The URL can be used to link to this page

Home My WebLink AboutF2022-0481 - Permits0��6`X'Pohi@ Cityofof Newport Bepam"nt-Building Division II II I I III II I II II III II III COMB Permit: F2022-0481 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2306 Permit Counter Phone: (949) 644-3288 u a Inspection Requests Phone: (949) 644-3255 Issued Date : /2022 °q<tFon�°P newportbeachca.gov/inspections Inspection Areeaa : 7 7 Combination Type - Work Class - Tenant Improvement 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 : 100 BAYVIEW CIR, 4300 Legal. Desc : N TR;12528 BLK'LOT 2 Description: COMM FIRE ALARMS 3 DEVICES (X2022-0399) Owner: GPI BAYVIEW LLC :Contractor: H C I'SYSTEMS INC Architect: Address : 5601 GRANITE PKWY STE1200 Address: 1354>S PARKSIDE PL Address PLANO, TX 75024 ONTARIO, CA 91761 Phone : .-. Phone : f (909) 628-7773 Phone: Con State Lie : 905493 State Lie Lie Expire : 02/29/2024 Applicant: H C I SYSTEMS INC Bus Lie: BT30042287 Engineer Address : 1354 S PARKSIDE PL Bus Lie Expire : 02/28/2023 Address ONTARIO, CA 91761 Phone: (909) 628-7773 Workers' Compensation Insurance Phone: Carrier.: FEDERAL+INSURANCE+COMPANY Owner/Builder : Policy No: 54309498 Designer: H C I SYSTEMS INC Address : W. C. Expire: 3/2/2023 Address : 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone: Phone: (909) 628-7773. Code Edition : 2019 Fire Sprinklers : - YES Construction Valuation : $1,270.00 Type of Construction : I -A Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 6 Added/New sq. ft. Garage : 0 Building Setbacks Flood Zone : X Use Zone : PC - Bayview PROCESSED BY: t t SPECIAL CONDITIONS: ° ° o oo°o° I hereby affirm ction 7031.5, E permit to file a 1, as owner the of pequry that t am exempt from the Contractors' Stater License Law :for the resson(s) indicated below by the checkmark(s) I have placed next to the applicableitem(s) rofessionsCode: Any cityor county that requires permit to construct, alter, improve, demolish, or repair any struoture, prior to its issuance, also requires the applicant for arm 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 ,he is exempt from lieansure, and the basis forthe alleged exemption. Any violation of Section 7031,5 by applicant for a permit subjects the applicant to a civil penalty of property, or my employees with wages as their sole compensation will do (_) all of or (_) portions of the work ions Code: The Contractors' State License :Law does not apply to an owner of property who,. through employee Intended or offered for sale. If, however, the building or Improvement. is sold within one year of completion, th n 7044, led that the not built. or 1, as owner ofthe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and: Professions Code: The. Contractors' State License Law does not. y to an owner of property who builds or improves thereon, and who contracts for theprojects with a licensed Contractor pursuant to the Contractors' State License Law), _ I am exempt from licensure under the Contractors' State License Law for the following reason: ny signature below I acknowledge that, except for my personal residence in which I most have resided for at least one year prior to completion of the improvements covered by this permit, 1 cannot toga 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 copy of the applicable law, Section 7044 or the Business and esslons.1!W2.1t available upon request when this application is submitted orat the following Web site:http:li*ww.feginfo.ca,govtcalaw.html, RS.gQYWA NSATIONDECLARATION FAILURE To SECURE. WORKERS` COMPENSATION CC affirm undir"nafty:of perjury one at the following declarations: O) of ivisio 3 of the Busmass and Pro ions 'odeyand my license is in full force A/ 14 Z2 Contractor Signaturd PENALTIES AND CIVR. FINE$UPTO ONE HUNDRED THOUSAND DOLLARS t5100,000f, IN ADMION To THE •ifave and wiff maintain a certificateof consent to self -insure for workers`: Compensation, issued by: the Director of Industrial Relations as provided for by Section. 3700 of the Labor Code, for IN oninance of the_rvl4rt for which this permit is issued Policy No. hav§ and wilrfiatntein 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' compensatoor ;aRt carder mndttoiicy number are;. 'ret(�ftGN' 1rt5Utin{tC(..CaMI�"nYl"t Policy Number 5 Expiration Date is of Agent. Phone certify that, in the performance of the work for which this permit is issued. I shah not employ any person in any manner so as to become subject to the workers' compensation laws of Cal€forma, and agroo If I should become s\tort to� {the workers' compensation provisions of Section 3700 of the Labor Code: I shall forthwith comply with those provisions. n Iature of Applicant_ it/rf/'1��~ Data Cy y ILi /ZL there is a construction lending the work forwhich this permit is; issued (Section 3097, my. signature belay.'. I certify to each of the: foilowirlg:: I am the property owner or authorized to act on the property owner's behalf. f have read this application and the information I have provided -is correct. I agree to comply with all applicable, city and cKuordinances and :state NN%-s relating to building construction.. I aulhorize representatives of this city or countyrvtZmer Aeabove identified property for inspection purposes. OATS I BY EXPIRED €EAYIElCAPE OF PART 61 AQMQ RULE NOTAPPUCABkE TO FOR OFFICE USE ONLY