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HomeMy WebLinkAboutXC2023-0075 - PermitsCity of Newport Beach Q4,�f,WPO?T Community Development Department- Building Division t > �'y 100 Civic Center Drive, Newport Beach, CA 92660 ~ u S Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement II ��II� I� I�I������I ��� ��� ��� II PCOMB Perlan Check NmitPXC2023-UU75 Issued Date : 05/23/2023 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: 601 NEWPORT CENTER DR Legal Desc : P BK 67 PG PAR P.M. 67-2 PAR 1 AND P.M. 221-30 PAR 5 FOR OF PAR Description: COMM TI "NEIMAN MARCUS" THIRD FLOOR 473 SF Owner: IRVINE COMPANY LLC Address: 111 INNOVATION DR IRVINE, CA 92617 Phone: (949)720-3100 Applicant : MARYANN AVTAVIA Address : 5220 CLARK AVE #345 LAKEWOOD, CA 90731 Phone: (310)795-2506 Owner/Builder : Address : Contractor; ALTA CONSTRUCTION Address : 369 EAST BLAINE ST CORONA, CA 92879 Phone: (951)279-2762 Con State Lic : 890027 Lic Expire : 07/31/2024 Bus Lic: BT30052317 Bus Lic Expire : 08/31/2023 Workers' Compensation Insurance Carrier: CYPRESS INSURANCE COMPANY Policy No : ALWC347044 W. C. Expire : 6/24/2023 Architect : JAMES A KEMP Address : 800 W 1ST STREET, 5C1 LOS ANGELES, CA 90012 Phone : (949) 798-7300 = State Lic: C037679 Engineer: Address: Phone: Designer: Address: Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $68,000.00 Type of Construction : I-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : M No of Units : 0 Alteration sq. ft. Bldg : 473 Bldg Height: No of Stories ; Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone: PC - Norsp Newport Center PROCESSED BY: [j'�� SPECIAL CONDITIONS: INSPI=CTOR OWNER -BUILDER DECLARATION I 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 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 issuance, also requires the applicant for IF, 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 �r➢fesgeris 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 penafty of of more than five hundred dollars ($500), 1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 oneyear 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 ply to an owner of property who builds or improves thereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law).. I am exempt from licensure under the Contracors' State License Law for the following reason. ly my signature below I acknowledge that, except for my personal residence in which I most have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalh oil a structure that I have built as an ommer-builder if it has not boon constructed in Its entirety by licensed contractors. I understand that a copy of the applicable low, Section 7044 of the Business and Irofessions Code, is available upon request when this application is submitted or at the following Web site;f)ttp:liwww.leginfo.ca.gov)calow.html. signature of Property Corner or Authorized Agent Date W .ICENSED CONTRACTOR'S DECLARATION hereby att4rre under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) o£ Mal 3 of the Business and Professions . and m � f orce Ad effect. License C;a.,s License No Date Contractor Signature, VORKERS' COMPENSATION DECLARATION IAHNINO: v. LURE T. stCUAE WORKERS" COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL . FINES UPTO ONE HUNDRED THOUSAND DOLLARS (S400,000), IN ADDrrION TO THE DST OF cDNPENSATION, np"oEa AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEYS PEES. hrrehy affirm under nensity of perjury one of the following declarations: 1 have and will .Tlairt-in a Certificate of consent to self -insure for Workers' compensation, issued by the Diractor of Industrial Relationsas provided for by Section 3700 of the Labor Code, for th etbrnance of the -vxk f^r which this permit Is issued. Policy No. _ hpve and will mainttim 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' ranee carder 2.rd Fa;lcy number are: to of Agent ,V.rfy that, in the pert if I ; hould be,:ome s, Policy Number Date for which this per it is is I hall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agra compensate a r 'v s Ion 3700of the Labor Code I shall forthwith comply with those provisions. / / �r Da� �123,1 Z hereby affirm under penaltyof perjury that there is a construction lending agenoy for the performance of the work for which this pormit Is issued (Section 3097, Civil Code), onder's Name Lender's Address ly my signature below, I certify to each of the following: I am Vie property owner or authorized to act on the property owner's behalf. I have read this application and.the information I have provided! correct. I agree to comply with all applicable city and coon ar}cas d, state la I g to ilding construction. . I authorize representatives of this city or county t➢ptifar a eve•identi r �nspecdon purRoses. ACTION PERM17 EXPIRED PERMfi CANCELlEt PERMIT EX7ENDED DATE ! BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULAPONS PART 61 OF T'ITCE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO PER'MITFINAi 4L-} GS' I IdASHE3TO5 NCYfIPI" Tt rIS NOT [ERt7,`7CAFE Of PROPOSEDD OU OLCUPANCYISSUED f SIr.NATURO i �i