HomeMy WebLinkAboutF2022-0447 - Permits44�
City of Newport Beachp Community Development Department- Building Division
`�'100 Civic Center Drive, Newport Beach, CA 92660
iPermit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
oPowP newportheachca.gov/inspections
Combination Type -
Work Class - Alteration
COMB Permit : F2022-0447
Plan Check No: PC2022-2100
Issued Date : 08/22/2022
Inspection Area : FIRE
aCac) - Oct 0-11
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
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Job Address : 2001 WESTCLIFF DR
Legal Desc : N TR 4225 BLK LOT 3 TR 4225LOT 3 NWLY 140 FT
Description: ADD (13) HEADS FROM (E) MAIN AND
LINES; RELOCATED, HEADS FROM (E) 1"DROPS
Owner: 5030 CAMPUS INVESTORS LLC
Contractor: C J-SUPPRESSION INC , I I
Architect
Address: 5030 CAMPUS DR STEA NEWPORT BEACH, : Address.: 205 LEWIS COURT CORONA, CA 92882,..
Address:
CA 92660
Phone:
Phone: (909)735-5560
:Phone:
Con State Lic : 721124
State Lic:
Applicant: C J SUPPRESSION INC
Lic Expire : 05/31/2023 ,.
Address : 205 LEWIS COURT CORONA, CA 92882
Bus Lic: BT30064489
Engineer
Phone: (909) 735-5560
Bus Lic :Expire : 09/3012019
Address
Workers' Compensation Insurance
Phone:
Owner/Builder :
`' Carrier :
Address :
Policy No:
Designer:
Phone:
W. C.Expire:
Address
Phone:
Code Edition : 2019
FireSprinklers : NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone : No
Added/Newts sq. ft. Bldg
Occupancy Groups : B
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : -
Added/New sq. ft. Garage
Building Setbacks
Flood Zone : X
Use Zone : CG - Commercial General
PROCESSED BY:
SPECIAL CONDITIONS:
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I hereby affirm under penalty of
ction 7031:5, Business and Pro
om the Contractors' State License Law for the
county that requires a permit to construct, pile
I pursuant to the provisions of the Contractors`
and the basis for the alleged exemption. Any v
indicated below by the checkmark(s) 1 have pieced next to the ap
A the Business and
to a civil penalty of
1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (, portions of the work, and the structure is not Intended or offered for sale (Section 7044,
iness and. Professions Code. The Contractors State License Law does not apply to an owner of property who, through employees' or personal effort,. buildsor improves the property: provided that the
rovements are not intended or offeredfor 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
roved for the: purposeof sale).
1, asowner of the property, am exclusivelycontracting with licensed Contractors 10 construct the project. (Section 7044, Business and Professions Codes The Contractors' State License Law does not
ly 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 toensure under
nysignature:below I. acknowledge
opedy Owner or Authorized Agent: Date
QNTRACTOR'S DECLARATION
under penalty of perjury that I am licensed under provisions of Chapter (commencing: with Section 7 0bo Division 3-of the Business and Professions - i y license is In full force
sense Class License No Date Contractor Signature <
3t}I=A USATION DECLARATfON
E TO SECURE WORKERS' COMPENSATION COVERAGE, IS UNLAWFUL AND SHALL SUBJECT. AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONEHUNDREDTHOUSAND COLLARS (N00,000), IN ADDITION TO THE
£fi�rm undetpenalty of perjury one: of the following declarations:
;sand wilt maintain a Certificate of consent to self -Insure for workers' compensation, issuedby the Director of Industrial Relations as provided for by Section 37700 of the Labor Code;. for
Ice of^ Wn for which this permit is issued. Policy No.
and will malniain workers' compensation tnsuranoe, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is. issued:. My workers' compensai
Policy Number 69- "/ /' - [ ! - 4,ye) Expiration Date j z -" Q. i - Z. -2--
Phone ff
In this permit is Issued, I shall not employ any person any manner so asto become subject to the workers' compensallon laws of California, and agree
isation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. � "
0a/� -7�G�.7
rfiN11 Ar:FNCV
areby affirm under f perjury Chet there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code):.
fiefs Name. Lender's Address
my signature betow, t certify to each of the following:
i am the property owner or authorized to act on thep party owner' ttalf.
i have read this application and the information I.h I ed k " react.
I agree to comply with all applicable city and oly ordinan eta laws relating to building Construction.
1 authorize representatives of this city or countyjto ove= tified,-property for inspection purposes.
DATE I By 1,,r,0CLARATION OF COMPLIANCE WITH GOOF OF FEDERAL I FOR OFFICE.
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be In place poor to approval to fill pool/spa &shall remain in place & be maintained for the
NOTAPPLICA&LE TO life of the pool.