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HomeMy WebLinkAboutXC2023-0169 - Permits�aEwPORT City of Newport Beach C b Community Development Department- Building Division y N y 100 Civic Center Drive, Newport Beach, CA 92660 u i Permit Counter Phone: (949) 718-1888 CSC/FOPN�P newportbeachca.gov/civic Combination Type - ELEC MECH Work Class - Tenant Improvement X C 2 0 2 3 0 1 6 9II COMB Permit : XC2023-0169 Plan Check No : PC2023-0729 Issued Date : 05/25/2023 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: 700 NEWPORT CENTER DR, 3RD FLOOR Legal Desc : N TR 361 BLK 55 IRVINE SUB LOT BLK 55 POR OF BLK Description: COMM TI FOR ALTERATIONS INCLUDING NEW FINISHES, CEILING AND ELEC * 3RD FLOOR 800 SF(i &) Owner: IRVINE CO Address : 111 INNOVATION IRVINE, CA 92618 Phone : (949) 720-3100 Applicant: VAN ANH VAN Address: 4770 CAMPUS DR, SUITE 100 NEWPORT BEACH, CA 92660 Phone: (949)851-3080 Owner/Builder : Address : Contractor: HOWARD BUILDING CORP Address : 3184 AIRWAY AVE #K COSTA MESA, CA 92626 Phone: (714)438-2272 Con State Lic : 445804 Lic Expire : 09/30/2023 Bus Lic: BT00007349 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: ZURICH AMERICAN INSURANCE COMPANY Policy No: WC3004566 W. C. Expire : 3/1/2024 Architect : DWYER SUSAN M Address : 4770 CAMPUS DR NEWPORT BEACH, CA 92660 Phone : (949) 851-3080 State Lic Engineer: Address : » Phone: Designer: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $187,300.;06 Type of Construction : I -A Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : 800 Bldg Height : No of Stories : 8 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : OR - Office —Regional PROCESSED BY: 4L SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt from the Contractors' State. License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Lamle) (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 the 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 Professions Code) or that he or Shia is exempt from ficereure 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 not more than five hundred dollars ($500). 0 1, as owner Of the property, or my employees with wages as their sole compensation, will do (_) 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 improvements 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 not buill or improved for the purpose of sale). 0 1, as owner of the property, am exclusively contractingwith licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState License Law does not apply 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 ficensure under the Contractors' State License Law for the following reason: By 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 sell a structure that I have built as an owner -builder if ithas not been constructed in its entirety by licensed contractors. I understand that a 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 site: httpJiwvvw,leginfo.ca.gov/calow.html. Signature of Property Owner or Authorized Agent _____,.,..,_ _��,,,_ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70D0) ofof D�the Business and.Professi s de. d my lira Is in full force and effect. License Class License. No Date �� Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFINES UP TO ONE HUNDRED THOUSAND DOLLARS pI100.,000j. IN ADorriON To THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm un' Er p�naity of perjury one of the following declarations: I have and wiu maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th rp -ro ice of tl,c .votk 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` compensa#iw inamanco carrier an'd policy number are: Policy Number Date 1a of Ngent ri Ivor m CoA `y that, jr, the oerformance 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 agre +f I should become subjec the rkers c/o��ryD\ensahon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. rfueof Applicant V,.�%�s:C.. Dat �JZ� ra-rt/ a`firm 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'e Name Lenders Address ly my signature below, I certify 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 ordma cos and state laws relating to building construction. I authorize representatives of this city or county/to a rth bove-Id,�,{','t1fle—d property for inspection purposes. /'` tionature of ProoBnv Owner or Authorized A9entV. / .—Y7 �e Print Property Owner's or Authorized Agent's Nam l.iici Pi� t�'o Date J ACTION DATE BY REGULATIONS PART M UANCE 40 AND CODE OF R D E AL I FOR OFFICE USE ONLY 4 PERMIT EXTENDED D PERMti FINAL �� }�J(�ZJ� SHEST05 NOT9FICATION 15 NOT APPLICABLE TO CERTIFICATE Of PROPOSED OLI,p{,`�,N �,, OCC'UPANCYISSUED SIGNATURES / �6tfO �--