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Home My WebLink AboutXC2022-2030 - PermitsCity of Newport Beach ¢��WPoRr 0 Community Development Department- Building Division F Fy 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 T Inspection Requests Phone: (949) 644-3255 cq�/FORN�P newportbeachca.gov/inspections Combination Type - ELEC Work Class - Tenant Improvement X C 2 0 2 2 2 0 3 0COMB Permit: XC2022-2030 Plan Check No: PC2022-2659 Issued Date : 11/28/2022 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: 2101 COAST HWY E Description : COMM TI 719 SF'SHAPE-UP' HEALTH CLUB Owner: 2101 ECH LLC H & S VENTURES LLC Address : 2101 E COAST HWY STE300 CORONA DEL MAR, CA 92625 Phone: Applicant: VALLE JOHN Address : 25181 RIVENDELL DR LAKE FOREST, CA 92630 Phone: (714)745-5419 Owner/Builder : Address : Phone Legal Desc : P BK 152 PG 28 PAR 1 Contractor: RICHARD LENIHAN CONST Address : 14124 ARDIS AVE BELLFLOWER CA 90766, CA 90766 Phone: (562)773-5981 Con State Lie : 946274 Lie Expire : 04/30/2024 Bus Lie : BT30047492 Bus Lie Expire : 04/30/2023 Workers' Compensation Insurance Carrier: STATE COMP Policy No : 9027228 W. C. Expire: 10/28/2023 Code Edition : 2019 Fire Sprinklers : YES Type of Construction : I-B Fire Hazard Zone : NO Occupancy Groups : B No of Units : 0 Bldg Height : No of Stories : 4 Building Setbacks Flood Zone : X Use Zone : OG - Office —General PROCESSED BY: SPECIAL CONDITIONS Architect : VALLE JOHN Address : 25181 RIVENDELL DR LAKE FOREST, CA 92630 Phone: (714)745-5419 State Lie : CO26398 Engineer Address Phone Designer : yl Address: C Phone Construction Valuation : $32,000.00 Added/New/Ti sq. ft. Bldg : 0 rA Alteration sq. ft. Bldg : 719 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 reason(s) indicated below by the eheckmark(s) I have placed next to the applicable-ftem(s) coon 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 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 Dilv[sion.3 of the Business and fessions 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 fora permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not Intended or offered for sale (Section 7044, liness 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 properly, provided that the rovements 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 roved for the purpose of sale). 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 y 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), J I am exempt from Iicensure 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 legal]! sell a structure that I have built as an owror-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 the Business and Professions Code,, is available upon request when this application is submitted or at the following Web siterhttp:l/ww'w.leginfo.ca,govicalaw.html. Signature of Property Owner or Authorized Agent _ __ Date IL— yjt— zc'2 Z LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under. provisions of Chapter 9 (commencing with Section0) f Division 3 of the Business and Prh as; FIB' dim use is In full force and effect. License Class License No Date — -ZAtyContractor Signatu NORKERS' COMPENSATION DECLARATION MARRING: FAILURE TO SECURE WORXERV COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOREO HOU5AN0 DOLLARS ISf00,90E), IN AUDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37116 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: ZI 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, forth Na rf rmance of the work for which this permit is issued. Policy No. ave 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' compensatioi nsurance carrier and policy number are! Carrier Policy Number Expiration Date Name of Agent Phone # 01 certify that, inth art rmance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' co ensaiion laws of California, and ogre that, if I should becom bjec to th vorke. ' Co pensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. q Signature of Applicant Date O Z�ZZ DECLARATION REG O CONSTRUCTION LENDING AGENCY I hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 1 it Code). Lender's Name Lenders Address 3y my signature below, I certify to each of the follot I am the property owner or authorized to act on I have read this application and the informahP.on I agree to comply with all applicable city an+n ac I authorize representatives of this city or count)) 3ionature of Property Owner or Authorized Agent ACTION I DATE i BY PERMIT EXPIRED PERMIFCANCELLEO PERMIT EX?ENDED PERMITFINAL �I.�f�7�)]., CERTIFICATE OF OCCUPANCY VSSUEO property owner's behalf. ve provided is correct, ordinances and state laws relating to building construction. :nte he eve-i ntlfie roperty for inspection purposes. Print Property Owner's or Authorized REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOC r1OT1 fVXl ON l G NOTIFICATION IYNOTAPPLUXABLE TO FOR OFFICE USE ONLY x