The URL can be used to link to this page

Home My WebLink AboutF2023-0132 - Permitsa�WPOQT City of Newport Beach Q p @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ' S r Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 c74FoaN�P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllCOMB Permit : F2023-0132 Plan Check No : PC2023-0623 Issued Date : 0312212023 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 : 1201 DOVE ST, 350 * Legal Desc : P BK 57 PG 27 PAR 1 Description : COMM FIRE ALARMS 1.1 DEVICES (XC2022-2132) Owner: AG DOVE OWNER L P Address : 2000 AVENUE OF THE STARS STE1020 LOS ANGELES, CA 90067 Phone: 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 : 3/2/2024 Architect :a Address Phone : . State Lic r Engineer: Address Phone: Designer: H C I SYSTEMS INC Address : 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone: (909)628-7773 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : Type of Construction : II -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg: Bldg Height : No of Stories : 6 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks: Flood Zone : X Use Zone : PC - Newport Place PROCESSED BY: .. SPECIAL CONDITIONS: 0 0 0 9I� 1 OWNER -BUILDER DECLARATION 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, after, 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 ficensed pursuant to the provisions of the Contractors' State Licenso Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and `rofessions 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 for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044, ;usiness 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 built or nproved 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 Code: The Contractors' State License Law does not 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 exempt from licensure under the Contractors' State License Law for the following reason 'ry 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 ell a structure that I have built as an owner -builder if it has not boon constructed in its ontiroby by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Yofessions Code, is available upon request when this application is submitted or at the following Web site:http:Jtwww.leginfo.ce,gov/calaw.html. signature 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 (commencing with Sectio 00 of Di I 'on 3 of the Business and Pr ssions de my lice s In ;full nd effect. License Class License No Da G r; Contractor Signatu VORKERS' COMPENSATION DECLARATION 'ARNING: 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 (6100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYPS FEES. hereby affirm under penally of perjury one of the following declarations: I 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 IN erformance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: of Agent Policy Number WDYI-9vt Expiration Date Phone ly I certify that, in the performance of the work for which this permit is Issued. I shall not employ any person in any manner $o as to become subject to the workers' mpensation laws of California, and agre, t, if 1 should become sub' ct to the workers :ompensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �t.�� mature of Applicant „�� DaI`7 CLARATION REGA ING TRUCTION LENDING AGENCY sreby affirm under penalty of perjury that theta is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, C it Code). ider's Name Lender's Address my signature below, I certify to each of the following: I His 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 comity ordinances and state fawn relating to building construction. I authorize representatives of this city or county/,tin enter the ab -i d pro�,p�y# lie inspection purposes. �/j mature of PmDertV Owner or Authorized Aaenl 1 Y t---�rrm�Dertv Owner's or Authorized Agent's Narrlg'� I U' I y l.�i[_7__I__�/�tJ f r v. to ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EN6AL CERTIFICATE OF OCCUPANCY155UED DATE I BY REGULATIONS. PART 51 OF TITLE AO AND ACLNID RULE UASBUICIS NOTIFICAI ON IS NOT APPLICABLE TO PROPOSED DEMOLITION 51GNA'. URE: FOR OFFICE USE ONLY