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HomeMy WebLinkAboutXC2022-1980 - PermitsCity of Newport Beach �aEW�Rr 0 Community Development Department- Building Division �y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 .a. Inspection Requests Phone: (949) 644-3255 cqC/Fp0.��P newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement Ili iii iiiii iiiii iiiii iiii liiii iiiii iiiii 0 I I COMB Permit : XC2022-1980 Plan Check No: PC2022-2461 Issued Date : 02/01/2023 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 : 3471 VIA LIDO Description : COMM TI "SAP" 13,240 SF Owner: LIDO PARTNERS Address : 3425 VIA LIDO #250 NEWPORT BEACH, CA 92663 Phone : Applicant: JAMES A KEMP Address: 800 W 1ST STREET, 501 LOS ANGELES, CA 90012 Phone : (949) 798-7300 Owner/Builder : Address : Phone Legal Desc : P BK 85 PG 1 PAR 1 Contractor: HOWARD BUILDING CORP Address : 3184 AIRWAY AVE #K COSTA MESA, CA 92626 Phone: (714)438-2272 Con State Lic : 445804 Lic Expire : 09/3012023 Bus Lic: BT00007349 Bus Lic Expire : 05/31/2023 Workers' Compensation Insurance Carrier: ZURICH AMERICAN INS CO Policy No: WC3004566 W. C. Expire : 3/1/2023 Code Edition : 2019 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : B No of Units : Bldg Height: No of Stories Building Setbacks Flood Zone : X Use Zone: CG,.,Commercial General PROCESSED BY: SPECIAL CONDITIONS: IRS DEMO TO HAUL DEBRIS Architect : JAMES A KEMP Address : 800 W 1 ST STREET, 501 LOS ANGELES, CA 90012 Phone: (949)798-7300 State Lic : C037679 Engineer Address: <)y Phone: '�j''s Designer: Address : � ,, V Phone: NO Construction Valuation : NO Added/New/TI sq. ft. Bldg 0 Alteration sq. ft. Bldg : 2 Added/New sq. ft. Garage: TOTAL sq. ft. : $1,550,000.00 0 0 0 NO CON aTRUGMON N� IS6 —. ON THE WEEKEND OWNER -BUILDER DECLARATION € hereby affirm under penalty of perjury that I am exempt from the Contractors' State. License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Low (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 1$500), 1, as owner of the property, or my employees with swages 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, 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. 11, 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). 0 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 apply 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 am exempt from licensure under the Contractors' State License Law for the fallowing 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 logail sell a structure that I have built as an owner -builder if ithas not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:f/www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 700 ) of IV ion 3of the Business and Profes Ion a dmy license . is In full force and effect. License Class License No Dat Contractor Signatur t7� —}— WORKERS' COMPENSATION DECLARATION wARNING: 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 ($100,0001, IN ADDITION TD THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 th e .lance of the work for which this permit is issued. Policy No. 01 h e 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" compensatio tlnsur ce, carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone If i Certify that, in the performance of the rk 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 that, If I should become sobje/ct r ers compensalicn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. // Signature of Applicant Y Date 4 23 DECLARATION REGAR CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section3097,. Civil Code). Lender's Name Lender's Address By 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 andthe 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 this city or county to ab e-identified properly for inspection purposes. - SI nature of Pro ert y Owner or Authorized A. a Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULA'TIONS.. PART El OF TITLE 40 AND AQMD RULE E 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTI P .'1'ION TO_ PERMITCAIYCELLED E PERMIT FXTEMOEO QMD _ PERMIFFINAL /n/ �"; / Lti E5T05 NOT1F1CATtONISNOTAPPLICABLE TO CERTIFICATE Of A G �POSEOD 0 OCCUPANCYISSUED SIGNATURE: