HomeMy WebLinkAboutXC2023-0206 - Permits�EWPp�T City of Newport Beach IIIIIIIIIIIIIIII II IIIIIIII IIII IIIII IIIIIIIII II COMB Permit : XC2023-0206
Community Development Department- Building Division X C 2 0 2 3 0 2 0 6
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2488
Permit Counter Phone: (949) 718-1888 Issued Date : 09/01/2023
D newportbeachca.gov/civic Final Date:
c9��roaN`P Combination Type - ELEC MECH PLUM Permit Status: Issued
Work Class - Tenant Improvement 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 : 817 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR AND POR PA R 1 OF P.M.
Description: COMM TI -'HYDE PARK JEWELERS' 8120 SF (INCREASE SCOPE OF WORK) REV2023-1130
Owner: IRVINE CO
Address : 111 INNOVATION
IRVINE, CA 92618
Phone: (949)608-9659
Applicant: KENNYBAYNE
Address: 6625 S VALLEY VIEW BLVD, STE 208
LAS VEGAS, NV 89118
Phone: (702)429-0789
Owner/Builder :
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone
Use Zone :
2022
>4,iit-6 -ryf0
KM fiyp� o
X
PC - North Newport Center
PROCESSED BY: izft
SPECIAL CONDITIONS:
Contractor: HARRIS ASSOCIATES CONTRACTING Architect: PATRICE SOWERS
INC
Address : 6625 S VALLEY VIEW BLVD, STE 208
LAS VEGAS, NC 89118
Phone: (702)736-2985
Con State Lie : 1075663
Lie Expire: 05/31/2025
Bus Lie: BT30OB0714
Bus Lie Expire : 02/29/2024
Workers' Compensation Insurance
Carrier: CONTINENTAL CASUALTY
Policy No: 4033007362
W. C. Expire : 9/2/2023
Fire Sprinklers :
Fire Hazard Zone
No of Units :
No of Stories
Address : 2688 BERKLEY LANE FRISCO, TX 75034
Phone: (702)506-7407
State Lie
Engineer
Address
Phone:
Designer:
Address
Phone :
NO Construction Valuation :
NO Added/New/TI sq. ft. Bldg
0 Alteration sq. ft. Bldg :
Added/New sq. ft. Garage:
TOTAL sq. ft.
i1�v i_"a✓ ii 1
$100,000.00
0
0
0
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I are exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable !terms)
Seclion 7031.5, Business and Professions Code: Any city or county That requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
ie 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 )!censure 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
of more than five hundred dollars ($500),
1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
[usiness 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
uprovements 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).
1 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
pply 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 I am exempt from licensure under the Contractors State License Law for lbe following reason
Iy 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 cantiot legally
oil a structure that I have built as an ownor-builder if 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.govicelaw.html,
signature of Property Owner or Authorized Agent Date-�
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 Di Sion 3 of the Business and Professiog;i Bode. @n�, an IiceriseiVIn full farce
Fall effect. License Class License No Date - Contractor Signature .
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0709 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES -
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a cerlilicate 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
erformance 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'
ranee carrier and policy number are:
Policy Number
of Agent
Date
I certify that, in the performance of the 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 agre
L if I should become subject to a worke. pe alion provisions of Se � � 700 of the Labor Code, I shall forthwith comply with those provisions.
[nature of Applicant _ Data���
CLARATION REGARDING CONSTRUCTION LE G AGENCY
3reby 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, Civil Code).
Aers Name _ Lenders Address
my signature below', I ceriify to each or the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of bus city E. cou.r:y to,4Ti the- tified prop ' for inspection purposes. /
nature of Prooertv Owner ui Authorized Auer'. / Print Prooerty Owner's or Authorized Aaent's Name �t g
e- Dale
ACTION
1 wQF
3y` ' ^4rLA"PTION Or COMPLIANCE WITH CObr OF FEDERAL
j REGULATIONS PART 61 OF TITLE AO AND ACfAD RULE
1103
FOR OFFICE USE ONLY / J
PERA4!f EXPIRED
( (L I SURMITT€DASBESTOS NOTIFICATION TO
PERMtTCANCELLED
CP
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PEPoMt7 FIMAL
�Q _rF7 1 ASBESTOS NO11FICAtION IS NO] APPLICABLE 10
CERTIFICATE OF
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P \\ij PROPOSED DEMOLITION
OCCUPANCYISSUED
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