HomeMy WebLinkAboutX2022-1130 - Permitsa-Wno,r Newport: COMB Permit : X2022-1130
City of NewpoBeach II III I II I II I III II III II II
0 Community Development Department- Building Division
C 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1036-2022
Permit Counter Phone: (949) 644-3288 Issued Date : 09101/2022
.a. Inspection Requests Phone: (949) 644-3255 Inspection Area : 7
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 : 1501 WESTCLIFF DR Legal Desc : N TR 4225 BLK LOT 8 TR 4225 LOT 8 FOR OF LOT (PAR 1 OF 7529/ 474 O.R.)
Description: COMM TI - CHG IN USE -OFFICE TO RESTAURANT 3584 SF (INTERIOR) 1184 SF (PATIO)'JULIETTE'
Owner: WESTCLIFF DOVE ON MICHAEL D
Address : 250 NEWPORT CEN ER DR NEWPORT tea, Acl ra 0: 30&j(IOLETA DRIVE ALHAMBRA, CA Address : 3195-B AIRPORT LOOP DR COSTA MI
BEACH, CA Data: / GG // ` gi001 If applicable: CA92626
Phone : (949) 720-8166 Phone : (6215) B93-1 b 14 Phone : (714) 825-8888
Con State eLlc 4846117 0 gt�ty I 0
Applicant: Irene Perez' Aip
r „w0 t ❑ �� �0 Of LJ V� �0 i'efUYl•.
Address : 3195 Airport Loop rive,[BAs Me CA�..4 00795 � Engineer : EIMANI TOURAJ
92626 ;:_... i0 N%hom:
Phone': (714) 261-5094 °"' x ire : 08 )2 A res3d s : �3�CDAPDRATEPLAZA Dot #150 l
FOREST, CA 92630
OF, r srl�lmm�ax�ce_;. Phone : (949) 629-2529
Owner/Builder: r 73YrFtY `W ..fWA,T_PtrINU RANCE+FUN -
�ol l' 'SS.i,
Address: �,: �i29�59 • Designer
Phone : W. C. Expire : 2/4/2023 Address
Phone:
Code Edition : 2019 re yNO 9 e -".'• ! tr c Ord Ion : $75,000.00
Type of Construction : V-A ° re_��r�{g� mtnA : No � w uc A�d/P fg. Bldg :. 0
Occupancy Groups : M,A-2 ,OCN 5` ,I?l, Its : D ,?O 4N0!'iC S`':aiil�� Ion sq. ft. Bldg
Bldg Height : �1tKCies : 3 =New sq. ft. Garage : 0
Building Setbacks : Note:
Flood Zone : X
Use Zone : MU-DW - ixed-Use Dover/Westcliff hm p. r^ :, Az<:� /
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PROCESSED BY:
IN
SPECIAL CONDITIONS
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I ant exempt from the Contractors Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next io 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 fife 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 Busir,a s and
Professions Code) or that he or she is exempt from fieensure 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).
13 I, as owner of the property, or my employees with wages as their sole compensation:, will do L_) all of or t_) 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 wili have the burden of proving that it was not built or
m roved 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
ra�pply 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).
LJ 1 am exempt from licensure under the Contractors' Stale License Law for the following reason
By my signature below I acknowledge tha4 It,t'c I m sit have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal.
sell a structure that I have built as an owns udder if it has not been constructed in its en I btj'iYfJLA'r3+tid' omractors r d- Dopy-gf.the applicable law, Section 704A Of the Business and
Professions Code, is available upon reque When is !cation ub or aD�lhg�ollowing Web site, httpaiwww.leginfo.ca.gov ca ..
Signature of Property Owner or Authorized_ pant J
LICENSED CONTRACTOR'S DECLA ATION I -
1 hereby affirm under penalty of 'ury that am f Hier provisions of C r/�c �lJ with Sectio 7000 f Df Sion 3 tSII Professio nd lie e i in full force
and effect. License Class cans Y { ter.. jtntraC zoe
FAI.URE TO SECURE WORKERS'
: i ,rdby affirm under penalty of perjury or
3 1 have and will maintain a certificate
erformance of the work for which this De
.Whave an, will maintain workers corn
lsrrance carrier and policy number are:
-e of Agent
certify that; in the performance of the
, r I should b=came subject to L
ta;ure of ADQll \//l /
hereby affirm under of perjury th(
enders Name
y my signature beloK I certify to each of
I am the property owner or authoriZed
I have read this application and the in
I agree to comply with all applicable c
I authorize representatives of this city
pasture of PfODertV Owner or Authorize(
PERMi r EXPIRED
PERMIT CANCELL ED
PERMIT EXTENDED
P€RA41T FINAI.
CERTIFICATE OF
OCCUPANCY ISSUED
f the following declarations:
can riser r}f
Is i ued P y No. @
�sati insure ' as aired by
'� d�
l policy Number
$ t i th' it I issued,
s' m
e 6Q
ION is ND(NG l{
sera is a construe tan en Ina asag
INui mg
act on the proper y ow
nation f have provided is correct.
u uua/o or 0
AND CIVIL. EWES UP TO ONE t
to whom:
Director of Industrial Relations as provided for by S ctR
TM
2M t pe manta of the work for which this permit is
Expiration Date
I shall n t employ any person in any manner so as to become subject to the workers'
ctigYfS7� tlyn{abor Code, I P thv�osnply with those provisions.
Mine performance of the work
Lenders Address
construction. l
a purpose . --_ r n S 1. E
REGULATIONS PART El OF TITLE 40 AND AQMD RULE
1403
NOTIFICATION TO
QM„n p be n p ace p 'y
A5I:E5105 NOTIPICA
,PON IS Rl//T
)POSEDOEMGL
NATUR1Z l�C
�A100.000t, IN ADDITION To THE
of the Labor Code, for th
My workers' compensation
sws of California, and acre
I?t/— QI—,
rJ r �/.an91 Il• s I �
shall