HomeMy WebLinkAboutF2022-0340 - PermitsaeWpoRr _ City of Newport Beach II II I I II I �I I II IIII IIIIIIVII
p4 C+ Community Development Department- Building Division COMB Permit:F2022-0340
r ty" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1671-2022
' ` Permit Counter Phone: (949) 644-3288 Combination Type:
w Inspection Requests Phone: (949) 644-3255Ap g�1, Work Class : Tenant Improvement
",-F i' newportbeachca.gov/inspections - �.- ACT p
Issued Date : w /,
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 AFFREv
..°°
Job Address: 453 NEWPORT CENTER DR Legal Desc :
Description: COMM TI FIRE SPRINKLERS RELOCATE 56 & ADD 35 "JO®WPORT BEAT
Owner: IRVINE CO
Address : NEWPORT BEACH, CA 92658
Phone:
Applicant:
DANIEL CORPUZ
Address:
14772 HARPER ST MIDWAY CITY
Phone:
(714)309-0144
Code Edition : 2019
Type of Construction : V-B
Occupancy Groups : AZ
Bldg Height:
Building Setbacks
Flood Zone
Use Zone :
Processed By:
Zoning Approval:
Grading Approval:
SPECIAL CONDITIONS:
Architect
- Address 14772 HARPER ST MIDWAY CITY, CA
9Address
92655
Phone: l (714)309-0144
Phone:
Con State Lie : 584285
State Lie
Lie Expire: 01/31/2024
CA 92656 Bus Lie: '.BT30046894
Engineer:
Bus Lie Expire : 04/3012023
Address
Workers' Compensation Insurance
Phone:
Carrier::
Policy No : EXEMPT
W. C. Expire:
Fire Sprinklers:
l *5
Fire Hazard Zone :
' N
No of Units :
0
No of Stories
Public Works Approval:
Plan Check By:
Approval To Issue:
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signer: D C FIRE PROTECTION
tress: 14772 HARPER ST MIDWAY CITY, CA
92655
me, (714) 309-0144
tstruction Valuation,: $15,000.00
AddedlNew sq. ft. Bldg :
Added/New sq. ft. Garage
a
MIi G-iAe(� 01Li) s�s -9(aL10
OWNER -BUILDER DECLARATION A
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to file a signed statement that he or sheis licensed pursuant to the provisions of the Contractors" State License Law (Chapter S (commending with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds Or improves the property, provided that the
improvements are not Intended or offered for sale. If, however, the building or improvement is sold within one yaar of completion, the Owner -Builder will have the burden of proving that It was not built or
Improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coda: The Contractors' Stale License Law does not
ap.,ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am acemp4 from licensors under the Contractors' State License Law for the following reason:
By my sign'dt6t$•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 legall;
• • sa•II a struoture0at I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
ProfessioMode, is available upon request when this application is submitted or at the following Web site:http.11 w .leginfo.ca.govlcalaw.html.
•, Signature of ,Property Owner or Authorized Agent Date
• LICENSED CONTRACTOR'S DECLARATION
• hereby affnindAier penally of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) at Division 3 of the Business and Professio de _ n�y license in full force
• Arid effect. License Class License No DaZ Contractor Signature
... WORKERS: COte
MPENSATION DECLARATION y
... WARNING: t•AiLu&*ro sECURE wORKERS' OOMPENSATION. COVERAGE IS UNUINFUL.. AND SHALL SUBJECT AN EMPLOYER TO CRRUNAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOLLRRB iS199,999J, IN ADDITION TO THE
COST OF COMPENSAT€ON. DAMAGES AS PROVIDED FOR IN SECTION ST9e OFTHE LABOR CODE, INTEREST. AND ATTORNErS FEES.
• : hereby affirm under penalty of perjury one of the following declarations:
• • • q 1 have amt will maintain a certificate 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 th
• performance of 41e work for which this permit is issued. Policy No.
• C31 have BAC wlll•mainta n 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' compensaflol
insurance carder and policy number am:
Carrier _ Policy Number Expiration Date
Name of Agent - Phone #
Tertify that, in the performance of the work for which this permit is issuad, I. shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and afire
th,at,oif I should become subject t the workers' compe sation provisions or Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ature of Applicant.._._._
ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
%der s Name Lenders 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 behal€.
1 have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinandas and state laws relating to building construction.
I authorize representatives of this city or County to an th bov -kl U property/for inspection purposes.
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ACTION l DATE By REGULATIONS PA TOS1 OF,TITLE 0AND AQMD RULE
DECLARATION OF
PERMIT EXPIRED I I I UI$UBMITTEDASBESTOSNOTIFICATIONTO
PERMIT FINAL A ASBESTOS NOTIFICATION15 NOT APPLICABLE TO
CERTIEIPATEOF PROPOSED DEMOLITION.
OCCUPANCY ISSUED SIGNATURE:
fi NIVA
Ali required alarms, latches gates and fences which serve as part of a pool/spa barrier, shalt
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.