HomeMy WebLinkAboutF2023-0135 - PermitsCity of Newport Beach
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Community Development Department - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 11COMB Permit : F2023-0135
Plan Check No : PC2023-0633
Issued Date : 0313112023
Inspection Area:y(I N�
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONS]RUCTIONRELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
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Job Address : 127 MARINE AVE Legal Desc : A TR BALBOA ISLAND SEC 4 BLK 1 LOT 15 BALBOA ISLAND SEC 4 LO T 15 BLK 1 & LOT 16 BLK 1
Description: COMM FIRE HOOD/DUCT SYSTEM (XC2022-2099)
Owner: KINSTLER CHARLES JR TR
Address : 1001 EMERALD BAY
LAGUNA BEACH, CA 92651
Phone : (925) 351-4782
Applicant: INTEGRITY FIRE PROTECTION
Address : 15324 GARFIELD DR
FONTANA, CA 92336
Phone: (714)400-4604
Owner/Builder :
Address :
Phone
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups : B
Bldg Height:
Building Setbacks :
Flood Zone : X
Use Zone : MU-W2 - Mixed -Use Water
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor: INTEGRITY FIRE PROTECTION
Address : 15324 GARFIELD DR
FONTANA, CA 92336
Phone:
(714)400-4604
Con State Lic
: 967468
Lic Expire :
11/30/2023
Bus Lic:
BT30081148
Bus Lic Expire : 03/31/2024
Workers' Compensation Insurance
Carrier :
Policy No : EXEMPT
W. C. Expire :
Fire Sprinklers : NO
Fire Hazard Zone : NO
No of Units : 0
No of Stories
Architect
Address
Phone:
State Lic
Engineer
Address
Phone:
Designer: INTEGRITY FIRE PROTECTI_UN
Address : 15324 GARFIELD DR
FONTANA, CA 92336
Phone: (714)400-4604
0
mo s
Construction Valuation : $5,70ri,00„'
Added/New/Ti sq. ft. Bldg : 0
Alteration sq. ft. Bldg : 4 „ „
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
NO CONSTRUCTJON NOISE
ON -TOE WEEKENi__'
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt' from the Contraclors' State License Law for the reasons) indicate
iaplion 7031-5, Business and Professions Code: Any city or county that requires a perrnit to construct, alter, improve, demob<.
IF: permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law
rofesslons Code) or that he or she is exempt from ticensure and the basis Tor the alleged Exemption. Any violation of Section
of more than five hundred dollars ($500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the
usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through Sol
nprovements are not intended or offered for sale. if, however., the building or improvement is sold within one year of compled
nproved for the purpose of sale)l.
,.I 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70", Bu
poly to an owner of properly who builds or improves thereon, and who contracts for the projects witha licensed Contractor pu
1 1 am exempt from licensureunder the Contractors' State License Law for the following reason: _
y my signature below I. acknowledge that, except for my personal residence in which I must have rostded forat feast one year
oil a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed Contractors. I under
'mossiorts Code., is aveliable upon request when this application is submitted or at the following Web sita:hftp /haw'w.legmfo.r
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000),gf Di
nd effect. License Class License No Date
PORKERS' COMPENSATION DECLARATION /
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTUR
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AN.D ATTOF NEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
3 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director Of to
erformance of the work for which this permit is issued. Policy No...
-ll have :and will Mwltaln workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfo
Icurance carder and policy number are,
:arrier Policy Number
lam3,of.4gom --_
certify that, in t;te performance of tha work for which this permits Issued. I shall not employ any Decade in any Trend or so
if 10ould become rubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith c
horehv affirm unCLr parafty of perjury that there is a construction lending agency €or the performance of the work forwhldh
_order's Name Lenders Address
3y my signature o4ow, 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 andthe information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
ii nalure, of Property Owner or Authorized .Agent Print Enerty Owner's Or Aul
ACTION DATE I BY D. tARATION OF COMPLIANCEW"COOEOF FEDERAL I POROFFtCE
REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE
PERMITEXPIRED� IJ I SUBMITTED ASBESTOS NOTIFICATION TO
P€RMtTCANCEtlEtl EPA
PERMIT EXTENQkP ,1LIAOMD
PERMIT FINAL rpulpp(� - ESTOS NO hFiCAf[ON IS MOT APPLICABLE TO
CERT(FiCATE OF L .PROPOSED DEMOLITION ,I /
OCCUPANCYI53UEA 1 SIGNATURE: G, ( III -4
below by the checkmark{a) I have placed next to the applicable itemis)
, 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 subjucts the applicant to a civil penalty of
k;and the structure Is not intended or offered for sale (Section 7044,
eel' 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 and
'calaw:htmi.
Date
r3 of the Business and Professions Code, on ry license is In full force
Contractor Signature .41
CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
Relations as provided fur by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers`
Date
to become subject to the workers' compensation laws of California, and agre
ply with those provisions.
Date�Z
permit is issued (Section 3097, Civil Code),
ONLY