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Home My WebLink AboutXC2023-0251 - PermitsaEWPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XC2U23-0251 D� e Community Development Department- Building Division X c 2 0 2 3 0 2 5 1 >. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1647 ~ n Permit Counter Phone: (949) 718-1888 Issued Date : 07/26/2023 M S .ram newportbeachca.gov/civic Final Date: C9C/FOR��P Combination Type - ELEC MECH PLUM Permit Status: Issued Work Class - Tenant Improvement 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 : 1075 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 POR OF PAR Description : COMM TI "BRANDY MELVILLE" 2000 SF Owner: IRVINE COMPANY Contractor: OC CONSTRUCTION & CONSULTING Architect : MARCOS SANTA ANA INC Address : 110 INNOVATION DRIVE Address : 206 NEWPORT CENTER DR STE 100 Address : 8616 LA TIJERA BLVD #101 LOS IRVINE, CA 92617 NEWPORT BEACH, CA 92660 ANGELES, CA 90045 Phone : (949) 720-2000 Phone : (949) 506-6949 Phone : Con State Lie : 1057296 State Lie: C33317 Lie Expire : 08/31/2025 Applicant: OC CONSTRUCTION & CONSULTING INC Bus Lie: BT30073814 Engineer Address : 206 NEWPORT CENTER DR STE 100 Bus Lie Expire : 12/31/2023 Address NEWPORT BEACH, CA 92660 Phone: (949) 506-6949 Workers' Compensation Insurance Phone: Carrier : Owner/Builder : Policy No : EXEMPT Designer: Address : W. C. Expire: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $200,000.00 Type of Construction : Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : M No of Units : 1 Alteration sq. ft. Bldg : 2,000 Bldg Height: No of Stories : Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION thereby affirm under penally 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 (teas (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, 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 Law (Chapter 9 (commencing With Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from Ifcensure 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), ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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 Lhe Improvements are not Intended or offered for sale. If, however, the building or Improvement Is sold within are year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, 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 Improves thereon, and who contracts for the projects With a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from Ifcensure 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 soil a structure that I have built as an owner builder if Ithas not been constructed in its entirely by licensed contractors. I understand that a copy of 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:hWww.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 0) o Divis'an 3 of the Business and Pr Ionstode, and my license is In full force and effect. License Class License No Date Ca Contractor Signature X / WORKERS' COMPENSATION DECLARATION ✓ � NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 70 ONE HUNDRED THOUSAND DOLLARS f$1 D0,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, •• hereby affirm under penalty of perjury one of the following declarations: :1 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 IN Derformance 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 Code. for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number of Agent Date PCP,�D ify that, in the performance ofAhe 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 agre I should become subject to tt1'e workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant _ Date DECLARATIONREGAR iN IRUCTIDN LENDING AGENCY I hereby affirm under pe fly of perjury that there is a construction lending agency for the performance ofthe work for which this permit is issued (Section 3097,, Civlcode). Lenders Name Lander'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 provide�.iscorrect, I agree to comply with all applicable city end co mordina y g es an 1d state laws relating to building construction. I authorize representatives of this city or coup. to enter ftie inspection purposes. Signature of Property Owner or Authorized A ent � '— Print Property Owner's or Authorized Agent's Name c 'ev ate 26' 23 ACTION DATE BY V 'r: DELL. ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OFTITLE 40 AND AQNID RULF. 1403 PERMIT EXPIRED L_ 1 SUBMI F, LD ASaFST05 NOTIFICATION TO _._ .......... ._.m_ PERMIT CANCELLED ) WW�qR _ PERMIT EXTENDED rIJ-ICPA I_L14MD PERMIT FIflAL t---��__—_-_- �T �ASBF5T S OTiFICATION� NOT APPLICABLE TO CERTIFICATE OF /J' O� /r�T l ON PROPOSEDEy; OCCUPANCY ISSUED V / SIGN.riUF E`\ — — 1, j