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HomeMy WebLinkAboutXC2023-0020 - Permits�yEWPOR City of Newport Beach II IIII I IIII IIII IIII III IIIIIIIIIIIIII II COMB Permit : XC2023-0020 4 T 6 Community Development Department -Building Division x C 2 0 2 3 0 0 2 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0188 Permit Counter Phone: (949) 644-3288 Issued Date : 02/23/2023 Inspection Requests Phone: (949) 644-3255 Inspection Area : 7 9c�coaN` newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement 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 : P BK 196 PG 13 PAR 2 PARCEL MAP 196-13 PAR 2 FOR OF PAR AND PAR 3 FOR Description: COMM TI - LOBBY -LEVEL RESTAURANT (NAME TBD) 3864 SF Owner: 690 HOTEL LLC Address : 690 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: Applicant: JASON VANAUKER Address : 300 SPECTRUM CENTER, 500 IRVINE, CA 92618 Phone: (949)574-8500 Owner/Builder : Address : Phone : Code Edition: Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone: Use Zone: PROCESSED BY' Contractor: DRIVER SPG Architect: Address : 219D TOWNCENTER PL, STE 100 Address ANAHEIM, CA 92806 Phone: (626)351-8800 Phone: Con State Lic : 960119 State Lie Lie Expire : 02/28/2023 Bus Lic: BT30044313 Engineer: Bus Lie Expire : 08/31/2023 Address Workers' Compensation Insurance Phone: Carrier: FEDERAL INSURANCE CO Policy No: 54310335 Designer: W. C. Expire : 10/31/2023 Address Phone: 20221 \ Fire Sprinklers : YES II -A Fire Hazard Zone : NO No of Units : 0 o of Stories : 20 PP ®F1�T SPECIAL CONDITIONS: ISSUE`R6QIOR TO HEALTH.q_EPT APPRCA<AL PER TONEE THAI VILLEGAS GREGORY 300 SPECTRUM CENTER DR #500 IRVINE, CA 92606 (949)574-8500 Construction Valuation : $624,000.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 3.864 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 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(s1 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 io 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 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 more than five hundred dollars ($500). 11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work; and the structure is not intended or offered for sale (Section 7044, usiness 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 one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 1 I, 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 pply 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). 1 am exempt from licensors under the Contractors' State License Law for the following reason ly 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 legal) oil a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. ) understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code., is available upon request when this application is submitted or at the following Web site:htip://www.leginfo.ca.gov/celaw:htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3of the Business and Profe is In full farce V RKE License Class License No Date Contractor Signatu PORKERS' COMPENSATION DECLARATION tARNING: FAILURE TO SECURE WORKERS" COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA S ND CIVIL FINES UP TOONE HUNDRED TT4OUSANO DOLLARS (E100.,000), IN ADDrrION TO THE '.OST 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 W Industrial Relations as provided for by Section 3700 of the Labor Code, for th for Lance of the work for which this permit is issued. Policy No_ eve 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' compensatiol tsur in carrier and policy number are: Policy Number Expiration Date of Agent 71 certify that, in the performance 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 agre Tat, if I should becomes bj�I, saticn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.kCli lignature of Applicant,rDatZIECLARATIGN REG DITION LENDING AGENCY 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 QSection 3097, ode). .enders Name Lenders Address iy 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 1 have provided is correct. I agree to comply will) all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county jo ente a ab e=de ' d properly for inspection purposes. �� ;kmature of Prooartv Owner or Authorized Aoanh / .�ve _ Print Property Owner's or Authorized Agent's N934J014N�_1-lffLY/[�.�_�SV/� Date C)2 •�3•Z ACTION DATE BY `r'j'DEClOATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TETLE40AND AQMD RULE 1403 PERMIT EXPIRED I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED PER,b4T EXTENDED LJAQmo PERMIT FINAL 2-5 92 / `�� G ASRESTgS NUTIFICR'rION IS N0T.IPN!ICRdtE 'U CERTIFICATE OF PROPOSED DEMOLITI ��� OCCUPANCY ISSUED SIGNATURE IV J