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HomeMy WebLinkAboutF2023-0387 - Permits�gWPORT City of Newport Beach IIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2023-0387 c� A Community Development Department - Building Division F 2 0 2 3 0 3 6 7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2008 U S Permit Counter Phone: (949) 718-1888 Issued Date : 08/2312023 .a. newportbeachca.gov/civic Final Date: ..... �r Combination Type - Permit Status: Issued Work Class - Other 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 : 601 NEWPORT CENTER DR Legal Desc : P BK 67 PG 2 PAR 1 P.M. 67-2 PAR 1 AN .M. 221-30 Description: COMM FIRE -INSTALL NEW AUDIO-VISUAL NOTIFICATION APPLIANCq C, �� .-(707�� Owner: IRVINE COMPANY LLC Contractor: ALTA CONSTRUCTION Architect Address : 111 INNOVATION DR Address : 369 EAST BLAINE ST Address IRVINE, CA 92617 CORONA, CA 92879. Phone : (949) 720-3100 Phone : (951) 279-2762 Phone Con State Lie : 890027 State Lie Lie Expire : 07/31/2024 Applicant: MIRIAM GOMEZ Bus Lie : BT01020983 Engineer Address : 1354 S PARKSIDE PL Bus Lie Expire : 01/31/2024 Address ONTARIO, CA 91761 Phone : (909) 957-5200 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : Workers' Compensation Insurance Carrier: CYPRESS INSURANCE COMPANY Policy No : ALWC451626 W. C. Expire : 6/24/2024 Phone: Designer: H C I SYSTEMS INC Address : 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone: (909)628-7773 2022 Fire Sprinklers : YES Construction Valuation : II-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg No of Units : 1 Alteration sq. ft. Bldg : No of Stories: Added/New sq. ft. Garage TOTAL sq. ft. X PC - North Newport Center PROCESSED BY:�� SPECIAL CONDITIONS: $12,367.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Lawlor the resson(s) indicate (Section 7031 a, Business end Professions Code: Any city or County that requires a permit to construct, alter, Improve, demoli the permit to file a signed statement that ho or she is licensed pursuant to the provisions of the Contractors' State License Lay Professions Code) or that he or she is exempt from lioansure, and the basis for the alleged exemption. Any violation of Section not more than five hundred dollars ($500). © 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the Business and Professions Code The Contractors' State License Law does not apply to an owner of properly who, through am Improvements are not Intended or offered for sale if, however, the building or Improvement is sold within one year of complet improved for the purpose of sale). 0 I, as owner of the property, alit exclusively contracting with licensed Contractors to construct the project (Section 7044, Bu apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pL © I am exempt from lecensure 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 yea sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I undo Professions Code, is available upon request When this application is submitted or at the following Web site:hhp:liwwwleginfo.i Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter g (commencing with Section and effect. License Class License No Date yn COMPENSATION DECLARATION below by the checkmark(s) I have placed next to the applicable Item(s) , or repair any structure, prior to its issuance, also requires the applicant for Chapter 9 (commencing with Section 7000) of Division 3 of the Business and )31,5 by any applicant for a permit subjects the applicant to a Civil penalty of k, and the structure is not intended or offered for sale (Section 7044, ees' or personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that it was not built or and: Professions Code: The Contractors' State License Law does not to the Contractors' State License Law), to completion of the Improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business Bar 3 of the Business and Profit, irxis Grode. a y It. n I. uil force .'?- Contractor Srunatur �� ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE la UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIET AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000I, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3701 OF THE LABOR CODE, INTEREST, AND ATrORNEY'S FEES. hereby affirm under penalty of perjury one of the. fallowing declarations: I I have and Will maintain a certificate of consent to self -insure far workers' compensation, issued by the Director of In lustrial Relations as provided for by Section 3700 of the Labor Code, tot in, a ormance of Vie work for which this permit is issued. Policy No. _ haua and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, far the pail manse of the work for which this permit is issued. Pvty workers' corepeneatior Isura eB carrier and policy number are: far Policy Number is of Agent certify that, In the performance of the Work for which this DO it is iss hall I employ any person in any manner s If I should become subject to the.y<Qrs' comoore ahon rJraVi o cfi 700 of the Labor Code. I shall forthwith nature of Applicant CLARATION REGA 17t TRUCTION L.,, NG A ENC Iieoy affGm under penalty of perjury that there is a construction fending agency for the performance of the work for Which Idsr'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 owners belief I haw read this application and the information I havo or d Is correct. I agree to comply with all applicable city and county o 1n�nc s and state la s al, rig it wlding construction. I authorize representatives of this city or couPty' a eyfh Bova ide p 'a nspection purposes. nature of Pronorty Owner or A, thou>ed ADent _ / �x __ _ _ _ Pri roperty Owner's or Alitl Date to become subject to the workers' compensation laws of California, and agra rely with those provisions. G6 oa� permit Is issued (Section 30t37, Civil Code). Name ACTION DATE BY ? Ol'QLARAT€ON Or COMPLIANCE WITH COOP OF FEDERAL FORorrilcEu EONLY REGLILATIONS PART 51 OF TITLE 40 AND AQ4tlI7 RULE 11103 PERMIYEXPlFtD €p L.�-rI �SURMITTrb A59ESTOS NOTIFICATION TO PfRM17 CANC€+1 ECJ j � LILFA FERMITEXTENPEO � .__.._ k aEIM6 'r-I PERMYi iINAL }�i I,7 �tA(`i /t51 tl„JASRESTQSNOIIFICAIIONISNOTAPKIGABi,4 TO CERZIFlCATE tlF ( PROPOSED DEMOLITION OCCUPANCY ISSUED € SIGNATURES