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HomeMy WebLinkAboutXC2023-0168 - PermitsCity of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2023-0168 Community Development Department- Building Division X C 2 0 2 3 0 1 s e 'y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0729 - Permit Counter Phone: 949 718-1888 ( ) Issued Date : 05/2512923 newportbeachca.gov/civic Inspection Area : 7 �"irofr�` Combination Type - ELEC MECH 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 : 700 NEWPORT CENTER DR, 2ND 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 ` 2ND FLOOR 1,232 SF[,ja24,, UP�) 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 : Phone Code Edition : 2022 Type of Construction : I -A Occupancy Groups: B Bldg Height: Building Setbacks : Flood Zone : X Use Zone : OR - Office —Regional PROCESSED BY: SPECIAL CONDITIONS: 14u/ei: 146 >,'V-o 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 Architect : DWYER SUSAN M Address : 4770 CAMPUS DR NEWPORT BEACH, CA 92660 Phone : (949) 851-3080 State Lic Engineer: Address Workers' Compensation Insurance Phone Carrier: ZURICH AMERICAN INSURANCE COMPANY Policy No: WC3004566 Designer W. C. Expire : 3/1/2024 Address Phone: Fire Sprinklers : YES Construction Valuation : $187,500.II0 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 1 No of Units : 0 Alteration sq. ft. Bldg : 1,232, No of Stories : 8 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 g':8 OWNER -BUILDER DECLARATION 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 items) (Section 7031.5, Business and Professions Glide: 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 ofthe Business and Professions 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 not more than five hundred dollars ($500), El 1, as owner of the property, or my employees with wages as their sole compensation, will do (_). all of or (_) portions of the work, andihe structure is notintended 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. Ir, however, file building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). El I, as Owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State 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 licensure 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 structuro that I have builtas an Ownorbuilder if it has not boon constructad 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:http:llwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am Ilconsed under provisions of Chapter 9 (commencing with Section IO f Div! ion 3 of the Business and Pro(es�Io Cod ,and my I' se Is In full force and effect. License Class License No Date 7! 2 Contractor SignatureiG d� WORKERS' COMPENSATION DECLARATION r NARNING; 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 f5100,0001. IN ADDnION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEE$. hereby affirm untle� innalty of perjury one of the following declarations: 1-4ave and wi i ,T,a,nta n 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 li�r'ern)7dce of the zvorc 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 Expiration Date of ,;gent Phone # _ n-t;'y 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 if I should become sybjeclito thgworkersAompereation provisions of Section 3700 of the Labor Code, I shall forthwith comply Win those provisions. „atulaofApplicant /-�Gi1/l._ 0J CiAW.TION RLO ;LINO CO7STRUCTION LEND GENCY Date V 3 amby affirm under penalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit Is issued (Section 3097, Civil Code). )dens Name i Lenders Address my signature La.o,w, 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 cuty and county ordinances and state laws relating to building construction. I authorize representatives of this City or court an�yr,,�-th�a�bcve-id Ified grope or inspection purposes. t nature of Property Owner or Authorized Aoent V ! �Vi1A/`-� Print Property Owner's or Authorized Aaent's Name h' IL''fG b 6 e C-0 ACTION PERACT EXTENDED PERMIT FfNA! CERTIFICATE OF OCCUPANCY ISSUED DATE BY i DECLARAT€ON OF COMPLIANCE VVITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQI RUIE 1'5 NOT AYPN.ICABLE TO