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Home My WebLink AboutXC2022-1968 - PermitsaEaPo�T City of Newport Beach 1�1Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 `>y Inspection Requests Phone: (949) 644-3255 °9<i F�SaN�P newportbeachca.gov/inspections Combination Type - ELEC Work Class - Tenant Improvement iiiiiiiiiiiiiiii II COMB Permit : XC2OZ2-1968 Plan Check No : PC2022-2394 Issued Date : 11/15/2022 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 : 3417 VIA LIDO Description : COMM - 700 SF TI "ZIGGY'S OPTICAL" Owner: LIDO PARTNERS Address: 3425 VIA LIDO #250 NEWPORT BEACH, CA 92663 Phone: Applicant: LISA KELLY Address : 25321 SPINDLEWOOD LAGUNA NIGUEL, CA 92677 Phone: (949)291-2750 Owner/Builder: Address : Phone Legal Desc : P BK 85 PG 1 PAR 1 Contractor: D B A C INC Address : 101 SHIPYARD WAY #A NEWPORT BEACH, CA 92663 Phone: (949)723-0147 Con State Lic : 637651 Lic Expire : 02/29/2024 Bus Lic : BT00016282 Bus Lic Expire : 10/31/2023 Workers' Compensation Insurance Carrier: INS CO OF THE WEST Policy No : WSD5051828 W. C. Expire : 11/11/2023 Code Edition : 2019 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : B No of Units: 0 Bldg Height: No of Stories: 1 Building Setbacks : Flood Zone : X Use Zone : CG - Commercial General PROCESSED BY : -- SPECIAL CONDITIONS: � a P • .. ��. Fes, 2c,,:� Architect: Address Phone: '••• State Lic : 13 Engineer: Address Phone: , Designer: LISA KELLY Address: 25321 SPINDLEWOOD LAGUNA NIGUEL, CA 92677 Phone: (949) 291-2750 Construction Valuation : $50,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 700 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 items? Section 7031_5, Business and Professions Code: Any city or county that requires a permit to constwet, 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 orofessions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption. Any violatlon of Section 7031.5 by any applicant fora permit subjects the applicant io a civil penalty of iot more than five hundred dollars ($500), D 1, as owner of the property, or my employees with wages as their sole compensation, will do I 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 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 ilnprovedfor the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not El apply to an owner of property who builds or improvesthereon, 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: 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 owner-bulldar if Ithas not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Businoss and Professions Cod I- available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.gov/calaw.html. Date Signature of Property Owner or Authorized Agent --------��'--""'--`- _'CCp:SED CJNTPACTOR'S DECLARATION i hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 Di an 3 of the Business and Prof s C nd is in full force and effect. License Class License No Date 2 2 Contractor Signalur (WORKERS' COMP7—NSATION DECLARATION IWPRNIM ,: FAILURE TO SE-URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRE OUSAND DOLLARS (5100,000j, IN ADOnION TO THE ':CGS- OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 11 ti O-c Sy affirm under penalty of perjury one of the following declarations: G 1 nave and wilt 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 thi ayfulaer ce of the work for which this permit is issued. Policy No. Ova and will mah,tain 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' compensatior pl,Sd,aru;e carrier and policy number are'. Caner Policy Number Expiration Date Phone III Name of Agent I certify that, in the p. rfo ante of the work f Id - per is issued, I shall not employ any person in any manner $o as to become subject to the workers' c mpansation laws of California, and agree that, if 1 should become left to lh work corn olio 'ions of Section 3700 of the Labor Code, I shell forthwith comply with those provisions. Date ` z Signature of Applicant __ _ DECLARATION REGA Ol CONSTRU O LEN AGENCY' I hereby affirm under p natty of perjury t re' construction lending agency for the performance of the work for which this permit is issued (Section 3097, lull Code). Lenders Name Lenders Address By my signature below, I certify to each of ilia following: I am the property owner or authorized to act on the property owner's behalf. I j G� k I have read this application and the information I have provided is correct, I agree to comply with all applicable city and co my, minances and slate Paws relating to building construction. I authorize representatives of this city or county enter the above -Identified property for inspection purposes. F D e Signature of Pro.: ertOwner or Authorized Agent Print Property Owner's or Authorized Agent's Name .�"'- ACTION DATE BY ' D RATION OF COMPLIANCE w17H CODEOFFEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ACMD RULE EXPIRED PERMIT CERTIFICATE OF OCCUPANCYISSUEO TO TO