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Home My WebLink AboutXC2022-1981 - PermitsCity of Newport Beach o�2EWPoRT d Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u s Permit Counter Phone: (949) 644-3288 -s. Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Addition/Alteration COMB Permit : XC2O22-1981 Plan Check No : PC2022-1738 Issued Date : 10106/2022 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: 1901 WESTCLIFF DR Legal Desc : N TR 4225 BLK LOT 4 TR 4225 LOT 4(AND SELY 110 FT LOT 3 Description: COMM TI: 'MARINERS MEDICAL ARTS REHAB" ADD 356 SF @ 2ND FLOOR & EXTERIOR WORK W/ GRADING Owner: BUMHAM WARD PROPERTIES LLC Address : 1100 NEWPORT CENTER DR STE200 NEWPORT BEACH, CA 92660 Phone: Applicant: SIEGLINDEPUKKE Address: 414B ANACAPA ST, 101 SANTA BARBARA, CA 93101 Phone: (805)455-0445 Owner/Builder: Address: Contractor: DEMPSEY CONSTRUCTION INC Address : 1835 ASTON AVE CARLSBAD, CA 9200E Phone : (760) 918-6900 Con State Lic : 945467 Lic Expire : 09/30/2024 Bus Lic : BT30061965 Bus Lic Expire : 01/31/2023 Workers' Compensation Insurance Carrier: NATIONAL UNION FIRE Policy No: 013588226 W. C. Expire: 9/1/2023 Architect: DONALDSON ROBERT STUART Address : 3890 LA CUMBRE PLAZA LN #200 SANTA BARBARA CA 93105, CA 93105 Phone: (805)682-7000 State Lic : Engineer: NELSON WILLIAM MC KEE Address : 8951 RESEARCH DRIVE 4200 IRVINE, CA 92618 Phone: (949)752-2070 Designer: Address Phone: Phone: Code Edition: 2019 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/NewlTI sq. ft. Bldg Occupancy Groups : B,U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. Bldg : Building Setbacks : Flood Zone: X Use Zone: CG - Commercial General PROCESSED BY: SPECIAL CONDITIONS: $2,000,000.00 356 356 OWNER -BUILDER DECLARATIO I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for there ason (a) indicated below by the checkmark(s) I have placed next to the applicable ilem(s) (Section 7031-5, Business and Professions Code: Any city or county that requires a permit to construct altar. 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 llcensure 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 1$500). 71 1, as owner of the property, or my employees with wages as their sole compensation, will do (_,) all of or U portions of the work; and the structure is not Intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' Slate 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 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 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). ❑ 1 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 OWFGr-builder if it has not been constructed in 'its entirety by licensed contractors. I understand that a copy of the applicable law. Saetio 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:7iwww.leginfo.ca.govlcalaw.btml, Signature of Property Owner or Authorized Agent _..___.--_ LICEN'.SED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti DOD) of ivi y��3 1 the Business and Pr si ..Code, d y ensa is In full force and effect. License Class License No Do Q !(BUT Contractor Signatu C WORKERS' COMPENSATION DECLARATION VARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA140 DOLLARS ($100,000), IN ADDITION TO THE .DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES - 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 In, )eerformance of the work for which this permit is issued. Policy No. shave 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' compensation nsurance carrier and policy number are: ;arrler P licy N bar Expiration Date Jame of Agent Phone # :1I certify that, in the performance th orRfor, ihI ermit is issued, shall notemployany parson in any mannerso as to become subject to the workers'compensation laws ofCalifornia, and agree hat d I should beco subject tD a kern provisions o(Seclion 3700 of the Labor Code, shall forthwith comply with those provisions. Signature of Applicant __ _.Do! l� 3JECLARATION REGA DING NSTRUCG Vhereby affirm under penalty of perjury 1. tnstruction to agency for the performance of the work for which this permit is issued (Section 3097, Civil ode). ..ender's Name Lender's Address , 3y nay signature below, I certify to each of the following: I am the property owner or authorized to act on the pr artyIk half. I have read this application and the information I hay rovct. I agree to comply with all applicable city and ul y inte laws relating to building construction. I authorize representatives of this city or cou ty n e ttilled property for inspection purposes. (, Si nature of Property Owner or Authorized AdenPrint Property Owner's or Authorized Agent s Nam Da ACTION DATE. BY ECL TION OF COMPLIANCE W'17H CODE tlF FEDERAL I FOR OFFICE USE ONLY i REGULATIONS PART 6t OF TITLE. 40 AND AQMD RULF, PERMIT EXPIRED ) U I SU RLIITTFD E ALSITRYFO5J011FICATI /O PERMITCANCF[E0 PERi41TEXTENDED ID P[wA1T FINAL /0.5%Z7 Al ASREST NO CA8 / ^10 CERTIFICATE OF PROPOSED D OCCUPANCY ISSUED SIGNATU l•/ l