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Home My WebLink AboutF2022-0517 - Permits�EWPORT City of Newport Beach II II I I II I II I II Ilul I (II II p� Community Development Department- Building Division u COMB Permit: F2O22-0517 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2483 S Permit Counter Phone: (949) 644-3288 0512022 Inspection Requests Phone: (949) 644-3255 Issued Date : cg4coaN`P newportbeachca.gov/inspections Inspection Areeaa :IRE : FIRE 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 : 1301 DOVE ST, 970 Legal Desc : P BK 120 PG 27 PAR Description: COMM -FIRE ALARM TI W/ 3 DEVICES (0531 2022) Owner: SANDERS DE WILDT Contractor: H C 1 SYSTEMS INC Architect Address : 1301 DOVE ST ` Address: 1354S PARKSIDE PL CAddress NEWPORT BEACH, CA ONTARIO, CA 91761 _ Phone : (213) 223-7087 ;:< Phone: - (909).'.628-7773 Phone Con State Lie : 905493 State Lie '.. Lie Expire : 02/29/2024 Applicant: DOMINIQUE WILLIAMS Bus Lie: 'BT30042287 ". Engineer Address : 1354 S PARKSIDE PL Bus Lie Expire : 02/28/2023 Address ONTARIO, CA 91761 Phone: (909) 957-5200 Workers' Compensation Insurance Phone: ' Carrier: 'FEDERAL+INSURANCE+COMPANY Owner/Builder : Policy No: 54309498 Designer: Address : W. C. Expire : 3/2/2023 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation Type of Construction : I -A Fire Hazard Zone NO Added/NewlTl sq. ft. Bldg Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : - 10 Added/New sq. ft. Garage : TOTAL sq. ft. Bldg Building Setbacks Flood Zone: X - Use Zone: PC - Newport Place PROCESSED BY: /"L SPECIAL CONDITIONS: a aaea a N G i 9 pa $1,68�V.0 nJ I hereby Mina under penalty of perjury that t am exempt from the Contractors' State License Law for the reason(s) Indicated below by the checkmark(s) I have placed next to the applicable item(s) - :cllon 7031.5, Business and Professions Code: Any city or county that requires :a: permit to construa alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for permit to file a. signed statement that he or she is licensed pursuant to the provisions of the:Contmctors State License Law (Chapter 9 (commencing with Section 7000) of Division 3. of the Business and rfasslons Code) or that he or she is exempt from bcensure and the basis for the: alleged exemption. Any: violation of Section 7031.5 by applicant for a permit: subjects the applicant to a civil penalty of more than rive hundred dollars ($500), 1, as owner of the pmperty,'or my employees with wages as theirsolecompensation, will do U all of or U portions of the work, and the structure is notintended 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 ar personal effort, builds or improves the property, provided that the movements 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 ofproving that it was not built. or ,rovedfor thepurpose 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' State License law does not Ily 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 lieensure under the Contractors' State License Law for the following reason: my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this. permit;. I.cannot let a structure that I have built as an owner-buiider it it has not been constructed in its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and ifessions- Code, . is svelte his upon request when this application is submttted or at the following Web stlehUpJiwww.te9info.oa.goWcalaw.htm1. nature of Property Own aror Authorized Agent Date •CAICClf t�l1RITDR RTrYGIC rIC"f�1 AO ATtf\RI licensed under provisions of Chapter 9 (commencing with Section License No Date COMPENSATION DECLARATION my Ilcense is in full force: AND SHALL SUBJECT AN. EMPLOYER TO CROUNAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000); IN ABOTTION TO THE tCOOE, INTEREST. AND ATTORNEY'S.FEES. hereby affirm urTM"rjalty of perjury one of the fotfowing declarations: 3.1 hive and wik matniain a cerlificate of 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 atrce of th work for which this permit is issued. Policy No. i_ ave, 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' aompensa Policy Number. .• s i Pate 3 /it Z.& iri the performance of the: work for which this permit is issued. I shad not employ any person in any manner so: as to become subject to the workers' compensation laws of California, and agre, becotne subject to the workers'compensation provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions. Dated 10 *'Av.arfkm un{Jer pen®ltyof perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,. Civil Code). fees Name '' s Londer's Address ny signature below, I certify to each of the following:: I am the property owner or authorized to act on the: property owner's Denali. I have read this application and the information I have provided is correct. I agree to: comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or counEA to enjeythe above_idemifiedproperty for inspection purposes. 0113101910 PERMIT EXTENDED PERMIT FINAL CERT(RCATEOF OFFEDERAL I FOR OFFICE USE: ONLY MD RULE NOTI NOTIFICATION IS NOT APPLICABLE TO