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Home My WebLink AboutF2023-0107 - PermitsCity of Newport Beach �aEWPoRr D Community Development Department- Building Division F -. 100 Civic Center Drive, Newport Beach, CA 92660 u = Permit Counter Phone: (949) 644-3288 r Inspection Requests Phone: (949) 644-3255 CgtiFOR newpormeachca.gov/inspections Combination Type - Work Class - Tenant Improvement �� 11COMB Permit : F2023-0107 Plan Check No: PC2023-0462 Issued Date : 03/02/2023 Inspection Area : FIRE 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, 130 Legal Desc : P BK 120 PG 27 PAR 1 Description : COMM FIRE ALARM TI - 5 DEVICES (X2022-2107) Owner: OCEAN WEST, WEST CAPITOL PARTNERS Address: 2101 ROSECRANS AVE STE3270 EL SEGUNDO, CA 90245 Phone : (213) 326-4539 Applicant: H C I SYSTEMS INC Address : 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone: (909)628-7773 Owner/Builder : Address : Phone Contractor: H C I SYSTEMS INC Address : 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone: (909)628-7773 Con State Lic : 905493 Lic Expire : 02/29/2024 Bus Lic: BT30042287 Bus Lic Expire : 02/29/2024 Workers' Compensation Insurance Carrier: FEDERAL INSURANCE COMPANY Policy No: 54309498 W. C. Expire : 3/2/2023 Architect Address Phone: State Lic Engineer: Address Phone Designer: GARY RAMIREZ Address : 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone: (909)957-5200 Code Edition : 2022 Fire Sprinklers ; YES Construction Valuation : $2,340.00 Type of Construction : V-B 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 : 10 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks Flood Zone : X Use Zone : PC - Newport Place i]KHeL�Y.YXIF]7 SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State, License Lawlor the reason(s) indicated below by the checkmark(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 in 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 Yofassions Code) or that he or she is exempt from Iicensure 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 of more than five hundred dollars ($500). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, tusiness 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 nprovements 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 builtor nproved for thepurpose of sale). 3 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 net ppiy 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). 3 1 am exempt from Iicensure under the Contractors' State 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 legally all a structure that I have built as an owner-buildor if it has not been Constructed in its entirety by licensed contractors. I undorstand 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:liwww.leginfo.ca.govlcalaw.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 7 0) vrsi� - of the Business and Professionstd�/and Dwii¢ense is In full force re nd effect. License Class License No D QG Contractor Signatu VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,0001 IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYe FEES, hereby affirm underpenaltyof perjuryone of the following declarations: I I have and will maintain a Certificate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th arformancs of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, a$ required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Fence carrr_erAnd policy number are:_ „ Number Date me of Agent / Phome # I certify that, in the performance of the work for which this permitis issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agru t, if I should become subjeecctt to the workers 'Pop e�nsaboonn7provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. nature of Applicant lf.yte CLARATION REGARDIN14 60INVRUCTION LENDING AGENCY 3reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for whichthispermit is issued (Section 3097, Civil Code). )does Name Lender's 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 behalf. 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 slate laws relating to building construction. I authorize representatives of this city or count` to the above-i Hiffed property for inspection purposes. t� /j - //fit w.�J nature of Prooertv Owner or Autnorzed AaemN Print Proeertv Owner's or Authorized Aaent's Nalxte/I \' l IVIa W 0/ 0I ' o Date ACTION DATE. j BY \ j DECLARATION OF COMPLIANCE W17H CODE Of FEDERAL I REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 FOR OFFICE USE ONLY V \ PERMITEXPIRED i I SuR.AITTErIASBESTOS NOT F CATION TO PERMIT CANCELLER 11EFA PERMIT FXTfNpfp PERMITFINAL Ia.. Q [AD v/ ASBESTOS NOTiFICAI ION IS NOT APPLICABLE TO CERTIFICATE Of ( PROPOSED DEMOLITION OCCUPANCY ISSUED # SIGNATURE: