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Home My WebLink AboutX2021-2737 - PermitsagWaoRT City of Newport Beach II III I II I II I I I I IIII II II COMB Permit : X2O21 -2737 Community Development Department- Building Division �. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Plan Check No : 2382-2021 Date 08/22/2022 Issued : Inspection Requests Phone: (949) 644-3255 Inspection Area : 7 Cqt/FOPN�P newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - New 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 : 101 BAYVIEW PL Legal Desc : N TR.:12528';BLK'LOT 1 Description: NEW 3-STORY RESIDENTIAL CARE FACILITY FOR ELDERLY (NON -AMBULATORY) OVER A BASEMENT PARKING GARAGE. 84,465 SF "CLEARWATER" Owner: CLEARWATER AT NEWPORT BEACH OWNER Contractor: 'O'NEIL W E CONSTRUCTION CO OF Architect : DOUGLAS PANCAKE LLC CALIFORNIA Address : 400 WATER ST, 200 EXCELSIOR, MN 55331 Address : 909 N SEPULVEDA BLVD #400 EL Address : 19000 MACARTHUR BLVD STE 500 SEGUNDO,-CA 90245 IRVINE, CA 92612 Phone : (612) 741-8936 Phone : (310) 643-7900 Phone: (949) 720-3850 Con State Lie : 494031 State Lie Applicant : DOUGLAS PANCAKE Lie Expire: 06/30/2024 Address : 19000 MACARTHUR BLVD STE 500 IRVINE, Bus Lie: BT30078190 Engineer : ADEN MARK D CA 92612 Phone: (949) 720-3850 Bus Lie Expire : 03/31/2023 Address : 1314 S GRAND BLVD, STE 2-359 SPOKANE WA 99202, CA 99202 Workers' Compensation Insurance Phone: Owner/Builder : Carrier: ZURICH AMERICAN INSURANCE COMPANY Address : Policy No : WC353310322 Designer: Phone: W. C. Expire: 3/31/2023 Address Phone: Code Edition : 2019 Fire Sprinklers: YES Construction Valuation : $35,000,000.00 Type of Construction : I-B Fire Hazard Zone : No Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : S-2,R-2,A-2,B No of Units : 101 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 3 Added/New sq. ft. Garage: 0 Building Setbacks Flood Zone : X Use Zone : PC - Bayview C. PROCESSED BY:='y;f1: ) SPECIAL CONDITIONS: OCCUPANCY GROUP R2.1 RESIDENTAIL CARE FACILITIES FOR rHE ELDERI Y (RCFE) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that L am exempt from the Contractors' State License Lawforthe reason(s) indicated below by the checkmark(s) I have placed next to the applicable Itenf[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 is permit to III a 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 file Business and 'rofessions Code) or that he or she is exempt. from l censure and the basis for the alleged exemption. Any violation of Section 7031.5 byany applicant for a permit subjects the applicant to a civil penalty of at more than five hundred dollars ($500). I owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, .usineas 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 Graving that it was not built or nproved for the purpose of sale). 3 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 Iply to an owner of property who builds or improves thereon, and who contracts for theprojects with a licensed Contractor pursuant to the Contractors' State License Law), I am exempt from Iiceltsure under the Contractors' State License Law for the following reason: ry my signature below 1 acknowledge that, except for my personal residence in. which I must have residedfor at least one year prior to completion of the Improvements covered by this. permit, I.cannot legally ell 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:http;llwww,leginfo.Ga.govicalaw.htmt. signature of Property Owner or Authorized Agent Date JCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing With Section 90) f Division 3 of the Business and. Pr a ons od,gL,and my license Is in full farce rid effect. License Class License No Da 2Z Z Z Contractor Signatu�/ VORKERS' COMPENSATION DECLARATION - �ARNINGo 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 4100,000). IN ADDITION. TO THE DST 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 I have: and will maintain a certlflcate of consent to sell -insure for workers' compensation. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the ec[ormance at the work for which this permit Is issued. Policy No. 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' carrier and policy number are: Policy. Number of Agent Date certify that, in the performance of the work for which this permit is Issued., I shall not employ any person in any manner so asto become subject to the workers` compensation laws of California,. and . If I should become subje9A to: the workers' compensation. provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of CLARATION REgARDING CONSTRUCTION LENDING AGENCY areby 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 ider's Name Lenders Address 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 slate laws relating to building construction. I authorize representatives of this city or court A enteprtfiee,�bove-identifled property for inspection purposes. 7 . ACTION I DATE ; BY U !-DECLARATION OF CONIPUANCE WITH CODE OF FEDERAL i i REGULATIONS PART 51 OF TITLE AO AND ARMD RULE PERMITEXPIREO ) L.L �II 5Iu MI TT I. r r 59EFT71, NOTI rv^%Tl 7"I TO y�.�+r-P•, ^� iJ.\R v1D " PERMITCANCELLED FERMlF EXTENDED PERMITFINAi. CERTIFICATE OFPROPOSED OCCUPANCY ISSUED (� ASBESTOS NO fi FICATION 15 NOT APPLICABLE TO DEMOLITION � SIGP PTJRE: FOR OFFICE USE ONLY Civil Code). All r€qui red ala F r?is, I�t--hes gates and fenceswhich serve as part of a pool/spa barrier, shall ha in plice-prior to approval to fill pool/spa & shall remain In place & be maintained for the life of the pool.