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HomeMy WebLinkAboutXC2022-1965 - Permits�EwaoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XC2U22-� 9s5 0� d Community Development Department -Building Division X C 2 0 2 2 1 9 6 5 F a 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2352 Permit Counter Phone: (949) 718-1888 Issued Date : 05/17/2023 c « r newportbeachca.gov/civic Inspection Area : 7 Combination Type - ELEC PLUM Work Class - Tenant Improvement PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DAT NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AR rS C) `{4 Job Address : 201 COAST HWY E Legal Desc : Description: COMM- SITE IMPROVEMENTS TO PROVIDE PEDESTRIAN ACCESS TO PROPOSED PUBLIC DOCKS gg Owner: IRVINE COMPANY LLC Contractor: CUESTA CONSTRUCTION CO Architect Address : 111 INNOVATION DR Address : 3195A AIRPORT LOOP DR Address IRVINE, CA 92617 Phone: (949)720-3100 Applicant: BEUCHAT BRADLEY CHARLES Address: 38 TECHNOLOGY DRIVE STE 100 IRVINE, CA 92618 Phone: (949)923-6257 Owner/Builder : Address : Phone COSTA MESA, CA 92626 Phone: (714)557-5877 Con State Lic : 568466 Lic Expire : 05/31/2025 Bus Lic : BT20012806 Bus Lic Expire : 12/31/2023 Workers' Compensation Insurance Carrier: INS CO OF THE WEST Policy No : WVE503883004 W. C. Expire : 12/31/2023 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 : AE, 8 FT; X; X Use Zone: CM - Commercial Recreational and Marine PROCESSED BY SPECIAL CONDITIONS: Phone: State Lic Engineer: BEUCHAT BRADLEY CHARLES Address: 38 TECHNOLOGY DRIVE STE 100 IRVINE, CA 92618 Phone: (949)923-6257 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. : OWNER -BUILDER DECLARATION t hereby affirm under penalty 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 Rem(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 oppltcunt for the permit to file a signed statement that ho 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 end 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 fora permit subjects the applicant to 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 (_] all of or (_) 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 no( buiil 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 rapply 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), L�J I am exempt from licensure 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 legal]; sell a structure [hat I have built as an ownor-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:http:l/www.leginto.ca.gov/calaw.titml. 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 7 0 j Divi on 3 of the Business and Prof ode, and my license is In full force and effect. License Class License No Date 1� Contrador Signature' WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES AND CIVIL FINES UP TO ONE HUNDRED T ANO DOLLARS (St D0,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TO6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ❑We yq�a,, abd will malntam a cdrlilieake df consent to self -insure for workers' compenselicn, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih drlce of the work for which This parrnit Is issued. Policy No. land 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 insurance carrier and policy number are: Policy Number of Agent Date 11 Certify that, in the performance of L fk 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 become bject tot�RON ensation provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions. ignalure of Applican Cat ECLARATION RED pl ON NDING AGENCY hereby affirm under p3�alty of pe ; ry that there is a construction lending agency for the performance of the work for which this penult is issued (Section 3097,' Iv Code). enr pf'-, Fame Lender's Address y my signature below,. I certify to each of the following: am the property owner or authorized to act on the property owner's behalf. I li vo read this application and the information I have provided is correct. , agree to cen,ph .4Ll, all applicable city and cour)ty ordinances and state laws relating to building construction. r I aLt lofize representatives of this city or couptty }roe er above -identified property for inspection purposes. /y �%) q In j'�� I I, / I I� Iona,Lu,. of PTOpurh Owner or Authorized Aoen � Print Property Owner's or Authorized Agent's Name X I (�, i (1 f li( ate ALliuN DATE BY Dr ffRA7EON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1 1403 PER.L:7-C;: PIRfD ( ISUBMITTEDASRFSTOSNOTIFICATIONTO PERMIT EXTENDED PERNRTFINAL �" IAIASBESTQQ5 ��OTIFI ONISNOTAPPUCA8LE TO CERTIFICATE OF �5 1 pROPO5E0�IgFyMO t PI OCCUPANCY ISSUED SIGNATUR ,•