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HomeMy WebLinkAboutXC2024-0029 - Permits�E�w voRT City of Newport Beach IIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIII II COMB Permit : XC2024-0029 Community Development Department - Building Division x C 2 0 2 4 0 0 2 9 r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2247 Permit Counter Phone: (949) 718-1888 Issued Date : 01/24/2024 <.. newportbeachca.gov/civic Final Date: Combination Type - Permit Status: Issued Work Class - Tenant Improvement 9'> a ' ° ` 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: 221 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 POR OF PAR Description: COMM REPLACE STRUCTURE SUPPORTING STOREFRONT "VINCE" Owner: IRVINE COMPANY Address: 110 INNOVATION DRIVE IRVINE, CA 92617 Phone: (949)720-2000 Applicant: CARRIE WRIGHT Address : 17800 MITCHELL N IRVINE, CA 92614 Phone: (949)683-3984 Owner/Builder: Address : Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups: B Bldg Height : Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: r3:5 SPECIAL CONDITIONS: REV2024-0140 Contractor: SERVCO INC Address : 18009 SKY PARK #E IRVINE, CA 92614 Phone: (949)955-2300 Con State Lie : 937164 Lie Expire : 08/31/2025 Bus Lie : BT30059160 Bus Lie Expire : 07/31/2024 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No: WSA506802601 W. C. Expire : 10/20/2024 Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Architect : AMY BAGLEY Address : 17800 MITCHELL NORTH IRVINE, CA 92614 Phone: (714)299-5957 State Lie : C030804 Engineer: SCHROEDER MARK Address : 16969 VON KARMAN #240 IRVINE, CA 92606 Phone: (949)474-0502 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. : $20,000.00 0 0 0 Z— OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that € am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ferrite) Chun 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve,. demolish, or repair any structure, prior to its issuance., also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions Code) Or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($b00). I, as owner of the property, or my employees with wages as their sole compensation,will do U all of or U portions of the work, and the structure is not intendedor offered for sale (Section 7044, iness 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 rovements are not intendedor offered for sale. If, however, the building or improvement is sold withinone year of completion., the Owner -Builder will have the burden of proving that it was not built or 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 ly to an Owner of properly who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). IJ I am exempt from licensure under the Contractors' Slate License Law for he 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 in sell a structure that 1 have built as an owner -builder it it has not been constructed in its entirely by licensed contractors. I understand that a copy of the app Professions Code, is available upon requestwhen this application is submitted or at the following ''Pleb site:http://Www.leginfo.ca.gov/calaw.htmi. Signature of Property Owneror Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 vi ' of the Business and and effect. License Class License No Date Contractor Signs law, Section 7044 of the Business and Date farce WORKERS' COMPENSATION DECLARATION ��— NARNING: FAILURE TO SECURE WORKERS -COMPENSATION COVERAGE IS UNLAWFUL, AMC SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEE& hereby affirm under penalty of perjury one of the following declarations: n L..1 I have and will maintain a certificate of consent to self- insure for workers' compensallon, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih perfor a of the Work for which this permit is issued. Policy NO. have and will maintain workers compensationinsurance,. 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: Carder Policy Number Expiration Date Name of Agent Phone # 71 certify that, in the i[ormance of the work for Which this permit is issued, i shall not employ any person in any manner s0 as to become subject to the workers' compensatio�lifornia, and afire that, i( I should beco e slit -ubjec a we ens revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date ._ ncr, nonr,nu ocn w'onrern rnuar comer nreury areby affirm under penalty of perjury that there is a construction lending agency for the performanceof the work for which this permit is issued (Section 3097, Civil Code). ides s Name Lender's 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 j d is correct I agrme to c7 pey e:all applicable city yto cps I anti,orize reFresenahves of this city coup the a properi ornspecLonpurpoes. ACTICP' ( DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND. AQMD RULE 1403 PERMIT EXPIRED l I SUBMITTED ASBESTOS NOTIFICATION TO °FRMfTtANCELLED OEPA _ ^FPh I `XTEff-EO 'ERMl7'tNAL-LSBE5TtO N IS Nqj' PUCA "'"PFFC4TE OF PROPOSEDDEM 1 N Brit IP4,VCy 13SUL G SICNATURE