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Home My WebLink AboutX2022-1765 - PermitsCity of Newport Beach ��Ev✓no/7A o R Community Development Department - Building Division >, 100 Civic Center Drive, Newport Beach, CA 92660 u Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °4<rconN`P. newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement ��'!!!I!IIIIIII!I!IIIIiII!!IIIII!IIIIIIIII!I!!IIIIIII!IIIIIIII �� { 2 m 2 2 - t 7 6 5 COMB Permit : X2022-1765 Plan Check No : 1614-2022 Issued Date : 04/12/2023 Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSHECTiON, 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: 1021 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR AND FOR PA R 1 OF P.M. Description : COMM SHELVING 500 SF FOR "DR MARTENS" Owner: KRISTI CRAFT ROWLEY Address : 110 INNOVATION IRVINE, CA 92618 Phone: (949)720-3161 Applicant: SIG SYS INC Address: 2302 MARTIN #125 IRVINE, CA 92612 Phone: (949)825-6031 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2019 11-B M X PC - North Newport Center SPECIAL CONDITIONS: Contractor: SIG SYS INC Address : 2302 MARTIN #125 IRVINE, CA 92612 Phone: (949)825-6031 Con State Lie : 957084 Lie Expire: 01 /31 /2025 Bus Lie : BT30077157 Bus Lie Expire : 11/30/2023 Workers' Compensation Insurance Carrier: ZENITH INSURANCE COMPANY Policy No: M1313501 W. C. Expire : 12/20/2023 Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Architect Address Phone: State Lie Engineer: VANCAMP ROBERT Address : 365 NE QUIMBY AVE BEND OR 97701, CA 97701 Phone: (541)389-9659 Designer: Address Phone : YES Construction Valuation : NO Added/New/TI sq. ft. Bldg 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : $15,000.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State Lv<ensn Law fiv the Teasn6(s) iddicaled below by the the urnark(s) I have placed next to the applicable item(s) Section 7031.5. Business and Professions Code: Any city or county that requires a pelmii to co,,sLoc,. aaer. improve, Jernolish,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 o'th3 Contractors' Statc Liccc3^ Law (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). J 1, as owner of the property, or my employees with wages as their sole compensation, will do U all or or i ) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness and Professions Code: The Contractors' State License Law does not apply to an Lwrar of property who, if,, ough 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 improrovum:ant is ;old withh on- year cT comnle' on, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). ` 3 I, as Sinner 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 .Defy 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). 1 am exempt from licensors under the Contractors' State License Law for the following reason: Iy 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 legalh all a structure that I have built as an owner -builder if it has not been constructed in its entiroty, 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 Web site:http:fiWww.leginto.ca.gov)calaw.html lignature 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 Section 7000) f Divi ion ofthe Business and Professio Code nd' my 'Tense is in full force nd effect. License Class License No Date LL Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARMING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN ED HOU DOLLARS ($700,0001, IN ADDITION TO THE DST OF COMPENSATION„ DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEPS FEES. hereby affirm under penally of perjury one of the following declarations: ] 1 have and will maintain a certificate of consent to self-iosure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the' Labor Code, for th erformance 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' compensation rance carrier and policy number are: ter Policy Number Expiration Date is of Agent Phone # certify 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 agre if I should become subject to tVe wp rkers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. latureof Applicant,_„, Date / / �ZW/2 ) a acennM ocr_en r•. �cronrnnu I crJTslur nr_cury hereby affirm under par)atEy yperjurythat there is a construction lending agency for the performance' of the work for which this permit is issued (Section 3097, Civil Code), endar s Name / Lender's Address y my signature below, ify 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 ordinances and state laws relating to building. construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. /n %J N igoature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name k,v /� I] 111 � /0t(AYM Data ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS LATIONS PART 61 OF TMLE40 AND AQMD RULE E PERMIT CANCELED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED ASBESTOS NOTIFICATION TO NOTAPPLICABLE TO