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Home My WebLink AboutXC2023-0274 - PermitsaEW PDT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIII III II COMB Permit XC2U23-o274 Community Development Department- Building Division X C 2 0 2 3 0 2 7 4 y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1756 Permit Counter Phone: (949) 718-1888 Issued Date : 11/02/2023 u newportbeachca.gov/civic Final Date: °4<,rc aH`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 : 1177 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 7, P BK 221 PG 30 PAR 8 P.M. 221-30 PAR 8 POR OF PAR Description: COMM TI- "BARRY'S" FITNESS CENTER 4,286 SF Owner: IRVINE COMPANY Contractor: JORGENSEN -REEVE BUILDERS INC Architect : LEACH BLAIR S Address : 110 INNOVATION DRIVE Address : 6442 PLATT AVE #251 PLATT AVE Address : 15974 N 777TH ST STE 100 SCOTTSDALE IRVINE, CA 92617 WEST HILLS, CA 91307 AZ 85260, CA Phone : (949) 720-2000 Phone : (818) 340-0320 Phone : (480) 397-0005 Con State Lie : 876216 State Lie Lie Expire: 04/30/2024 Applicant: PUA WHITFORD Bus Lie: BT30082852 Engineer: LINENFELSER KYLE Address : 30900 RANCHO VIEJO RD, 285 Bus Lie Expire : 10/31/2024 Address : 496 MERUS CT SAN JUAN CAPISTRANO, CA 92675 ST LOUIS MO 63026, CA Phone: (949) 581-2888 Workers' Compensation Insurance Phone: (636) 349-1600 x28 Carrier: EVEREST PREMIER INSURANCE COMPANY Owner/Builder: Policy No: 7600021559221 Designer: Address: W. C. Expire : 5/4/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $1,000,000.00 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 : 4,286 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center • , , • , PROCESSED B SPECIAL CONDITIONS: 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 checkmark(s) I have placed next to the applicable items) iaDlion 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 Low (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 L) 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' 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 It was not built or nproved for the purpose of sale). 3 1, as owner of the properly, 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 3 I am exempt from licensure under the Contractors' State License Law for (he following reason ,y 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 Iegalll ell a structure that I have built as an owner -builder if it has not Dean constructed in its ontiroty 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 INab site:http:fiwww.leginfo.ca.govlcalaw.html. signature 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 9 (commencing with See n 7 0) of/ f Division3 of the Busi s and Professions nd y If se is In full force Ind effect. License Class License No D �_2T/ Contractor ignature/ PORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SU84ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE DST OF COMPENSATION,: DAMAGES AS PROVIDED FOR JN SECTION 3706 OF THe LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a oerlifrcate of consent to self-insura for workers' Compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ormance 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' compensa irance carrier and policy number are: of Agent rtify that, Policy Number Date 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 wor ts' compensation laws of California, and IS subject tgtJbi�wuAem*_pompensattWn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions_ ) j_ I hereby affirm under penalty o✓pegurythki there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the propEt/ 7 V-,;r or authorized to act on the property owner's behalf, I have. ead this application and the information I have provided is correct. I agree to comply wig+i all applicablecity and county ordinances and slate laws relating to building construction. I auttorize representatives of this city br only to enter a- nti ' d arty for inspection purposes. I- z Si oatu:'c of Property Owner or Authorize ent. Prim Property Owner's or Authorized Agents N m ACT,ON I DATE. By 3 D LAR 10 FCOMP. WITH CODF OF FEDERAL FOR OFFICE USE ONLY ( 8EGULATIONS PART SI OF TITLE. 40 AND ACUr1D RULF 1403 PERV"(XPIFED I I Ll I SUBMITTED ASBESTOS NOTIFICATION TO PiFMiT E TEMOEC _ E Pt FILi ri JA!B5NUTIFICAI' NOl` PPL�CEhi CATEOF P EMOLI OCCUPANCY ISSUED SIG AT