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HomeMy WebLinkAboutX2022-1393 - PermitsCity of Newport Beach o.e�a ,:'d, Community Development Department- Building Division �. 100 Civic Center Drive, Newport Beach, CA 92660 i. Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °gcrHon".,r newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement COMB Permit : X2022-1393 Plan Check No : 1288-2022 Issued Date : 0910212022 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 ALT PRIOR TO TI 12,080 SF Owner: LIDO PARTNERS Address : 3425 VIA LIDO #250 NEWPORT BEACH, CA 92663 Phone : (949) 723-7100 Applicant : JOHN LOOMIS Address : 2821 NEWPORT BLVD Newport Beach, 92663 Phone: (949)673-2643 Owner/Builder: LIDO PARTNERS Address: 3425 VIA LIDO #250 NEWPORT BEACH, CA 92663 Phone: (949)723-7100 Legal Desc : P BK 85 PG 1 PAR 1 Contractor Address : Phone: Con State Lie Lie Expire CA Bus Lie: Bus Lie Expire : Workers' Compensation Insurance Carrier : Policy No W. C. Expire: Architect : JOHN LOOMIS Address : 2821 NEWPORT BLVD Newport Beach, CA 92663 Phone: (949)673-2643 State Lie Engineer: Address Phone: Designer: Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $180,000.00 Type of Construction : II-B Fire Hazard Zone : No Added/New/TI sq. ft. Bldg : 12,080 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : 12,080 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 Building Setbacks Flood Zone: X Use Zone: CG - Commercial General PROCESSED BY : _ SPECIAL CONDITIONS: 2ND FLOOR T.I. HAULER: RAINBOW DISPOSAL NO CONSTRUCTION NOISE ON THE WEEKEND OWNER -BUILDER DECLARATION I hereby aftimh under penalty of perjury that 1 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 _a, Business and Professions Code_ Arty 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 is 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 fore than five hundred dollars 1500). 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, inaness and Professions Code'. I no 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 nproveneu is are not intended or offered for sale. It, 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 yroved for the purpose of sale). L as owner of the properly, ant exclusively contracting with licensed Contractors to construct fife project (Section 7044, Business and Professions Code: The Contractors' State License Law does not poly 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 hcensure udder the Contractors' State License Law for the following reason ---- Vern, signature below I acknowledge that, except for my personal residence In which I must have resided forat least one year prior to completion of the Improvements covered by tints permit, I cannot Ingalls all a structure that I Nava buitlas an owner -builder if it has not been constructed_ in entirety by licensed contractors. I understand that a copy of the appiicabin law, Section 7044 of the Business ar d rofesslons Code, is available upon request when this i tion Is b the following Web Site:fttlp 7lwvtw,faginfo.ca.govlcalaw.htmL q / ignature of Property Owner or Authorized A( _ _ _ Dote ,<c2� .ICENSED CONTRACTOR'S DECLARATION hmehy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force Hal effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION ING: FAILURE TO SECURE wORNERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FWES UP TO ONE HUNDRED THOUSAND DOLLARS i$100,0001. IN ADDITION TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 at the Labor Code, for rarmance of the work for which this permit Is issued. Policy No. have and will maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My workers compensa Trance carrier and policy number are: Policy Number )e of Agent _ certify that, in the performance of the work for which , If I should become subiert «n the worli collarl of Applicant Date 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 I provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. // Date L.?� ._.��.._.._. /, 11G AI(V treby affirm under penalty of perjury that there is a construction fending agency for the performance of the work for which this permit is issued (Section 3097 rider's Name Lender's Address my signature below, I certify to each of ILE 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 fa s relating ID building construction. I authorize representatives of this city or county tzar/mar the ove- i property for inspection purposesr y��- nature of PrODerty Owner or Authorized Adant y7 � Print Property Owner's or Authorized Agent's Name , \. �.{rQ� ACTION PERMIT EXPIRED PEAMIT FXTENDG7 _ i PEAMIT FINAL �-���13___ CLRTVFlCATL DF OCCltPANCY r55UED PfCLARATION OF COMPLIANCE WITH COLE Or FFOrAAt FOR DFF-ICE USE ONLY RFCILATiONS PART" 61 OF TIT'LF. AO ANf) AQMD RULE i SURMiTTEU ASBESTOS NOTINCATION TO AStlk5fO5 NOTIFICATION IS NOT Civil Code).