HomeMy WebLinkAboutXC2022-1993 - PermitsPo4,
City of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.govfnspections
Combination Type - ELEC MECH PLUM
Work Class - Tenant Improvement
X C 2 0 2 2 1 9 9 3II COMB Permit : XC2O22-1993
Plan Check No: PC2022-2488
Issued Date: 02/16/2023
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 FOR PA R 1 OF P.M.
Description: COMM TI -'HYDE PARK JEWELERS' 8120 SF
Owner: IRVINE CO
Address: 111 INNOVATION
IRVINE, CA 92618
Phone: (949) 608-9659
Applicant:
RANDALL D HUGGINS
Address:
2688 BERKLEY LN
FRISCO, TX 75036
Phone:
Owner/Builder :
Address :
Phone
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: 05/31/2023
Bus Lie: BT30080714
Bus Lie Expire : 02/29/2024
Workers' Compensation Insurance
Carrier: CONTINENTAL CASUALTY
Policy No: 4033007362
W. C. Expire : 9/2/2023
Code Edition : 2019
Fire Sprinklers :
NO
Type of Construction : III-B
Fire Hazard Zone :
NO
Occupancy Groups : M
No of Units :
0
Bldg Height :
No of Stories :
1
Building Setbacks :
Flood Zone : X
Use Zone: PC - North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS:
Address : 2688 BERKLEY LANE FRISCO, TX 75034
Phone: (702) 506-7407
State Lie :
Engineer:
Address
Phone
Designer:
f .
Address:
.` 4
Phone:
Construction Valuation :
$1,000,000.00
Added/New/TI sq. ft. Bldg:
0
Alteration sq. ft. Bldg :
8,1�0
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 far the reason(s) indicated below by the checkmark(s) I have placed next to the applicableftem(s)
Section 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
ho 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 70DO)of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
lot more than five hundred dollars ($500),
3 I, 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 or offered for sale (Section 7044, -
tusiness 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
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 or proving that It was not built or
nproved for the purpose of sale).
1 1, as owner of [lie property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code; The Contractors' State License Law does not
ipply 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 ticensure under the Contractors' State License Law for the fallowing reason:
ty 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 legally
;oil a structure that I have built as an ownor-builder if It has not boen 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;httpliwvwv.leginfo.ca.gov/calaw.html.
>ignature 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 Seetio"1111fsi 3of the Business and Pro aio�t 'ode, -11a i _is In full force
and effect. License Class License. No Da2� Contractor Signature
YORKERS' COMPENSATION DECLARATION
YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED T OUSAND DOLLARS (E100,000),IN ADDITION TO THE
:O ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS 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 thi
re ormance of the work for which this permit is issued. Policy No.
eve 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' compensatior
Tsura a carrier and policy number are:
:artier Policy Number Expiration Date
Jame of Agent Phone If
-11 certify that, in the pe ormance 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' co pensation laws of California, and agfe
hat, if I should becom ubject to the wor is ' c in a ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iIlmalure of Applicant Da
)ECLARATION REGA DIN _STRUCTION LEN. G AGENCY %—
hereby affirm under p rally of perjury that there is a construction lending agency for the performance of the work for which thispernit is issued (Section 3097, Civil ode).
.ender's Name Lender's Address
ty 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.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and cou direness and state laws relating to building construction.
I authorize representatives of this city or county ter b v tiff property for inspection purposes.
Signature of Property Owner or Authorized Agent Pnnt Property Owner's or Authorized A ent's Nam G q �T /t /✓ "�Da
ACTION DATE f BY ii[IIECLAAATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTI FICATION TO
PERMIT CANCELLEO
PER+MITEXFENDED
PERMIFFINAL (a-IrZN ASBCST £T IFICATTON fS _NOT APPLICAOLE TO
CERTIFICATEOF PR POSE( LITION((
OCCUPANCY ISSUED SIGNATURE: //s