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HomeMy WebLinkAboutX2022-0594 - Permits�2gWPpR City of Newport Beach II II III I II I II III II I I COMB Permit : X2022-0594 p o Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0531-2022 ggg� r� i Permit Counter Phone: (949) 644-3288 Issued Date : 09/06/2022 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Inspection Area : 7 Combination Type - ELEC MECH 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 : 1301 DOVE ST, 970 Description : COMM -TI 2533 SF SPEC SUITE Owner: 1301 DOVE OWNER LLC Address : 2101 ROSECRANS AVE STE3270 EL SEGUNDO, CA 90245 Phone : Applicant: ERIC WHITAKER Address : 6083 BRISTOL PARKWAY CULVER CITY 90230 Phone: (310)743-8976 Owner/Builder Address Phone: Legal Desc : P BK120 PG 27 PAR Contractor: COASTLINE DEVELOPMENT. INC Address.: 13911 ENTERPRISE DRIVE GARDEN GROVE, CA 92843 Phone: (714)265-0250 Con State Lic : 485187 Lic Expire: 01/31/2024 CA:.Bus Lid: BT30075860 Bus Lic Expire : 07/31/2023 Workers' Compensation Insurance Carrier: COMPWEST INSURANCE CO Policy No : WCV550542500 W. C. Expire : 1/1/2023 Architect: ALGAZE NELSON Address : 6083 BRISTOL PARKWAY CULVER CITY, CA 90230 Phone : (213) 929-1400 State Lic: Engineer: Address Phone: Designer: Address: Phone : Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $150,000.00 Type of Construction : I -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 2,533 Occupancy Groups : B No of Units : 0_ Alteration sq. ft. Bldg : 2,533 Bldg Height : No of Stories ; 10 _ Added/New sq. ft. Garage: 0 Building Setbacks Flood Zone Use Zone: PROCESSED BY: X PC - Newport Place J. SPECIAL CONDITIONS: HAULER: WASTE MANAGEMENT OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reasons) 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 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 }rorsssions Code) or that he or she Is exempt from Ilcensure and the basis for the alleged exemption. Any violallon of Section 70311.5 by any applicant for a permit subjects the applicant to a civil penalty of Tot more than Pole hundred dollars ($500). 1. as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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 mprovements 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 bull) or ('reproved for the purpose of sale). u I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Lew does not ,aP,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). LI I am exempt from licensure 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 legalll sell a structure that I have built as an owner -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 submittedor at the following Web site:htip:IAw .leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Dale LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0)of Division 3 of the Business and Professio ode, and. my Ilcense Is in full farce and effect. License Class License No Date ZO 2L Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANO SHALL SUEJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP' TO ONE HUNDRED THOUSAND DOLLARS ti100,0001,1H ADDITION TO THE COST OF COMPENSATION., DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'$ FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a CertiArate of consent to selhlnsure for workers compensation. Issued by the Direclor 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., have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the workfor whichthis permit is Issued. My workers' ranee carrier and policy number are: Policy Number Date is of Agent Friona IT. certify that, in the performance of the work for which this parmit Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and . it I should become subleol to the workers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. a Date I4-Z,?,-L- ireby affirm under penalty of perjury that there Is a construction lending agency forthe performance of the work for which this permltis issued {Section 3097, Civil Code) Iders Name Lander's Address my signature below, I certify to each of the following.: I am the 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 county ordinances and slate laws relating to building construction. I authorize representatives of ints c/ty or county to ear the above-idenRged property for Inspection purposes. Of PrOOerl' Owner or AulhO ed Agent Font ,roeeny uwner's of AUumnzeo H DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REOrULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT FX'FNO€© PERMIT RNAL CERTiFICATF OF CC LIPANC,'lSSLEJ -Z7 I IPPRROPOSED ASHES]DEMOLITION NOTIFICATION IS NOT APPLICABLE TO