HomeMy WebLinkAboutXC2022-2031 - PermitsaEWP0 City of Newport Beach III IIIII I I IIII II I II III II III I I II COMB Permit: XC2022-2031
4 Community Development Department- Building Division X C 2 0 2 2 2 0 3 1
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2663
n
Permit Counter Phone: (949) 644-3288 Issued Date:
Inspection Requests Phone: (949) 644-3255 Inspection Area : 7
newportbeachca.gov/inspections
Combination Type -
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: 1055 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 POR OF PAR AND FOR PA R 1 OF P.M.
Description: COMM - TI REMOVE EXIST'G STOREFRONT AND INSTALL NEW CANOPY AND STACKING ENTRY DOOR SYSTEM - "TRAVIS MATTHEWS"
Owner:
IRVINE CO
Address :
111 INNOVATION
IRVINE, CA 92618
Phone:
(949)608-9659
Applicant:
CARRIE WRIGHT
Address :
17800 Mitchell N
Irvine, CA 92614
Phone :
(949) 683-3984
Contractor: ANGEL CONSTRUCTION SVCS INC
Address : 3350 E 7TH ST #104
LONG BEACH, CA 90804
Phone:
(562)261-2771
Con State Lic
: 1083826
Lic Expire :
11/30/2023
Bus Lic :
BT3007773B
Bus Lic Expire : 01/31/2023
Architect:
STEINER STUDIO
Address :
17800 MITCHELL NORTH IRVINE, CA
92614
Phone:
(714)299-5957
State Lic
Engineer
Address
Workers' Compensation Insurance Phone
Carrier: STATE+COMPENSATION+INSURANCE+FUN
D
BISHOFF RYAN WILLIAM
3300 IRVINE AVE #245
NEWPORT BEACH, CA 92660
(949)862-8510
Owner/Builder :
Policy No: 9295393
Designer
Address :
W. C. Expire: 4/1/2023
Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : YES
Construction Valuation : $30,000.00
Type of Construction : III-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg
Occupancy Groups : M
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 1
Added/New sq. ft. Garage: 0
TOTAL sq. ft. Bldg : 0
Building Setbacks
Flood Zone: X
Use Zone: PC - North Newport Center
PROCESSED BY.
SPECIAL CONDITIONS:`
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
to permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she I$ exempt from Ijcensure 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
at 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
rosiness 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
nprovemonts 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
Dproved for the purpose of sale).
3 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
.poly 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 I am exempt from licensure under the Contractors' Stale License Law for the following reason:
fy my signature below I acknowledge that, except for my personal residence in which I must haveresided for at least one year prior to completion of the improvements covered by this permit, I cannot legalh
ell 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 law, Section 7044 of tho Business and
'rofessions Code, is available upon request whenthis application is submitted or at the following Web site.http:liwww.leginto.ca..gov/calaw.html.
Pgnature of Property Owner or Authorized Agent _ OR
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0) of O' late 3 of the Business and Prof one o e rid ��iI rise is In full force
nd effect. License Class License No Dat Contractor Signature r
VORKERS' COMPENSATION DECLARATION
1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOLLARS fE I p00), IN ADDmON TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LA90R CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
] 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
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'
ranee carrier and policy number are:
Policy Number Expiration Date
to of Agent Phone #
certify Ilia[. in the pe mance t e work for w I this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' comps aU.ory)laws of California, and
d I should become sr lect to�kia V000A co p salion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �' ���
Signature of Applicant
DECLARATION REGAR ING FWC NDING AGENCY
I hereby affirm under penalty o perjury that er ell construction lending agency for the performance of the work for which this permit is issued (Section 30�7 vil Code).
Lenders Name Lenders Address
By my signature below, I 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 city and cow y or ' co and start vs relating to building construction.
I authorize representatives of this city I aou e r e a id I property for inspection purposes.
[Signature of Propertyy Owner or Aulhonzed A ant Print Property Owner's or Authorized A ent's Name r _ �� D
ACTION DATE BY LLARATION MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RE ULATIONS PART 61 OF TITLF 40 AND AQMD RULE
1403
PERMIT EXPIRED I I SIIBMITTLD ASR�STOS NOTIFIC'.TION TO
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PERMCANCELCED �PA
PERMIT FINAL D QMp
PERAI7 FINAL ASBES7 5 OnlWTCAUI' O1"APP
CERP 1CAIE OF P O 6FD OLITiO
OCCUPANCY ISSUED 5'IGAATIG .