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Home My WebLink AboutXC2022-2025 - Permits�EWPp�r City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - ELEC Work Class - Other �1111 111111111111111111111111111111111111111111111111111 11111COMB Permit : XC2O22-2o2J Plan Check No : 1950-20 9 Issued Date : 10/19/2022 Inspection Area : -7 ® P � 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 : 850 SAN CLEMENTE DR Legal Desc : Description: COMM - (18) LIGHT STANDARDS "VIVANTE" Owner: VIVANTE NEWPORT CENTER LLC Address : 1 MACARTHUR PL STE300 SANTA ANA, CA 92707 Phone: Applicant: ROBERT ERES Address: 1 MACARTHUR PL, 300 SANTA ANA, CA 92707 Phone : (714) 546-5600 x220 Owner/Builder : Address : 9�� Contractor: NEXUS CONSTRUCTION SERVICES INC Address : 1 MACARTHUR PLACE SUITE 300 SANTA ANA, CA 92707 Phone: (714)546-5600 Con State Lic : 767678 Lic Expire : 08/31/2023 Bus Lic : BT30071422 Bus Lic Expire : 03/31/2023 Workers' Compensation Insurance Carrier: OAK RIVER INSURANCE COMPANY Policy No: NEWC315020 W. C. Expire: 7/1/2023 Code Edition : 2019 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height: No of Stories Building Setbacks Flood Zone Use Zone : PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lic HARRIER DONALD 1030 TEHAMA AVE MEN.,LG PARK CA 94025, CA 94025 _ (415)356-3800 Engineer: VANDERVISJACOB Address: 701 N PARKCENTER DR SANTA ANA CA, CA Phone: (714)560-8200 �- Designer: Address Phone: NO Construction Valuation : NO Added/New/TI sq. ft. Bldg 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: TOTAL sq. ft. Bldg : $0.00 L 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 ftem(s) (Seellon 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 Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from lieeosure 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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' Stale 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), 0 1 am exempt from licensors 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 built as an owner -builder if it has not been constructed in its entirety 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:httpJtwww.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 7000 f QIvjsji 3 of the Business and Professions and arise is In full force and effect. License Class License No Data ZZ Contractor SignalureZ !WORKERS' COMPENSATION DECLARATION WAPNING: 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 (5100,000), IN AUCTION TO THE COST Or COMPENSATICN CA'WAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYe FEES. liI herety affirm under Tenalty of perjury one of the following declarations: �❑ I .gave and will roalnlem 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 I;peWranca of the work fcr which this permit is issued. Policy No. and will malnIIair workers' compensation insurance, Be required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier anu puhcy number are: Policy Number of A�Eim Date aIt y ,;1at inthe performance of the work If Ich thispermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agrai if I atiouid percale subject to the work pensation Is' off'Section 3700 of the Labor Code, I shall forthwith comply oath those provisions. alure of Applicant,// , =7F' J#� Date O LARATION REGARDING CONSTRUCTION LENti(NG AGENCY 1 2�� 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' (Section 3097, Civil Code). onder's Name Lender's Address y 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 t erm ` K�r%"ove-Ide le property for inspection purposes, ianature of Procertv Owner or Authorized Agent `n/G' .tY Print Prooertv Owner's or Authorized Aaent's Name/4,v� ii� ACTION I DATE I BY DECLARATION OOF COMPLIANCE E 4, ITAND RULE FEDERAL FOR OFFICE USE ONLY REGULATIONS PERMIT EXPIRED LJI SUBMITTED ASBESTOS NOTI FICATION TO PERMIT CANCELLED I EPA PERMIT EXTENDED __ ��4MD _ PERiLPiT F1NAL _�_��-)-�� _ ��L,I AStfE$TUS NOTiFlCAC10N 15 N0i APPLICABLE TU CERTIFICATE OF l PROPOSED DEMOLITION OCCUPANCY ISSUED j SIGNATURE.