HomeMy WebLinkAboutXC2023-0105 - Permits (3)hex oRT City of Newport Beach III IIII III I IIII III IIIIIIII II III III II
p� 6+ Community Development Department- Building Division X C 2 0 2 3 0 1 0 5
100 Civic Center Drive, Newport Beach, CA 92660
D Permit Counter Phone: (949) 644-3288
D T Inspection Requests Phone: (949) 644-3255
Cq�1F00.N`r newportbeachca.gov/inspections
Combination Type - ELEC MECH PLUM
Work Class - Alteration
COMB Permit : XC2023-0105
Plan Check No : PC2023-0777
Issued Date : 04/25/2023
Inspection Area y i
I tz
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 : 503 EDGEWATER PL
Legal Desc : S TWP 6 RGE 10 SEC 35 SEC 35 T 6 R 10 POR OF SEC AS PER LEAS E
Description: COMM ABANDON IN PLACE OF (2) 12,000 GALLON UNDERGROUND STORAGE TANKS AND
REMOVE ASSOCIATED PIPING
Owner: HUANG EDWARD
Contractor: AMERICAN INTEGRATED SERVICES INC Architect
Address : 3808 GRAND AVE., B
Address : 1502 EAST OPP STREET
Address
CHINO, CA 90710
WILMINGTON, CA 90744
Phone : (562) 412-7080
Phone : (310) 522-1168
Phone
Con State Lic : 757133
State Lic
Lic Expire : 12/31/2024
Applicant: AMERICAN INTEGRATED SERVICES INC
Bus Lic: BT30075205
Engineer : ANTHONY BOTTECCHI,P
Address : 1502 EAST OPP STREET
Bus Lic Expire : 03/31/2024
Address : 1761 E GARRY AVE ,
WILMINGTON, CA 90744
SANTA ANA, CA 92705
Phone: (310) 522-1168
Workers' Compensation Insurance
Phone: (657) 305-6413
Carrier: STARR INDEMNITY & LIABILITY COMPANY
Owner/Builder :
Policy No: 1000002942
Designer
Address :
W. C. Expire: 9/1/2023
Address
Phone:
Phone: .'
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $55,000.00
Type of Construction :
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U
No of Units: 0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage : 0
TOTAL sq. ft.: 0
Building Setbacks
Flood Zone : AE, 8 FT; AO 1; X
Use Zone: MU-V - Mixed -Use Vertical
'
PROCESSED BY: / � �. - � �'-. 3
SPECIAL CONDITIONS: LIQUEFACTION/HIGH-DENSITY ZONE NO CONSTRUCTION NOISE
ON THE WEEKEND
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable items}
;Section 7031.5, Business and Professions Code: Any cloy 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 lie 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
processions 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
not more than live 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 notintended 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 not built or
improved for the purpose of sale).
El 1, 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
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' Stals 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 legallj
sell a structure that I have built as an owner -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 Cade, is available upon request when this application is submitted or at the following Web site:http:tiw .leginfo.ca.gov/colaw.html.
Signature of Property Owner or Authorized Agent ____,_ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 700 of visi n of the Business and Pro s Ions o a, ah license fsRn full farce
and effect License class License No Date 2 Contractor Signatura
WORKERS' CJ.M'PFNSATION DECLARATION
WARNING: eAILURE, TO 9-CURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,0001,114 ADDITION TO THE
Cn ST OF COMPENSATIOF, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
El I t,am and will maintain. a certificate of censent to self -insure for workers' compensation. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth
per'ormonce of lie wurk'or which this permit Is issued. Policy No,
have and will m9mmin workers' compensation insurance, as required by Section 3700 of the Labor Code,. for the performance of the work for which Ibis permit is issued. My workers`
rii,ae carrier anu policy number are:
vl
Policy Number
Date
ib o, „gent _ Inrl R
certify that. in CjL per.ormance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre
ii I should beconmsubj ct to the priers' aq/m/gp�nsatiun� previsions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. y
Talure of Applicant o , ^ Date_ ,�Z-� /,�V Z
hereby 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)
enders Name Lenders Address
y my signature below, I certify to each of Ilia 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 applicablecity and count ordinances and state laws relating to building construction.
I authorize representatives of this city or county to er the e-ideml e:Jperoperty for inspection purposes. �+ r
icnature of PTODeny Owner or Authorized Apart, '� `'^ Print Property Owner's or Authorized Agent's Name . IT�UCTY'u i 4�f t
ACTION DATE BY i DECLAR"ON. OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
l REGULATIONS PART 61 of TITLE 40 AND AQNID RULE
SUBMITTED
PERMIT EXTENDEDt QMD
PCA,NIT FINAL //f(Jl�j 'L7„� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERr F1CATEOF E I PROPOSED DEN%LITION, f
OCCUPANCrISSUEA i SIGNATURE: (�