HomeMy WebLinkAboutF2022-0638 - Permitsa�W PORT
City of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
IlllFlu�ll�ll0�l� ll�llll�� l�l�lll06 COMB Permit : F2022-0638
Plan Check No : PC2022-3129
Issued Data : 12/15/2022
Inspection Areeaa;17�
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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 : 610 NEWPORT CENTER DR 33 Legal Desc : P BK 295 PG 33 PAR 4
Description: COMM FIRE ALARM 6 DEVICES (XC2022-1969) -
Owner: I RV I NE CO
Address :
NEWPORT BEACH, CA 92658
Phone
Applicant:
BUILDING ELECTRONIC CONTROLS
Address:
2246 LINDSAY WAY
GLENDORA, CA 91740
Phone :
(909) 305-1600
Owner/Builder :
Address :
Phone :
Contractor:
BUILDING ELECTRONIC CONTROLS
Address :
2246 LINDSAY WAY
GLENDORA, CA 91740
Phone:
(909)305-1600
Con State Lic
: 729905
Lic Expire:
11/30/2024
Bus Lic:
BT97025666
Bus Lic Expire: 10/31/2023
Workers' Compensation Insurance
Carrier: ZURICH AMERICAN INS CO
Policy No: WC302951002
W. C. Expire: 4/1/2023
Code Edition : 2019 Fire Sprinklers : NO
Type of Construction : Fire Hazard Zone : NO
Occupancy Groups : B No of Units : 1
Bldg Height: No of Stories:
Building Setbacks:
Flood Zone: X
Use Zone : PC - North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS:
Architect:
Address:
Phone:
State Lic
Engineer:
Address:
Phone:
Designer: BUILDING ELECTRONIC CONTROLS
Address: 2246 LINDSAY WAY
GLENDORA, CA 91740
Phone : (909) 305-1600
Construction Valuation :
Added/New/Ti sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage:
TOTAL sq. ft. :
$5,470.00
0
0
0
I hereby affirm under penalty of perjury that I 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)
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
is permit to file a signed statement 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
'rofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
i, as owner of the property, or my employees with wages as their sole compensation, Will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovemenls 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 of proving that It was not built or
n roved for the purpose of sale).
1, 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
�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).
t am exempt from licensure under the Contractors' Stale License Law for the following reason:
ly 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 legaII,
ell 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 a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
;Ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect License Class License No Dale Contractor Signature
PORKERS' COMPENSATION DECLARATION
!ARNWG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and 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
ormance of the work for which this permit is issued. Policy No.
have 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' compensa
vane carrier and policy number are:
Policy Number
as of Agent Phone If
Date
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lalure of Applicant Date_
:LARATION REGARDING CONSTRUCTION LENDING AGENCY
reby 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
ny signature below. I certify to each of the following:
1 am the property Owner or authorized to act on the property owner's behalf.
1 have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and slate laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
ACTION I DATE I BY DECLARATION OF I REGULATIONS PART0MPLIANCE WITH CODE OF 61 OF TITE40AND AQMD RULE�L I FOR OFFICE USE ONLY
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAL LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF % f%/ PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE: