HomeMy WebLinkAboutf2022-0344 - Permitso"'Po","nI. CityofeportB at
II II I I II I II I II II II II II II COMB Permit : F2022-0344 Development pment-Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1674-2022
Permit Counter Phone: (949) 644-3288 Combination TypeInspection Requests Phone: (949) 644-3255p1
newportheachca.govlinspections Work Class :Tenant Improvement
Issued. Date
Inspection Area
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: 1071 NEWPORT CENTER DR
Legal Desc :
Description:
COMM FIRE ALARM SYSTEM 16 DEVICES
(X2021-0 ) Xa0s1--o913
Owner:
IRVINE CO
Contractor : Kelley Santa- Cruz
Architect
Address :
NEWPORT BEACH, CA 92658
Address : 3750 Schaufele Ave Long Beach, CA
Address
90808
Phone:
'Phone: (562)353-4680
Phone
Con State Lie : 469046
State Lie
Applicant :
Kelley Santa Cruz
` Lie Expire : 08/31/2023
Address :
3750 Schaufele Ave Long Beach, CA 90808
Bus Lie : BT30046473
Engineer
Phone:
(562) 353-4680
Bus Lie Expire : 03/31/2023 -
Address
Workers' Compensation Insurance
Phone:
Carrier: TRAVELERS PROPERTY - CASUALTY,.,.
Policy NoCOMf `(<W3♦ ICA
Designer:
W. C. Expire : 10/1/2022
.Address
Phone:
Code Edition : 2019
Fire Sprinklers : '
NO
Type of Construction : III-B
Fire Hazard Zone i
'N. -.
Occupancy Groups :
No of Units :
0
Bldg Height:
No of Stories:
2
Building Setbacks
Flood Zone
Use Zone :
Processed By:
Zoning Approval:
Grading Approval:
SPECIAL CONDITIONS:
Public Works Approval:
Plan Check By:
Approval To Issue:
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Kelley Santa Cruz
3750 Schaufele Ave Long Beach, CA 90808
(562)353-4680
Construction Valuation
Added/New sq. ft. Bldg :
Added/New sq. ft. Garage
$10,000.00
OWNER -BUILDER DECLARATION
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 aheckmadc(s) I have placed next to the applicable Kern(s)
Icllon 7031:5, Business and Professions Code: Any city or county that requires a permit to construct, alter, morave; demolish, or repair any structure, prior to Its Issuance, also requires the applicant for
permit to fila a. signed statement that he 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
dessions Code) or that he or she Is exempt from licensure and the basis for the alleged exemption. Any violation of Section 703'1.5 by any applicant for a permit. subjects the applicant to a civil penalty of
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages a5 their sole compensation, will do O all of or U portionsof the work, and the structure Is riot intended or offered for sale (Section 7044,
imess and Professions Code: The Contractors' Stare License Law does not apply to an owner of property who, throughemployees': or persona( effort, builds or improves the property, provided that the
)rovements are not intended or offered far 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
iroved for the purpose of sale).
1, as owner of the property, am exclusively contracting with. licensed Gontractors to construct theprojectQSection 7044. Business and. Professions Code: The Contractors' State License Law does not
Ay 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),
I am exempt from licensors under the Contractors` State License Law for the following reason
my signature below I acknowledge that, except for my personal residence 1nwhich I must have resided. for at least one year prior to complalto n of the improvements coverad by this permit, I.canioot legal]
a structure that I have built as an owner -builder 1f It has not been pans tructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Saction 7044 of the Business and
Ifessions ('Ada, Is available upon request when this application is: submitted or at the following Web site:hffp:0www.legofo.ca.gowasaw.htm1.
nature of PrUf5@rly Owner or Authorized Agent Date
POWMACTOR'S DECLARATION
mender penalty of perjury that I am licensed underprovislons of Chaptetg (commencing with
License Class License No
Section 7000) of Division 3.of the Business and Professi n o (Dense is In full force
_Date-rS''2i Contractor Signature
ILSWCOe' GOMPENSATlONi pE l AnATrON
......
[ OF I OMPENS'TO SECURE DIES ASRS' COMPENSATION EC SECTION
370 ISF THE LBO AND CODE.I T REST NAN EMPLOYES TO tSfM1UNAL. PENALTIES ANQ CIVIL FINES UP Ta ONE-HUNOSEp THOUSAND DOLLARS tbiUo,QSot, tH ApO1TION TO T
70F rAMPE� �ATSON, QAMAQES AS PROVIDED FOR IN SECTION 3766DF THE LABOR COQE, INTEREST,ANQ ATTORNET'S FEES.
sab affirm und. �genalty of perjury one of the following declarations:
?Have: and w41 maintain a -certificate of consent to sal! -insure for workers' compensation, Issued by: the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
omrnce or file work for which this permit Is issued. Policy' No.
eve and wiBmaintaln workers' compensation insurance, as--4requlred by Section 3700 of the Labor Code, for the performance of the work for which. this permit Is issued. My workers` compensa
iMDe carrier and policy number are:
ie'ofAgent _
certify that, In the
If I should bacon
Policy.Number Expiration Date
for which this permit Is issued; I shall not employ any person in any manner so as to become subject totheworkers' compensation laws of California, and agre
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date 7' ' 5•72
areby.affirm under penalty of perjury thatthere is a construction lending agency for the performance of the work for which this permit: is issued (Section 3097, Civil. Code)..
iders Name - - - Lendet'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.
agree to Damply with ap applicable city and county crd' osand ate laws relating to building construction.
I authorize representatives of this city I county to en a4 a entltied property for inspection purposes. 1
nature of Property Owner or Authorized Aaant ie C- Print Prooertv Owner's or Authorized Meet's Name X;?,J.Aw A • : r
FOR OFFICE USE ONLY
PART 61, OF TITLE 40AND AOMD. RULE
PERMIT EXPIKO
I LJ''. I suBMITTED ASBESTOS NOTI 51CATTON TO
PERMITCANCELLED
17EPA
All required alarms, latches gates and fenceswhich serve as part of a pool/spa barrier, shah
PERMIrtxrENn€D
QMD
be In place prlorto approval to fill pool/spa &shall remain in place & be maintained for the
PERMJTFINAL
3
�w 1 .ASBESTOS NOTIFICATION IS NOT APPLICABLE Tb
life Of the pool,
CERT(FICATf Or
PROPOSEDDEMOLITVON