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HomeMy WebLinkAboutXC2024-0115 - Permits�EWPo?^ City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ~ 949 718-1888 Permit Counter Phone: , newportbeachca.gov/civic °j'�FonN.P Combination Type - ELEC MECH Work Class - Tenant Improvement X C 2 0 2 4 0 1 1 5COMB Permit: XC2024-0115 Plan Check No: PC2024-0582 Issued Date : 04108/2024 Final Date: Permit Status: Issued 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 : 550 NEWPORT CENTER DR, 800 Description: COMM OFFICE TI 625 SF Owner: 500/550 NEWPORT CENTER DRIVE LLC Address : P.O. Box 2450 NEWPORT BEACH, CA 92658 Phone: (949)453-2330 Applicant: MARK YAM Address: 392 N N LEMAY CT ORANGE, CA 92867 Phone: (626)757-2320 Owner/Builder : Address : Phone Legal Desc : P BK 387 PG 41 PAR 1 Contractor: DAVID SIMPSON CONSTRUCTION INC Architect Address : 17177 GILLETTE AVE #A Address IRVINE, CA 92614 Phone : (949) 250-1348 Phone: Con State Lic : 381149 State Lic Lic Expire : 03/31/2025 Bus Lic: BT00006013 Engineer: Bus Lic Expire : 06/30/2024 Address Workers' Compensation Insurance Phone: Carrier: CYPRESS INSURANCE COMPANY Policy No: DAWC426822 Designer: W. C. Expire: 5/1/2024 Address Phone: Code Edition : 2022 Fire Sprinklers : Type of Construction : I -A Fire Hazard Zone Occupancy Groups : B No of Units : Bldg Height: No of Stories Building Setbacks : Flood Zone: X Use Zone: PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: MORFORD PAUL 4675 MACARTHUR CT #100 NEWPORT BEACH, CA 92660 (949)863-9434 YES Construction Valuation : $90,000.00 NO Added/New/Ti sq. ft. Bldg : 0 0 Alteration sq. ft. Bldg : 625 9 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 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, dernolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to flue 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 licensureand 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). '.. 0 1, 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 intendedor 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-Builderwill have the burden of proving that it was not built or Improved for the purpose of sale). '.. 0 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 apply 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' Slate 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 legaily 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 submitted or at the following Web site:http:lfwww,leginfo.co.govlcalaw.htm). Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Di 'si 3 of the Business and Prddtl(((es��s"IIIje my license is full farce and effect. License Class License No Date ✓W Contractor Signature/' i_�, WORKERS' COMPENSATION DECLARATION 77�1 `/ C WARNING: 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 LS$00,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. i hereby affirm under penalty of perjury one of the following declarations: ❑ 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, for fir Wf w?Zrice 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 Date me of Agent Phone # certify that, in the performance of the work for which this permit is issued, I shall riot employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre t, if 1 should become subject to a orkers' pimsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican'tData CLARATION REG Di S DN L ING AGENCY areby affirm under penalty of perjury that there i a construction tending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). ider's Name Lender's Address my signature below, I certify to each 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 to anteL,*py'pove;Kentified property for inspection purposes. _ r y_ z AC71ON EXPIRED PERMIT EXTENDED ........ ............ .._..__.................. . PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED or Authorized Aaent's Name DATE 1 BY OFCLARAT10N OF CO,Y'LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE LATIONS PART El OF TITLE 40 AND AQMD RULE _ l 1403 {SEPAED AS3ES:05 NGTIFICATICN TO EPA TO