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HomeMy WebLinkAboutXC2023-0107 - Permits�eWPORT City of Newport Beach II II III II I II IIIIIIIII III IIII I IIII II II COMB Permit : XC2023-0107 C4 Community Development Department- Building Division X C 2 0 2 3 0 1 0 7 ,., 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1687-2022 Permit Counter Phone: (949) 644-3288 Issued Date : 04/17/2023 Inspection Requests Phone: (949) 644-3255 Inspection Area : 7 5�/FORN� newportbeachca.gov/inspections Combination Type - Work Class - Other 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: 690 NEWPORT CENTER DR Legal Desc : Description: DELTA 2-(ADD'L SCOPE) BEAM REPAIR (REV2023-0630) Owner: 690 TEL LLC Address : 69,PINEWPORT CENTER DR WPORT BEACH, CA 92660 Phone : Applicant: JASON VANAUKER Address : 300 SPECTRUM CENTER, 500 I RVI N E, CA 92618 Phone: (949)574-8500 Owner/Builder Address : Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups: B Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: SPECIAL CONDITIONS: Contractor : DRIVER SPG Address : 2190 TOWNCENTER PL, STE 1DD ANAHEIM, CA 92806 Phone: (626)351-8800 Con State Lic : 960119 Lic Expire : 02/28/2025 Bus Lic: BT30044313 Bus Lic Expire : 08/31/2023 Workers' Compensation Insurance Carrier: FEDERAL INSURANCE CO Policy No: 54310335 W. C. Expire : 10/31/2023 Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Architect : VILLEGAS GREGORY Address : 300 SPECTRUM CENTER DR #500 IRVINE, CA 92606 Phone: (949) 574-8500 State Lic Engineer: Address: Phone : Designer: Address Phone: NO Construction Valuation : $25,000.00 NO Added/New/Ti sq. ft. Bldg : 0 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 end 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 :he permit to file a signed statement that ho 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 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). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do U 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). 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 ovmer of properly Who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). �T u 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 burst as an owner -builder if It has not been constructed in its entirety by licensed contractors. I understand that a copyof 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:http:llwww.leginfo.ca.gov/calaw,html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section TPV of Division 3 of the Business and Profes e tic sees in full farce and effect. License Class License No Date Contractor Signaiu€e WORKERS' COMPENSATION DECLARATION ✓YARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDREp THOUSAND COLLARS ($100,000).3N ADDITION TO THE COST OF COMPENSATION, DAMAGES" PROVIDED FOR IN SECTION 3706 OF THE LASOR CODE, INTEREST, AND ATTORNEYS FEES. Ihereby affirm under penalty of per}ury, one of the following declarations: D 1 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 lh Rerformance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' carder and policy number are: Policy Number of Agent Date I Certify that, in the erf rmanca 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 agm t, if I should become bject io t kers' m on alone of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican Da ©�e•l7.70Z CLARATION REG DJNll LENDING AGENCY =ruby affirm under;penalty, of perjury theta is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). lder'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 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 for inspection purposes. ACTION DATE I BY CAWION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY -ftE LA'rIONS PART 61 OF TITLE 40. AND AQMn RULE 1403 PERMIT EXPIRED I U I susmiTTED ASBESTOS NOTIFICATION TO INA CEPT;F!C T'OF---K+�u Sf�A TURE E OLITaiis CAji ISf V E '10 OC�UPANCyV55UEA �( % Il / ,?