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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 ae 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: .... °..• .. . m°a • ae.o. °. . . . . $3,450.93 % 0 a .. Ii `i%iE.(.3"T0" - v.�7 " )CSo2'L v0;�7 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.