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HomeMy WebLinkAboutF2023-0113 - Permits�EWPoRT City ,of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U }R► 2 Permit Counter Phone: (949) 644-3288 <s„ Inspection Requests Phone: (949) 644-3255 Cq(rFORN`P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement COMB Permit : F2023-0113 Plan Check No: PC2023-0495 Issued Date : 03/07/2023 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 FIRE ALARMS 64 DEVICES (XC2022-1934) s@C,(,A-i�Gi.,uQ>/DIN//JL�/1�ii'Z�/ZYL/KfT'Ct'1E►�1 Owner: 690 HOTEL LLC Address : 690 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: Applicant: ADT COMMERCIAL LLC Address: 210 W BAYWOOD AV ORANGE, CA 92765 Phone: (675)566-3065 Owner/Builder: Address : 7r'TTlr Contractor: ADT COMMERCIAL LLC Address : 210 W BAYWOOD AV ORANGE, CA 92765 Phone: (675)566-3065 Con State Lic : 1065604 Lie Expire : 05/31/2024 Bus Lie: BT30072351 Bus Lie Expire : 07/31/2023 Workers' Compensation Insurance Carrier: OLD REPUBLIC INSURANCE Policy No: MWC31431722 W. C. Expire: 10/1/2023 Code Edition : 2019 Fire Sprinklers : Type of Construction : I -A Fire Hazard Zone Occupancy Groups : No of Units : Bldg Height: No of Stories Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY :- SPECIAL CONDITIONS: Architect Address Phone : State Lie Engineer: Address: Phone: Designer: ADT COMMERCIAL LLC Address: 210 W BAYWOOD AV ORANGE, CA 92765 Phone : (675) 566-3065 YES Construction Valuation : $40,225.00 NO Added/New/TI sq. ft. Bldg : 0 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 �A\10�2aS OWNER -BUILDER DECLARATION - - - I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) Indicated below by the checkmark(s) I have placed next to the applicable items) (Secfion 7031.5, Business and Professions Cade: Any city or county that Tequires 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 [he provisions of the Contractors' State License Law (Chapter 9 (commencing with Suction 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from Iicensureand 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 five hundred dollars ($500). 13 1, 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 not Intended 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 theproperty, 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). ❑ 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 apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), © 1 am exempt from hcansure 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 atleast one year prior to completion of the improvements covered by this permit, I cannot lei 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 Businoss and Professions Code, is available upon request when this application is submitted or at the following Web site;http:IAW .teginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized AgentDate LICENSED CONTRACTOR'S DECLARATION -- —' '--^— I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0) gf Oivisidn 3of the Business and Prof ions jc n-ftr I force and effect. License Class License. No OR Contractor Signature INORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREO T OOSANO DOLLARS 15100,000), IN ADDITION TO THE 3OST OF COMPENSA11ON, DAMAGES As PROVIDED FOR IN SECTION 77DS OF THE LABOR CODE, INTEREST, "a ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations_ 1 have and will maintain a certificate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thl ierformance 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 __.. Exoiration Date of Agent certify that, in the performance 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 t, if I should become subject to the workers' D mpem,• ' provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Cat i!123 CLARATION REGAkpi,� t3@f�j TION LENDING AGENCY areby 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, C )Code). Ider'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 I have provided is correct. i agree to comply with all applicable city and Coyly ordinances and st to laws relating to building construction. I authorize representatives of this city or county o enter t .1 for inspection purposes. / nature of Property Owner or Authorized Agent 6� � P601 Property Owner's or Authorized Agent's Namely ACTION DATE By r i 9CLARAT[ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE 1403 PERMIT EXPIRED _ I °JRMITTEr._A_`BESTOS NOTI PICATUN TO MEP. , M QMD ---- — PERMR CANCELLED P€EMIT EXTENDED PER,N77fINAL �Vllq MASSE5705 NOTIFICATION IS NOT APPLICABLE '10 CER7IRCA74EOF PROPOSED DEMOLITION OCCUPANCYfSSUED SICNATOR':