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Home My WebLink AboutXC2023-0171 - PermitsEW eFrT City of Newport Beach II IIIIII II IIIIIII IIII IIIIIIIIIIII III III II COMB Permit: XC2023-0171 Community Development Department- Building Division x c 2 a 2 3 e t 7 1 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0729 Permit Counter Phone: (949) 716-1888 Issued Date : 05/2512023 newportbeachca.gov/civic Inspection Area : 7 `;'<, 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, 5TH FLOOR Legal Desc : N TR 361 BLK 55 IRVINE SUB LOT BLK 55 FOR0/BL}t 1 Description: COMM TI FOR ALTERATIONS INCLUDING NEW FINISHES, CEILING AND ELEC * 5TH FLOOR 574 SF (Wr C 64 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 Use Zone : PROCESSED BY: X OR - Office —Regional SPECIAL CONDITIONS: 1. alev_- 146 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 Address Phone: State Lic: Engineer: Address : DWYER SUSAN M 4770 CAMPUS DR NEWPORT BEACH, CA 92660 (949) 851-3080 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 : $187,500X0 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 No of Units : 0 Alteration sq. ft. Bldg : 574 No of Stories : 8 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that f 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 Code: Any city or county that requires a permit to construct' alter, fm prove, 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' Stain License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the 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). 0 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the 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. 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 built or improved for the purpose of sale). ❑ I, 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 apply 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 reason: ... _..... __��_�4�___ 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 it has not been constructed in its entirety by licensed contractors. I understand that a copy of the. applicable low, Section 7044 of the Business and Professions Code, is available upon requestwhen this application is submitted or at the following Web site:http:IiWwm.leginfo.ca..gov/calaw.html, Signature of Property Owner or Authorized Agent Dale LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 001 of Div'sion 3 of the Business and Prdjessions%loda nd my li n e is in Full fo. e land effect. License Class License. No Date 125 2$ Contractor Signature /"� (WORKERS' COMPENSATION DECLARATION. 'WARNING: 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 (6100,000), IN AODrr10N TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION STOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm undo• rirnalty of perjury one of the following declarations: I have and wiL ma,ntam 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 `c�rnnrce of tl'.c nor:; 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 ante policy number are: Policy Number Expiration Date of'Elent - —Phone #_ os^.i y 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 If I ehauld become subject tgAe workers' com*rsaticn provisigDsof Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,I,siwa of App"rit_-� ` ^— I - Date CLARATION REGi RGING CONSTRUCTION LENDING Abtpi =.m7•n'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). )r1sr`s Name Lenderts Address my signature ba,ow, I certify to each of the following: I ant 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 county ip enter a a. ve•idantif property for inspection purposes. �,r �U -��O �Z nature of ProDertV Owner or Authorized Acio nt � Print Property, Owner's or Authorized Aaent's Nama DATE. BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART Et OF TITLE 40 ANp AONID RULE PERMiTEXPIRED LJI SUBMITTED ASBESTOS NOT] FICATION TO PERMIT CANCELLED _ _ LILPA PERMIT EXTENDED MD______ PERMIT FINAL 4-11- tJ _ 'BESTOS NOTIFICATION IS NO] 'tAPPLICABLE TO CERTfFfCATEOF ON OCCUPANCY ID SIGNATURE \E/ / {^��