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Home My WebLink AboutXC2022-1896 - PermitsCity of Newport Beach �EWPORT o Community Development Department - Building Division 4 ., 100 Civic Center Drive, Newport Beach, CA 92660 U r Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cg6�FOR��P newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Wnrk Class - Tenant Improvement y! �' 7% i- el"T, aS �C1rR COMB Permit : XC2022-1896 Plan Check No : PC2022-1970 Issued Date : 09/12/2022 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 : 1009 NEWPORT CENTER DR Description : COMM TI 4579 SF "PACSUN" Owner: IRVINE COMPANY LLC THE Address: PO BOX 2450 NEWPORT BEACH, CA 92658 Phone: Applicant: ROXANNE BENIEN Address : 12 TURNBERRY DR COTO DE CAZA, CA 92679 Phone: (310)407-9789 Owner/Builder Address: Phone Legal Desc : P BK:221 PG 30PAR 6. P.M. 221-30 PAR 6 POR OF PAR AND POR PA R 1 OF P.M. Contractor : TRI - NORTH BUILDERS INC Architect Address : 2625 RESEARCH PARK DR - Address FITCHBURG, WI 53711 Phone: (608)271-8717 Phone: Con State Lie : 917621 - State Lie - Lie Expire.; 06/30/2024 Bus Lie'. BT30079618 Engineer: Bus Lie Expire : 09/30/2023 - Address Workers' Compensation Insurance- Phone: Carrier: AMERICAN GUARANTEE AND LIABILITY INSURANCE COMPANY Policy No: WC760661602 Designer: W. C. Expire: ;3/1/2023 Address Phone: Code Edition : 2019 Fire Sprinklers : Type of Construction : III-B Fire Hazard Zone Occupancy Groups : M No of Units : Bldg Height : No of Stories Building Setbacks : Flood Zone: X Use Zone : PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: HAULER: WASTE,MANAGEMENT SARGENTI ROBERT JON JR 461 FROM ROAD, STE 255 PARAMUS NJ 07662, CA (973)253-9393 Construction Valuation : Added/ sq. ft. Bldg Alteration sq. ft. Bldg : ,Added/New sq. ft. Garage YES NO 0 $650,000.O,Q, 4,579 4,579 0 I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmadc(s) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permitto construct, altar, improve, demolish. or repair any structure, prior to Its issuance, also requires the applicant for he permit to fife a. signed statement that he or she Is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with $action 7000) of Dlvisian 3 of the Bus [nos sand srofessfons 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 rot more than five hundred dollars MOD). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (-,) portions of the work, and the structure is not Intended or offered for sale (Section 7044, 3usiness 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 mprovemenls are not Intended or offered for sale. ir, however, the building or Improvement is sold within one year of completion, the Owner-SUlider will have the burden of proving that It was not built or m roved for the purpose of sale), I, as owner of the property, arm exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Lew does not ly to an owner of property who builds or Improves thereon, and who contracts forthe Projects with a. licensed Contractor pursuant to the Contractors" State License Law). t am exempt from licensure under the Contractors' State License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence In which I must have resided for at teast one year prior to completion of the improvements covenad by this permit, I cannot legaP ,all a structure that I have built as an owner -budder If it has not been constructed in its enfirety by licensed contractors. I understand that a copy of the applicable law, $action 7044 of the Business end ?rofassions Code, isavailable upon request when this application Issubmitted oratthe fallowing Web sita:http:llwww.loginfo.ca.gov/calaw.htmi. iignature of Properly Owner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION'. hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Coda, d! m Gore Is n fu orce Ind affect. License Class License No Data' zZ Contractor Signature Y YORKERS' COMPENSATION DECLARATION rARN [NO: FAILURE TO SECURE WORKERS" COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUEJEDT API EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,8OP. IN. ADDITION TO THE ;CST OF COMPENSATION, DAMAGES AS PROVtOED FOR IN SECTION 77SS OF THE LABOR. CODE, INTEREST, AND ATTORNEY'$ FEES, hereby affirm under penalty of perjury one of the following declarations: I I have and will 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 erformanoe 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, far the performance of the work for which this permit Is Issued, My workers' rance, canter and policy number are: ne, of Agent certify that, In the performance of the work , If I should become subject to the workers tatureotAnolicant k X� 2Y. Number Expiration Date this permit Is Issued, I shall not ompioy any person In any mannar so as to become subject to the workers' compensationlaws of California, and alio�royisions or Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. Daly% 7 -IZ-2 '- !raby affirm under penalty of perjjury that there is A construction landing agencyfor.the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider'a Name Lender's Address my stgnahlre baiow, t Do" to each of the following: I am the p,cpa:,y owner or authorized to act on the property owner's behalf. 'have mad this ippilcation and the information I have provided is correct. I agree tc comply with all applicable city and county ordinances and eta laws relating to building construction. I authorize representatives of this city or county to enter the abov,@-lc eXd property far Inspection purposes, PERMIT PERMIT FI NA CERTIFICATE JF OCCUPANCY ISSUED BY DECLARATION OF COMPLIANCE WITH CODEOFFEDERAL FOR REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 (SV$r,4t r)ASBF.STO5NOTIFICATIONTO EPA. QMM D SBESTOS NOTIFICATION 15 NOT APPLI BLE TO PROPOSED DEMOLITION I � , I