HomeMy WebLinkAboutF2023-0169 - PermitsaEWPoRT City of Newport Beach II II II III II IIIIII I II III IIII IIIIII I II COMB Permit : F2023-0169
Community Development Department- Building Division F 2 0 2 3 0 1 6 9
ti 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0852
? Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255 Issued Date :
Cg4pppN�P newportheachca.gov/inspections Inspection Areeaa : :FIRE
Combination Type -
Work Class - Tenant Improvement X r a� j 01-4 a
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 : 500 NEWPORT CENTER DR, 950 Legal Desc : P BK 387 PG 41 PAR 2
Description : FIRE ALARM TI (6) DEVICES (XG2@23 9834)
Owner: 50 NEWPORT CENTER DRIVE LLC
Address :
NEWPORT BEACH, CA 92658
Phone : (949) 453-2330
Applicant:
BUILDING ELECTRONIC CONTROLS
Address:
2246 LINDSAY WAY
GLENDORA, CA 91740
Phone :
(909) 305-1600
Owner/Builder
:
Address :
Phone
Contractor:
BUILDING ELECTRONIC CONTROLS
Architect
Address :
2246 LINDSAY WAY
Address
GLENDORA, CA 91740
Phone :
(909) 305-1600
Phone:
Con State Lie
: 729905
State Lie
Lie Expire :
11/30/2024
Bus Lie :
BT97025666
Engineer
Bus Lie Expire : 10/31/2023
Address
Workers' Compensation Insurance
Phone:
Carrier: ZURICH AMERICAN INS CO
Policy No :
WC302951002
Designer
W. C. Expire:
4/1/2024
Address
Phone:
Code Edition : 2022
Fire Sprinklers :
Type of Construction : I -A
Fire Hazard Zone
Occupancy Groups :
No of Units :
Bldg Height :
No of Stories
Building Setbacks :
Flood Zone : X
Use Zone : PC - North Newport Center
PROCESSED BY: I
SPECIAL CONDITIONS:
YES Construction Valuation :
NO Added/New/Ti sq. ft. Bldg
1 Alteration sq. ft. Bldg :
Added/New sq. ft. Garage:
TOTAL sq. ft. :
$6,214.00
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason($) indicated below by the chsckmark(s) I have placed next to the applicable ftem(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
ie permit to file a signed statement that lie or she is Iieonsed 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 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
got more than five hundred dollars ($500).
7 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all Of or L) portions of the work, and the structure is not Intended or offered for sale (Section 7044,
Wetness 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
nprovemems are not intended or offered for sale. It, however, the building orlmprovement is sold within one year of completion; the Owner -Builder will have the burden of proving that it was not builtor
nproved for the purpose of sale).
1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
poly 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 licensure 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-huildor if it has not been constructed in its ontircty by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and
'rofassions Code, is available upon request when this application is submitted or at the following Web site:httpJlwww.leginfo.ca.gov/calaw.html.
agnature of Property Owner or Authorized Agent Data
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Prodssio�i Cr de nfull force
.nd effect. License Class License. No Date ,l�/�_ Contractor Signature UI
PORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMIRAL PENALTIES AND CIVIL PINES UP TOONE 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!
3 1 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 th(
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:
Policy Number Expiration Date
of Agent Phone tf
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 Califoniia, and
If I should become subject to the work rs oftlpensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant
Date Hai 2-?�,
1ECLARATION REGARDING CONSTRUCTION LENDTNG AGENCY
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. (Section 3097, Civil Code).
Order's Name Lender's Address
y my signature below, I certify to each or the following:
I am the property owner or mithori4ed 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 Ordinanc and state laws relating to building OORSIFUCtiOn.
I authorize representatives of this city or county to enter the: do e=lentifled�property for inspection purposes.
Of PFODenY Owner Or
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
CERTIFICATE O6
OCCUPANCYISSUED
Print Property Owner's or Authorized Ag
D CLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
PROPOSED C
SIGNATURE:
NOTI FICA I ION 15_N0 I APPLICABLE TO
Date