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Home My WebLink AboutXC2023-0346 - PermitsCity of Newport Beach �$1111J�jjjjjjj1111111illJ1111111111111111111 �� COMB Permit : XC2023-0346 EW,vo�T,, IIIII IIIII p4 d Community Development Department- Building Division X C 2 0 2 3 0 3 4 6 plan Check No : 1775-2021 Ioo Civic Center Drive, Newport Beach, CA 92660 Issued Date : oa13 17 Permit Counter Phone: (949) 718-1888 u 023 newportbeachca.gov/civic F . �-- . Final Date: Permit Status: Issued °g4von�`P Combination Type - - ` Inspection Area : 7 Work Class -Other 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 Description : Owner: COUNTY OF ORANGE Address: 400 W CIVIC CENTER DR SANTA ANA, CA 92701 Phone: (657)622-7765 Applicant: JUSTIN STOBERT Address : 946 N LEMON ST ORANGE, CA 92867 Phone: (562)696-7111 owner/Builder: Address: Phone 4601 JAMBOREE RD Legal Desc : A TR IRVINE SUB BLK 50 LOT 138 IRVINE SUB LOT 138 "RENEW EXPIRED PERMIT X2022-1525- COMM REPLACE GENERATOR @ PARKING LOT W/NEW CONCRETE PAD RHODORE GERONAGA 20 MORGAN IRVINE, CA 92618 Contractor: AMTEK CONSTRUCTION Address : 946 N LEMON ST ORANGE, CA 92867 Phone : (562) 696-7111 Con State Lie : 490382 Lie Expire : 04/30/2025 Bus Lie: BT30071386 Bus Lie Expire : 03131/2024 Workers' Compensation Insurance Carrier: ACE AMERICAN INSURANCE COMPANY Policy No : C69975951 W. C. Expire : 10/1/2023 Code Edition : 2019 Fire Sprinklers : Fire Hazard Zone Type of Construction : No of Units : Occupancy Groups : U No of Stories Bldg Height: Building Setbacks : Flood Zone : X Use Zone : PC - K`oAll .CCeeenter PROCESSED BY: `- SPECIAL CONDITIONS: RENEW EXPIRED PERMIT X2022-1525 Architect Address "HARBOR JUSTICE CENTER" Phone: State Lie : CO24750 Engineer: Address Phone: Designer Address Phone: NO Construction Valuation : NO Added/New/TI sq. ft. Bidg : 0 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 uWntR-fit U1LDER DECLARATION I hereby aflirrn under penalty of perjury that I am exempt from the Contractors' State License Law for the reason fs) indicated below by the checkrnark(s) I have placed nett to the applicable items) (Section 7031.6. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, el 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 T000) of Division requires ir of the Business and Professions Code} u that he ll she is exempt from licensure and the basis for the alleged exemption. Any vibiati0n Of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of El i not more than five hundred dollars (3500?. I, as owner of the property, or my employees with wages as their sole compensation, will do t) 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, huilds or improves the property, provided that the improvements are not Intended or offered for sale. 11, 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 0 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` Stale License Law for [tie foflowing reason: iBy my signature below I acknowledge that, except for m — -"-- _ ------ 9 p y personal residence in which I must have resided forat least one year poor to completion of the improvements covered by this permit, I cannot iegail, Pall a s ions o that I have built as an quest When t i it has not boon constructor a its entirety g eb sod contractors, info. 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 Pita:http:/iwww.leginto.ca,gov/calaw.fitml. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION �'�� wW"—`�--'�'--"'--`----- _ Date I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of Divisiiqn 3 of the Business and Professi a CoLya a d my licen a is In full force and effect. License Class License No Date 2"5 A WORKERS' COMPENSATION DECLARATION Contractor Signature Q{/ J� A nC r/ ✓YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($I00,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LASOR COD hereby affirm under penalty of perjury one of the following declarations: E, INTEREST, AND gTTGRNEY'S FEES. -1 1 have and will maintain a certificate of consent to self-rnstrre for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700sE5fi ilia Labor Code, for the )erf lance of the work for which [his permit is issued. Policy No, I have 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: is of Agent _ certify that, in the pi if I should become ature of Applicant Policy Number Date ice of tile 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 ogre toithQ wo kers' compens4Na,,APnzPr;0�,NV,`C,,-Y— ias of Section 3700 of the Labor Code, I shall forthwith Comply Win those provisions. .CiMiTRUCTIp�Date�iJ I hereby affirm under penalty of PUF L -y that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). L.ender's Name Lenders Address By my signature belb•v; 1I nuhfy toto ,:actr �f lha following: I am the property owner or authoreed to act on the property Owner's behalf. I have read this apph-alion and the information I have provided is correct. I agree to compl, v% t`I all apolicabpL city and c0 tty ordinances and state laws relating to building construction. I authorize representa'ives of this city or county o nte-rt 1OVP.-ideniffie .pro rty for inspection purposes, p Signature of Property Ow, er Dr Authorzed Agent "" Print Property Owner's or Authorized A ent's Name I ✓)�� Date B ACTION DATE By -DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE FOR OFFICE USE ONLY if 1403 PER]UiT EXPIRED -- __ -onto I U3 NU II FICATION TO PERMITCANCELLED T�CPA __ rN PERb7LT EA7ENOFD ""- '- '-- � PE CERTIFICATE A�yR�ps 11FICATIONI5NOT'APPLICABLf TO CERTIFICATE CATE OF L PROPOSED DE I i UTibN� ,I - _ I t OCCUPANCY' ISSUED rl,