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Home My WebLink AboutXC2022-1909 - Permits�Wep�r City of Newport Beach F p e Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °q<�Foa�``P newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement II IIII I I II I II I III III I II II COMB Permit : XC2022-1909 Plan slued e Check ck No is PC2022-2076 022 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: 2901 COAST HWY W Legal Desc : P BK 199 PG 39 PAR 1 Description : COMM TI "SPEC SUITE" 3726 SF Owner: WATERFRONT NEWPORT BEACH LLC Contractor : Are itect Address : 8540 S SEPULVEDA BLVD #706 Address : Address LOS ANGELES, CA 90045 ' Phone: Phone: Phone: Con State Lie : State Lic Lic Expire Applicant : ULISES GARCIA Bus Lie: Engineer Address Address : 44 W Bellevue Dr., 6 Bus Lic Expire : Pasadena, CA 91105 Phone : (162) 656-4265 x0 -` Workers' Compensation Insurance Phone Owner/Builder : WATERFRONT NEWPORT BEACH LLC Carrier Policy No : Designer: NATHAN SEAMONS 44 W BELLEVUE DR STE 6 Address : 8540 S SEPULVEDA BLVD #706 W. C. Expire : Address : PASADENA, CA 62656-4265 LOS ANGELES, CA 90045 Phone : (626) 564-2650 Phone: 2019 Fire Sprinklers : YES Construction Valuation : $110,000.00 Code Edition : I-A,III-A Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg Type of Construction : No of Units : 0 Alteration sq. ft. Bldg : Occupancy Groups : B No of Stories ; 3 Added/New sq. ft. Garage : 0 Bldg Height : TOTAL sq. ft. Bldg : 0 Building Setbacks Flood Zone : AE, 8 FT; X; X - Use Zone : MU-Wj Mixed -Use Water - PROCESSED BY:J SPECIAL CONDITIONS: 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 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 (commanding with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the :bads 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 morn than five hundred dollars ($500). ❑ 1. 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, Busmrvse 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 of Impr ad for the purpose of sale), s owner of the propady, am exclusively contracting with 11censed Contractors to construct the project (Section 7044. Business and Professions Coder The Contraclors' State 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). I am exempt from licensure under the Contractors' Slate License Law for the following reason: By my signature below h. acknowledge that, except for my personal residence In which I must have resided for at least one year poor to completion of the Improvements Covered by this permit I cannot legally sell a structure that I have budit as an owner -builder if it has not been constrvcled 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 t— ki tion li,' ub ed or Vffie following Web silo:hltp:!lwaAv.legEn(o.ca.gov(calaw.html / 1 Signature of Properly Owner or Authorized Agent Dale LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class License No Date Contractor Signature WORKERS" COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GALL FINES UP TO ONE HUNDRED THOUSAND DOLLARS nu Dor00a1, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR, IN SECTION e706 OF THE LA80R, CODE,. INTEREST, AND ATTORNEy'S FEES. hereby affirm under penalty of perjury one of the following declarations: —11 have and will maintain a certificate, of consent to self -Insure. for workers' compensation, issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code. for in >erfopnanee of the work for which this permit Is Issued. Policy No. :1I have and will maintain workers' compensation Insurance, as required by Secllon 3700 of the Labor Coda, for the performance of the work for which this permit is Issued. My workers' compensadiol nsurance carrier and policy number are: Policy Number Expiration Date Agent ____._... oh„ne x Fcarlify that, In the performance of the work for whlch this permit Is issued,. I shell not employ any person In any manner so as to become subject to the workers' compensation tilawws or California and agre t, if I should become s a 1 the % rker ' compens tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dale �.P2 CLARATION REGARDING CO STRUCTION LE N Y '—"'— neby 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). ider's Name Lender's Address my signature below, I certify to each of the following: I am the orooe:.y 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 U .-imply with all applicable city and county ordinances and slate laws relating to building construction.. I aulhorl,- eel esentatives of this city or count` �,,',�yerr he ai��,ve•id lifted property for inspection purposes. nature of Property Owner or Authorized Anent//A�b-.d'S�_i6a.at.,,..e.r„n.,,.....:. ... �.,.,. ___.,_.:___�. �.,—L_1 ACTION DATE BY I REGULATIONS PA TOF Oel OF 7' 40AND AQMO RULE MPLIANCE OE OF At FOR OFFICE USE ONLY NOTIFICATION ERINIT EYTE'VDED _ _ .1/( QAE_QMTDSPERNNT NOTIFl TIQN CERT! ICATE Of PPOP05CDD AI07 PLICA LE TO O'CCUPA CI i SsOPo SIGNATURE: