HomeMy WebLinkAboutF2023-0026 - Permitsa�ewPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
D Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
U S Inspection Requests Phone: (949) 644-3255
CgC�F00.N`P newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
II COMB Permit : F2U23-UU26
Plan Check No: PC2023-0093
Issued Date : 01/26/2023
Inspection Area : FIRE
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: 690 NEWPORT CENTER DR
Legal Desc : P BK 196 PG 13 PAR 2 PARCEL MAP 196-13 PAR 2 POR OF PAR AND PAR 3 POR
Description: COMM -RELOCATE 31 & ADD 44 FIRE SPKLR @ PENDRY HOTEL BACK OF HOUSE X2022-1827
Owner: 690 HOTEL LLC
Contractor: ADT COMMERCIAL LLC
Architect : <
Address : 690 NEWPORT CENTER DR
Address: - 210 W BAYWOOD AV
Address : !�
NEWPORT BEACH, CA 92660
ORANGE, CA 92765
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Phone :
Phone : (675) 566-3065
Phone
Con State Lie : 1065604
State Lie
Lie Expire : 05/31/2024
Applicant : ADT COMMERCIAL LLC
Bus Lie : BT30072351
Engineer: / 1
Address : 210 W BAYWOOD AV
Bus Lie Expire : 07/31/2023
Address
ORANGE, CA 92765
Phone: (675) 566-3065
Workers' Compensation Insurance
Phone:
Carrier: OLD REPUBLIC INSURANCE
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Owner/Builder :
Policy No: MWC31431722
Designer
Address :
W. C. Expire : 10/1/2023
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : YES
Construction Valuation : $52,000.00
Type of Construction : I -A
Fire Hazard Zone : NO
Added/New/Tl sq. ft. Bldg : 0
Occupancy Groups : B
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 20
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
Building Setbacks
Flood Zone : X
°
Use Zone PC - North Newport Center
PROCESSED BY:
—
SPECIAL CONDITIONS
I hereby affirm under penalty of perjury that I 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 items)
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
Io permit to file a signed statement that 11e 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
professions Code) or that he or she is exempt: from Ijcensure 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
of more than five hundred dollars ($500).
1 1, as owner of the property, army employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure Is not Intended or offered for sale (Section 7044,
rusiness and Professions Code: The Contractors' State License Law does not apply loan 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 proving that it was not buitt or
nproved for the purposeof 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' Stale License Law does not
Iy 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' State License Law for the following reason: T _
;y 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 legall7
oil a structure that 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/hwnv.leginfo.ca.gov/calaw.html.
'Ignature of Property Owner or Authorized Agent Date,
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally Of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ).of' 'vi ' n 3 of the Business and Profe is Code m�L'ttti IIn full force
rid effect. License Class License No Da \ / Contractor Signature
VORKERS' COMPENSATION DECLARATION I
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM Al PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100.000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate or consent to self insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
6VTance of 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 Expiration Date
of Agent Phone fF _
certify that, in the pe. once of the work r which s permit is issued. I shall not employ any person in any manner so as to become subject to the workers' c pensation laws of California, and agre
t, if I should become s act to the work compe lion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
nature of Applicant Date.'
GLARATION REGA DING C UCTIO LEND G AGENCY'
Ireby affirm under nalty 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),
Iders Name Lender's Address
my signatures 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 h7ve provided i correct.
I agree to comply with all applicable city and co> lily opinanc, _and slea Paws relating to building construction.
I authorize representatives of this city or count :nt if:e peGy fir inspection purposes.
nature of Property Owner or Authorized Aaent - �I/LL Prml Property Owner's or Authorized Aaerlt's Name Date /1 I'1 I
I DATE
PERmn-EXTENDED
PERMIT FfNA1
CERTIFICATE OF
OCCUPANCVf55UED
RF.GtJLATION5 PART 51 OF TITLE 40 AND AQMD RU LF.
I SJBN:ITTED A13.-STC5 NO-,IFIC.<
LJ ASSESTOS NOTIFiCA1'ION 15 NOT APPLICABLE T'O
PROPOSED DEMOLITION
FOR OFFICE USE ONLY