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Home My WebLink AboutXC2023-0032 - PermitsCity of Newport Beach �v,EvvaoRr Community Development Department- Building Division r ! 100 Civic Caner Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 644-3288 .s. Inspection Requests Phone: (949) 644-3255 �4cicoaN`P. newportbeach:a.gov/inspections Combination Type - ELEC MECH PLUM Work Class Tenant Imorovement COMB Permit : XC2023-0032 X C 2 0 2 3 0 0 3 2�� II Plan Check No : PC2023-0288 Issued Date : 03/23/2023. Inspection Area : 7 PERMITS EXPI E 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTIO RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 5000 BIRCH Description: COMM TI - 1; Owner: JOHN HANCOC USA Address : 865 S FIGUERC LOS ANGELES, Phone: Applicant: JLC ASSOCIAI Address : 3198 A AIRPOF COSTA MESA, Phone: (949)241-4430 Owner/Builder Address : Phone 1ST FL RR Legal Desc : P BK 181 PG 13 PAR 5 FL RESTROOM & CORRIDOR 3094 SF LIFE INSURANCE COMPANY Contractor: JLC ASSOCIATES INC ST STE3320 A 90017 > INC LOOP DR % 92626 Code Edition : 2uz Type of Construction : I -A Occupancy Groups: B Bldg Height: Building Setbacks Flood Zone : X Use Zone : PC Koll Center PROCESSED BY: SPECIAL CONDITIONS: Address : 3198 A AIRPORT LOOP DR COSTA MESA, CA 92626 Phone: (949)241-4430 Con State Lic : 645576 Lic Expire : 05/31/2024 Bus Lic: BT30053881 Bus Lic Expire : 01/31/2024 Architect : ALGAZE NELSON Address : 6083 BRISTOL PKWY CULVER CITY, CA 90230 Phone : (213) 929-1400 State Lic : CO21090 Engineer Address Workers' Compensation Insurance Phone carrier: INS CO OF THE WEST Policy No: WVE504521604 Designer W. C. Expire: 1/1/2024 Address Phone: Fire Sprinklers : YES Construction Valuation : $46,410.00 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 No of Units : 0 Alteration sq. ft. Bldg : 3,094 No of Stories : 11 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the re.ason(s) indicated belovr by the checkmarkjs) I have placed next to the applicable item($) (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, arse requires the applicant for the 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 Professions Code) or that he or she is exempt from lieensure 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 ($50D). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended 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). 71 1, 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 o ter of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 13 1 am exempt from llcensure under the Contractors' State License Law for the following reason: 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 legall, sell a structure that I have built as an owmor-builder if it has not been constructed in its entirely by licensed contractors, I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _ a LICENSED CONTRACTOR'S DECLARATION --- I hereby affirm under penalty of perr�jury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess d ,era y ise is In full farce and effect. License Class 17 License No �`t Date :41 ZS(a.3 Contractor Signature NORIEERS' COMPENSATION DECLARATION NARNING: 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 tst DD,ODOj. IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR ON SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: -11 have and wiJ maintain a certificate Of consent to se Nrieure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th )e'drirmar,oe of the work for which this permit is issued. Policy No. have and will mainfa,n 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' make carrier and policy number are: II^or Agent _ _ _ _ certify that, IT,, the performai if I should become subject ii±a-e of Apolicant , Policy Number Date the work for which s ;permit Is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California., and wojtfe.rs' oo d"provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions. Date y 223 torZ= `) areby affirm under per. ally of perjury that the y4ris-dconstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). WfIr's Name Lenders Address my signature. oeow. ; certify to each of the following: I am the property owner or authorized to act on the property owner's be alf. i have read this application and the information i have provided is c t. I agree to comply with all applicable city and county dinances an s to taws relating to building construction. I authorize representatives of this city or county to forth above tffled property for inspection purposes. /� r_ I 1 nature of Property Owner or Authorized Agent .,fdiI... . - Print Prooertv Owner's or Authori>ed Anent'c Mari,./ -T Abe U (t(n v ACTION DATE BY ZrECi(fr�ATION I CA LIAIJCEWIT4 CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS ART 6I OF TITLE 40 AND AONID RULE. 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTI FICATI ON TO PERMITCANCELLED MEPA PERNiTEXTENDED PERUHT FINALPROAyBEO5T05 NO CA7/10iJ "APPLICABLE i0 OCCUPANCYISSUED / 7/91 7 t r,NATIIR AE l: _�n��