HomeMy WebLinkAboutXC2023-0232 - PermitsEW,i>oRr City of Newport Beach
@� Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (049) 71B-1888
u newportbeachca.gov/civic
cq<)Fe0.N�P Combination Type -
Work Class - Tenant Improvement
COMB Permit : XC2023-0232
Plan Check No : PC2023-1545
Issued Date : 1110712023
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 : 4450 MACARTHUR BLVD, 2ND FLOOR Legal Desc : P BK 374 PG 19 PAR 1
Description: COMM INSTALL INTERIOR STAIR STEEL HAND RAILS AND GUARDRAILS, INSTALL 10 FT HIGH INTERIOR FIRE RATED GLASS BARRIER 20 SF
Owner: M4 MACARTHUR LLC
Address : 4450 MACARTHUR BLVD FL2ND
NEWPORT BEACH, CA 92660
Phone: (949)943-6118
Applicant: RAKESTRAWTHOMAS
Address : 515 EL MODENA AVENUE
NEWPORT BEACH, CA 92663
Phone: (949)474-5353
Owner/Builder :
Address :
Phone :
Contractor: K AND J CONSTRUCTION SERVICES Architect
INC
Address :
1937 A Friendship Dr
Address
El Cajon, CA 92020
Phone:
(619)334-6379
Phone:
Con State Lie
: 887157
State Lie
Lie Expire :
11/30/2024
Bus Lie:
BT30082981
Engineer:
Bus Lie Expire : 11/30/2024
Address
Workers' Compensation Insurance l Phone
Carrier: IvlSutanee col-0445liFfheWes7
Policy No : WVE506546301 Designer
W. C. Expire: 5/3/2024 Address
Phone :
Code Edition : 2022
Fire Sprinklers :
Type of Construction :
Fire Hazard Zone
Occupancy Groups : B
No of Units :
Bldg Height :
No of Stories
Building Setbacks
Flood Zone : X
Use Zone : PC -Koll Center
PROCESSED BY: �„-K7 5
SPECIAL CONDITIONS:
RAKESTRAW THOMAS
515 EL MODENA AVENUE NEWPORT
BEACH, CA 92663
(949)474-5353
THOMPSON DOUGLAS SEVIER
21084 BAKE PARKWAY #100
LAKE FOREST, CA 92630
(949)599-0320
NO Construction Valuation : $85,000.00
NO Added/NewITI sq. ft. Bldg : 0
0 Alteration sq. ft. Bldg :
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 checkinark(s) I have placed next to the applicable Item(s)
(Section 7031.5, Business and Professions Code: Any city of county that requires a permit to construcl, alter, improve, der ish, 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 provis€ons 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 ticensure 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 ($500).
❑ 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 intended proffered 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
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
apty 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 ticensure under the Contractors` State License Law for the following reason: T—
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 legall',
sell a structure that I have bust as an owner -builder it it has not been constructed in its entirety 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:liwww.leginfo.ca,gov)calaw,html.
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) ol Division 3 of the Business and Profas ns C nd my license is In full force
and effect. License Class License No Date ) Contractor Signature
WORKERS' COMPENSATION DECLARATION
MARRING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREO THOUSAND DOLLARS (6100,00 I,1N ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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 certifioate of consent to self -insure for workers' Compensalioo, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
ormance 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 work for which this permit is Issued. My workers' compensa
Trance carrier and policy number are:
to of Agent _
certify that, in the
If I should becon
lalure of AUVUcan
Policy Number
:RI4
Date
he 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
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply w4th those provisions.
Date //- 7-oY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
ender's Name _ Lender's Address
iy my signature below, I certify to each of the following: '-
I am the property owner or authorized to act on the 'rope ner's behalf.
I have read this application and the mformalion I hav rovi ad is correct.
I agree to comply with all applicable city and count or aces and state laws relating to building construction.
I authorize representatives of this city or county an the above -identified property for inspection purposes. t\�l
�Ignature of Property Owner or Authorized Ageni Print Property Owner's Or Authorized Anent's Name cJC�^
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
._.-....-....--..._-
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUEO
DATE. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
F UI GOLATIONS PART 51 OF TITLE 40 AND AQMO RULE
1403
3�
DEMOLITION
NOTAPPLICABLE TO
Civil Code).
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