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Home My WebLink AboutX2022-0076 - Permits (3)�EWPORr City of Newport Beach 11111��1 i� 1111111111111111111111111111111111111111 E JillCOMB Permit: X2022-0076 0� @ Community Development Department- Building Division �' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 008B-2022 Permit Counter Phone: (949) 718-1888 Issued Date : 0610112023 `� �a.� newportbeachca.gov/civic'. R- -� F..,. _ Inspection Area c,4 ,tBN\P Combination Type - ELEC MECH PLUM -- - Work Class - Tenant Improvement`s - 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 : 849 NEWPORT CENTER DR Legal Desc : Description: COMM TI CREATE SPEC SUITE 849 3,892 SF HVAC ROOFTOP UNITS FOR ANCHORAGE ONLY Owner: IRVINE CO Address : 111 INNOVATION IRVINE, CA 92618 Phone: Applicant: AMY BAGLEY Address : 17800 MITCHELL NORTH IRVINE, CA 92614 Phone: (714)299-5957 Owner/Builder : Address : Phone: Code Edition: Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone: Use Zone: 2019 III-B AP-9 A-Z�� PROCESSED BY: 91 Contractor: ALTA CONTRACTING Address : 369 E. BLAINE STREET CORONA, CA 92879 Phone: (714)380-9233 Con State Lic : 742360 Lic Expire : 11/30/2023 Bus Lic: BT01020983 Bus Lic Expire : 01/31/2024 Workers' Compensation Insurance Carrier: CYPRESS INS. CO Policy No : ALWC347983 W. C. Expire: 6/24/2023 Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories: SPECIAL CONDITIONS: HAULER: CA WASTE SERVICES Architect : AMY BAGLEY Address: 17800 MITCHELL NORTH IRVINE, CA 92614 Phone: (714)299-5957 State Lic Engineer: BISHOFF RYAN WILLIAM Address: 3300 IRVINE AVE #245 NEWPORT BEACH, CA 92660 Phone: (949)862-8510 Designer: Address : Phone: NO Construction Valuation : $700,000-00 NO Added/New/Ti sq. ft. Bldg: 0 0 Alteration sq. ft. Bldg: 3,892 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 �II Ali �� .- e 5M �� 6 •t@ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State license Law for the reasan(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s) 3ectlon 7031.5, Business and Professions Code: Arty city or county that requires a permit to construck alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and rofessions Code) or that he or she is exempt from Iicensure-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 penally of of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) ail of or L) portions of the work; and the structure Is not intended oroffered'for sale (Section 7044, usiness and Professions Coda: 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 nprovements 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 nproved 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' Stale License Law does not ly to an owner of property who builds or improves.therson, 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: _ ry my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior fo completion of the Improvements covered by this permit, I cannot legally ell a structure that I have built as an owner -builder If It has not been Constructed in its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hlip:/A w .leginfo.ca.govlcalaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of ivision 3 of the Business and Profersioin Cqde, d my license is in full force nd effect. License Class License No Date 1 Contractor Signatu —_*�; VORI(ERS' COMPENSATION DECLARATION 'ARN WO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP TO ONE HUNDRED THOUSAND DOLLARS (3100,000h IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR N1 SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEra FEES. hereby 21firm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to sell -insure for workers' compensation, 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' compensar Rance career and policy number are: Policy Number of Agent Dale ]I certify that, in the performance of the work for which this permit is issued. 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre, oat, if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Jgnature Of Applicant Date IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly 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. 1 have read this application and the information 1 have provided is correct I agree to compy with all applicable city and county ordinances and state laws relating to building construction. I authnrize reprose,T.atives of this city or county to enter the -identified property for Inspection purposes. ficnawre of ProDAnv Owner or Authorized Aoard - t t Pent Prooertv Owners or Authorized Aoent's Name JAI e.S �o ti-f4 Date FOR OFFICE USE ONLY OF TITLE 40 AND AOMD RULE PE9VIrFMENOEO CERTIPICA E OF 7- ZK I PROPOSED DEMOLITION ON IS NOT APPLICABLE TO O[CUP4Nr'YISSUED i SIGNATURP�^