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HomeMy WebLinkAboutX2022-1781 - PermitsaEWPORT City of Newport Beach II III I II I II I III I III II I DA a Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 e.Inspection Requests Phone: (949) 644-3255 C9<�ipftN�P newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement COMB Permit : X2U22-� 7$� II Plan Check No : 1637-2022 Issued Date : 09/06/2022 Inspection Area : 7 p PERMITS EXPIRE 160 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 : 1035 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 POR OF PAR AND POR PA R 1 OF P.M. Description: COMM TI - 1362 SF "JOE BANANAS" Owner: THE IRVINE COMPANY Contractor: F ROBERTS CONSTRUCTION Architect : STEINER STUDIO Address: 550 NEWPORT CENTER DR Address : 20427 EARL ST. Address : 17800 MITCHELL NORTki IRVINE, CA NEWPORT BEACH, CA 92660 TORRANCE, CA 90503 92614 Phone: Phone: (310)901-1763 Phone: (714)299-5957 Con State Lie : 998591 State Lie :. Lie Expire : 11/30/2022 Applicant: CARRIE WRIGHT Bus Lie: BT30079592 Engineer: Address : 17800 Mitchell N Bus Lie Expire : 08/31/2023 Address Irvine, CA 92614 Phone: (949) 683-3984 Workers' Compensation Insurance Phone: " Carrier: BERKSHIRE HATHAWAY HOMESTATE INSURANCE CO Owner/Builder: Policy No: FRWC319516 Designer Address : W. C. Expire : 8/23/2023 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $100,000.00 Type of Construction : III -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 1,362 Occupancy Groups: B No of Units : 1 Alteration sq. ft. Bldg : 1,362 Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: �"S SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby afrimm under penalty of perjury that I am exelnpt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(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 issuanoe, also requires the applicant for the permit to file a signed statement that he or sheds licensed pursuant to the provisions of the Contractors' Stale. 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 licensure 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). ❑ I; 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, 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). ❑ 1, 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 Low does not � ra�,ply 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' State License Law for the following reason: ---------------- ------ '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 legally '.sell a structure that I have built asan owner -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 Professions Code, is available upon request when this application Is submitted or at the following Web site:hrip://www.leginfo.ca.govlealaw.html. Signature of Property Owner or Authorized Agent.__---_______ Date (LICENSED CONTRACTOR'S DECLARATION I hereby affirm unde fcn ally of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectior9700 of Dlvision 3 of the Business and Professions C and my license is in full force and effect License C1rFs License No Dot Contractor Si natur In rC i' WCF'I ERV COM"ENSATION DECLARATION WARNING: FAILURE TO PE'1'IPE wORNERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SI WOOD), IN ADDrTiON TD THE COST JF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION STSS OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. I hereby a:firm under penalty of perjuryone of the following declarations: ❑ I nnv and will mgrnram 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 III nanor once of the work for which this permit is issued. Policy No, Vave a-)d will malrtz'n 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 in urence carrier and nolicy number are: Policy Number Agent Date certify brat, in the pci;urmance 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 , if I should beco:r.a subject to the woLkars' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of ereby 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, Idler's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized t0 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 slate laws relating to building construction. I authorize representatives of this city or county to enter th e-identified property for inspection purposes. nature of Prooedv Owner or Authorized Aoen(% , 5 Print Prooerty Owner's or Authorized ADenfs Nam C K. GATE By DECLARATION or II REGUL.A IONS PPART 61 OF TCOMPLIAITLE 4CE 0TH CODE OF AND AOMO RULERAI � FOR OFFICE USE ONLY PERMIT EXPIRED U IIssrU-remiirrEED ASBESTOS NOTIFICATION TO PERMIT CANCELLED --- — -LJ EPA PERMITEXTENDED PERMIT FfNAL CERTIFICATEOF OCCUPANCYISSUED �/ L? 77 ASR@STOS NOTIFICATION IS NOT APPLICABLE To PROPOSED DFjV1OUTION f SIGNATURES( Civil Code). rrr 5 n�- -