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Home My WebLink AboutX2022-1802 - PermitsCity of qewport Beach ¢��WPoRr Community Development Department - Building Division 100 Civic C -nter Drive, Newport Beach, CA 92660 Permit Coui Ua. iter Phone: (949) 644-3288 Inspection I tequests Phone: (949) 644-3255 newportbe chca.gov/inspections Combination Type - ELEC MECH PLUM Work Class -Tenant Improvement COMB Permit: X2Q22-1 802 X 2 0 2 2 1 8 0 2 Plan Check No : 1660- Issued Date : 11/07/2022 Inspection Area : 3 PERMITS EX IRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCT ON RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 20411 BIR H ST, 200 Legal Desc : N TR 706 BLK LOT 66 TR 706 LOT 61, 62 AND POR. OF LOTS 63,6 4,65 & Description : COMM TI: UITE 200 & 210 OFFICE SPACES. 9505 SF Owner: BAYSIDE S Address : 220 NEWPI NEWPORT Phone Applicant: ERIK ALVA Address : 20401 SW I NEWPORT Phone : (949) 851-8 Owner/Builder : Address : Phone: Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks: Flood Zone Use Zone : PROCESSED BY: SPECIAL CONDITIO ,REINVESTMENTS LLC Contractor: ERIKALVAREZ CENTER DR #11-557 Address : 20401 SW BIRCH STREET, 300 CH, CA 92660 NEWPORT BEACH, CA 92660 Phone: (949)851-8383 Con State Lic : 411173 Lic Expire : 08/31/2023 Bus Lic : BT00021561 H STREET, 300 Bus Lic Expire : 03/31/2023 CH, CA 92660 Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: 2019 Fire Sprinklers : II- Fire Hazard Zone g No of Units : No of Stories - Santa Ana Heights Specific Plan Architect: WIRICK JAMES Address: 5161 CALIFORNIA AVE #100 IRVINE, CA 92612 Phone : (949) 261-1001 State Lic Engineer : STOVNER ERIC Address : 1350 CORONADO AVE` , LONG BEACH, CA 908Q4, Phone: (310)530-3050 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. Bldg: $1,579,349.00 0 0 I hereby affirm under penalty of pe€Jury 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 Item(s) 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 he permit to file a signed statement that lie 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 'rofesslons Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant fora permit subjects the applicant to a oNil penalty of lot more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_} all of or L) patens of the work, and the structure is not intended or offered for sale (Section 7044, 31.1siness 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 "provemants 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 "proved for the purpose of sale). 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 ply 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 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 least one year prior to completion of the Improvements coveted by this permit, I Cannot legall) roll a structure that I have built as an owner -builder if it has not been constructed in its entirety by Iicensad contractors. I understand that a copyof 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:liwww.leginfe.ca.gov/calaw.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 Section 7000) of Division 3 of the Business and Professions C e,fapdmy license is In full force and effect. License, Cis" License No Date /('7- Z Z Contractor Signature / %JJ , YORKERS' COMPENSATION DECLARATION IAA.1111: F VLURE TO SECUPE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1100,000), IN ADDITION TO THE IOAT OF CGMPENSAaIi, D,GIAGES AS PROVIDED FOR IN SECTION ST06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEE$. hereby affirm underpenalty of perjuryone of the following declarations: J I have and will nvilntain. 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 thr ev,riancs of tha work for which this permit is issued. Policy No. and wil! ma'n's'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` carrier an❑ policy number are: T7 of Agent Certify that, in Lad pet formal if I s:wuld become subject mature of ADDlicant /� PI Policy Number Date 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 he vyorkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date 1(-7 Z Z-- hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). .enders Name Lender's Address ly my signature below, I certify to earn 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 tW enW*plabove-identified property for inspection purposes, n q ACTION DECLATION OF COMPLIACE WITH CODE OF FEDER ( DATE. I BY I REGULATIONS PA t 6 OF TITLE 40 AND AQMD RULE AL { FOR OFFICE USE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITEXTENDED_ -_ ---- IJAQMD PERMIT FFNAL _ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF OCCUPANCYISSUED / OP05EO EMQUTION , j/ %ICNATuac // [/