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Home My WebLink AboutF2023-0034 - Permits�6WPORT City of Newport Beach IIIII IIIIII II I IIIII I IIIIII IIIIIII IIIII IIII II Community Development Department -Building Division F 2 0 2 3 0 0 3 4 O 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 etc Inspection Requests Phone: (949) 644-3255 Cq[/FOFN�P newportbeachca.gov/inspections Combination Type - Work Class - Other COMB Permit : F2023-0034 Plan Check No: PC2023-0126 Issued Date : 01/19/2023 Inspection Area :r(/jR 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 iZ�jV-00ri5 Job Address: 620 NEWPORT CENTER DR-,, 3RD`-FLOOR - L-egal-Desc : P BK-295 PG 33-PAR-1--PARCELMAP -295-33-PAR 4 FOR OF PAR Description: COMM FIRE ALARMS 2 DEVICES (XC2022-2083) Owner: IRVINE CO Contractor: BUILDING ELECTRONIC CONTROLS Architect Address : 111 INNOVATION Address : 2246 LINDSAY WAY Address IRVINE, CA 92618 GLENDORA, CA 91740 Phone: (949)608-9659 Phone: (909)305-1600 Phone Con State Lic : 729905 State Lic Lic Expire : 11/30/2024 Applicant : BUILDING ELECTRONIC CONTROLS Bus Lie: BT97025666 Engineer Address : 2246 LINDSAY WAY Bus Lic Expire : 10/31/2023 Address: GLENDORA, CA 91740 Phone: (909) 305-1600 Workers' Compensation Insurance Phone: Carrier: ZURICH AMERICAN INS CO Owner/Builder : Policy No: WC302951002 Designer: BUILDING ELECTRONIC CONTROLS Address : W. C. Expire: 4/1/2023 Address: 2246 LINDSAY WAY GLENDORA, CA 91740 Phone: Phone: (909) 305-1600 Code Edition : ZO Z?� Fire Sprinklers : NO Construction Valuation : $3,457.00 Type of Construction : I -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg: Bldg Height: No of Stories : 16 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center ° PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION 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 checkmork(s) I have placed next to the applicable items) (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 lie 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 Professions Code) or that he or she is exempt from ficensure 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portionsofthe work, and the structure is not intended proffered 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, Ilia building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not buill or improved for the purpose of sale). El 1, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), U I am exempt from Iicensure under the Contractors' State License Law for the following reason: By 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 legally sell a structure that I have built as an owmor-builder if it has not boon constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http:/lwww.leginfo.ca.gov/colaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of. Divi ion 3 of the Business and P ions Code, a y li ;ens is,1{� full force and effect. License Class License. No Date t Z Contractor Signatur ' L WORKERS' COMPENSATION DECLARATION WARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (S100,0001, IN ADDITION TO THE COST OF COMPENSATION, PAMAGEa AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. I 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 tht �ppe.�rformance of the work for which this permit is issued. Policy No, uLave 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' compensation insurance carrier and policy number are: Carrier Policy Number Expiration Date Name or Agent Phone # 31 certify that, in the perforp6anCe 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 agre( iot, if I should become u act to the yw�orrke�rps'�¢�o�`popsatio pnrovisiona of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. 3 1 lignalure of Applicant Dat IECL.ARATION REGA ING ON R CTION LENDINIYAGENCY r hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section309 ivll Code). ender's Name Lender's Address y my signature below, 1 certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. 1 have read this application and the information I hav provided is correct I agree to comply with all applicable. city and c nt ordinances and state laws relating to building construction. I authorize representatives of this city or count i t1;{ the above�et^;jfis,g:p,gparly for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ACTION DATE BY DEC'_ARATION OF COMPLI,\CCE V L], H CODE OF FEDERAL FOR OFFICE USE ONLY hEGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I..ITTT:D ASPESTOS N OTI FICA r ION TO PERMfT EXPIRED PERMIT CANCELLED PEHANTEXTENDED — -- —`iLGPA r .nOMO PERMITFINAL Fl o/a7J. ��tifvUS AS@ESTOS NOQTIFICAl ION IS NOI APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUEO SIGNATURE: