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Home My WebLink AboutXC2022-1995 - Permits�,EWPORT City of Newport Beach Community Development Department- Building Division j � n 100 Civic Center Drive, Newport Beach, CA 92660 U x Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C4(/FORN�P newportbeachca.gov/inspections Combination Type - ELEC Work Class - Tenant Improvement COMB Permit:XC2022-1995 Plan Check No : PC2022-2493 Issued Date : 10/10/2022 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: 1301 DOVE ST, 820 Legal Desc : P BK 120 PG 27 PAR 1 Description: COMM - TI "STRUNK LOOS FAMILY LAW" 4,748 SF Owner: OCEAN WEST CAPITAL Contractor: COASTLINE DEVELOPMENT INC Architect : ALGAZE NELSON Address : 2101 ROSECRANS Address : 13911 ENTERPRISE DRIVE Address : 6083 BRISTOL PARKWAY CULVER CITY, EL SEGUNDO, CA 90245 GARDEN GROVE, CA 92843 CA 90230 Phone : Phone : (714) 265-0250 Phone : (213) 929-1400 Con State Lie : 485187 State Lie : CO21090 Lie Expire : 01 /31 /2024 Applicant : ALGAZE NELSON Bus Lie: BT30075B60 Engineer Address : 6083 BRISTOL PARKWAY Bus Lie Expire : 07/31/2023 Address CULVER CITY, CA 90230 Phone: (213) 929-1400 Workers' Compensation Insurance Phone: ' Carrier: COMPWEST INSURANCE CO Owner/Builder : 'Policy No: WCV550542500 Designer Address : W. C. Expire : 1/l/2023 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $172,000.00 Type of Construction : I -A Fire Hazard Zone : NO Added/New1TI sq. ft. Bldg Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : 4,748 Bldg Height : No of Stories : 10 Added/New sq. ft. Garage : 0 TOTAL sq. ft. Bldg : 4,748 Building Setbacks Flood Zone : X Use Zone : PC - Newport Place PROCESSED BY: SPECIAL CONDITIONS OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury 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 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 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees With wages as their sole compensation, will do L) all of or L) 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 properly 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). ❑ i, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState License Law dues not apply 10 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 Contractofs' State License Law for the following reason: By my signature below 1 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 legally sell a structure that I have built as an ownor•buildar it 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 site:htip:liw .leginfo.ca.govlcalaw,html, Signature of Property Owner or Authorized Agent _T _ ,,,_,_ , Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 0 ) of Division 3 of the Business and Pr ions C e, a d. my license is In full force and effect. License Class License No Date d• D• Contractor Signatur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL, AND SHALL SU84ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100.000), IN AOCRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LAAOR CODE. INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 lh performance of the Work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date 31 certify (list. in toe: performance 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 compensation laws of California, and ague Tat, if I should bec subjec o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applica _ _ _ ._ .„_� Date�1L:ZV •,�___ IECLARATION RE AR C STRUCTION LENDING AGENCY\e hereby affirm under penalty of perjurythat there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil CSa). ander's Name Lender's Address ly my signature below, I certify to each of file following: I am line property owner or authorized to act on the properly 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 c unI ordinances and state laws relating to building construction. I county. nterthe abdye-identified property for inspection purposes. authorize representatives of this city or count Sicnature of ProDerty Owner or Authorized Aoanl. y7 Pont Property Owner's or Authorized Agent's Name U jbr2S Dat �d ACTION DATE. BY V DECLARATION 4P'COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / I REGULATIONS PART 61 OF TTYLE 40 AND AClMD RULE 1403 PEFMITEXPlRED k `LJ i SUBMITTED ASR STO N 7TI FICA' ION CO PERMIT CANCELL ED Qf PA ...... ..._ ... ......... _. PERbfIT EXTENDED 1 Wt7m' PCFWT FINAL ��3 C�� 5 GNATURE S N OLITICAI IUN IS NOl APPLICABLE rO CERTIACA E OF IPPROPOSED /�{ OCCUPANCY ISSUED lr r�" //'� �/