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HomeMy WebLinkAboutX2022-1438 - Permits"WPo,? City of Newport Beach II III I II I II I III I IIII I I II COMB Permit:X2022-1438 C� 7��.I e. Community Development Department - Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 1320-2022 Permit Counter Phone: (949) 644-3288 Issued Date : 07I20/2022 Inspection Requests Phone: (949) 644-3255 Inspection Area : 7 newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement 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 : 545 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 1 Description: COMM TI "LUGANO DIAMONDS" 3628 SF PHASE 1 Owner: IRVINE COMPANY Contractor: J HAGE CONSTRUCTION Address : 3871 KINMOUNT ST NEWPORT BEACH, CA Address : 20560 LANGFORD WAY JORDAN, MN 92660 55352 Phone: Phone: (612)927-0602 Con State Lic: 915696 Applicant: TODD J STEEBER Lic Expire : 05/31/2024 Address : 20560 LANGFORD WAY JORDAN, MN 55352 Bus Lic: BT30078897 Phone: (612) 927-0602 Bus Lic Expire : 06/30/2023 Workers' Compensation Insurance Carrier : Policy No W. C. Expire: Code Edition : 2019 Fire Sprinklers : NO Type of Construction : III-B Fire Hazard Zone : Y Occupancy Groups : M No of Units : 1 Bldg Height: No of Stories : 1 Building Setbacks: Flood Zone: X Use Zone : PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: i Architect : ROBINSON MICHAEL D Address : 3195-B AIRPORT LOOP DR COSTA MESA, CA 92626 Phone: (714)825-8888 State Lic Engineer: Address Phone: Designer Address Phone: Construction Valuation : $200,000.00 Added/New/TI sq. ft. Bldg : 0 Added/New sq. ft. Garage: 0 OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) 1 have placed next to the applicable Taints) 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 io 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 7000) 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 for a permit subjects the applicant to a civil penalty of of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, ,usiness 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 properly, 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). 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 Law does not pply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: y 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 legal e11 a structure that I have built as an owner -builder if it has n9f 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 t is app1 'pn i r i d o at t e f Ito e ' e:http://www.leginfb.ca.gov/Galaw.htmi. ignature of Property Owner or Authorized Agent L— t .ICENSED CONTRACTOR'S DECLARATI N hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 70 f Qjtrisi o h Business and Pr f s n a djy is mf11:1f1T11 nd effect. license Class License No Dat _ oniractor Signatur CCMPEN'SATION DECLARATION VI.RNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5/00.0001, IN ADDITION TO THE :03. Jr �UMPENSAfION, LA GES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm unJer penalty of perjury one of the following declarations: I hn'-e and ill 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 orma of the work .or which this permit is issued. Policy No. 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 carrier nno popsy number are: Policy Number if /.gent Date 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 ;1; „ l,ould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, i shall forthwith comply with those provisions. nature of Applic3it Date_ CLARATION REGARDING CONSTRUCTION LENDING AGENCY Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this pemlit is issued (Section 3097, Civil Code). Ider's Name Lenders Address 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 ovided is correct. 1 agree to comply with all applicable city and county rdi a sad ate I elating to building construction. / 1 authorize representatives of this city or coun o n, by e-i % oses. nature of Prooertv Owner or Authodzed ADen Print Property Owner's or Authorized Agent's Nam ACTION WITH CODE OF FEDE I DATE I BY f [-DECLARATION OF CI REGULATIONS PART0MPLIANCE 61 OF TITLE 40 AND AQMD RU ESL PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED 13EPA PERMIT EXTENDED QMD PERMITFINAL N- '"(Old SBESTOSN TIFI TI ISN T PL E TO CERTIFICATE OF PROPOSED OU OCCUPANCY ISSUED SIGNATUR FOR OFFICE USE ONLY All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.