CA 92614 Phone: (714)299-5957 State Lic Engineer: BISHOFF RYAN WILLIAM Address: 3300 IRVINE AVE #245 NEWPORT BEACH, CA 92660 Phone: (949)862-8510 Designer: Address : Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $100,000.00 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 : 250 Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : - Flood Zone: Use Zone: �{T PROCESSED BY: SPECIAL CONDITIONS: HAULER: CA WASTE SERVICES I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) Indicated below by the checkmark(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 he permit to file a signed statement that he ur she is licensed pursuant to the provisions of the Contreclors' State License Law (Chapter 9 (commenting with Section 7000) of Division 3of 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 live hundred dollars ($500). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do C_) all of or (_) portions of the work, and the Structure is not intended or offered for sale (Section 7044, lusiness 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 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 itwas not built or nnproved for the purpose of sale). 3 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Sectlon 7044, Business and Professions Code: The Contractors' Slate License Law does not �ly 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). I am exempt from tcensure-under the Contractors' Stale 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 astructure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and professions Code, is available upon request when this application is submitted or at the following Web sale:http://www.leginfo.ce.gov/calaw.html. llgnature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter g (commencing with Section 700 of Division 3 of the. Business and Professions Code, end my license -fain full force Ind effect. License Class License No Daffi 13 Contractor Signature�� PORKERS' COMPENSATION DECLARATION FARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IE UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100.000), RI ADDITION TO THE Gar OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE. INTEREST, AND ATTORNEY'& FEES. hereby affirm under penalty of perjury one of the following declarations: 3 1 have and will maintain a certificate of consent to selfAnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, erformance of the work for which this permit Is issued. Policy No. have 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' Fence caller and policy number are: Policy Number of Agent Date certify that, in the performance of the wok 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 Califomie, and , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. t Nature of Applicant Date_ 5 I 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 Cade). Lender's Name Lender'sAddress By my signature below, I certify to each of the following: I am the property owner or authorized to act on theproperty owner's behalf. I have read this application and the information I have provided is correct. I agree to commy wi,h all applicablecity and county ordinances and state laws relating to building construction. I authorize reprtsernatives of this city or county to enter th above -identified property for inspection purposes. Si nahure rd Property Gwner or Authorized A gent �-� PrintPro e y Owner's or Authorized A ent's Name , �^�� C —L. � Dale 6 Z1 ACT'ON I DATE BY DECLARATION OF COMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61. OF TITLE 40 AND AQMID RULE 1403 PE.7MoT EXPIRED --+ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT r4NCELLEO MEFA PETSrTFXFENDED LJAamo PE.TY'77ItAL _Z1-CLl J21ASSESTOS NOTIFICATION IS NOT APPLICABLE TO CFq,rOrCUPKA'F OF I S GNA SER DEt�14 — Or{UVANrI'IS5UE0 T�