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HomeMy WebLinkAboutF2023-0007 - Permits��EWPORT City of Newport Beach D p Community Development Department- Building Division Fy 100 Civic Center Drive, Newport Beach, CA 92660 u }h S Permit Counter Phone: (949) 644-3288 .x� Inspection Requests Phone: (949) 644-3255 C9C/FOp�`F newportbeachca.gov/inspections Combination Type - Work Class - Other COMB Permit: F2023-0007 F 2 0 2 3 0����������������� II Plan Check No : PC2023-0015 Issued Date : 01/2012023 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: 1501 WESTCLIFF DR '0 1 lD Legal Desc : N TR 4225 BILK LOT 8 TR 4225 LOT 8 FOR OF LOT (PAR 1 OF 7529/ 474 O.R.) Description : COMM - INSTALL KITCHEN HOOD FIRE SUPPRESSION SYSTEM "JULIETTE MARKET' (X2022-1130) W/ PCU Owner: WESTCLIFF PROPERTIES LLC Address : 1600 DOVE ST STE480 NEWPORT BEACH, CA 92660 Phone: Applicant: LETICIA HADEN Address : 3621 EAGLE ROCK BLVD LA, CA 90065 Phone: (323)259-9999 owner/Builder: Address : Phone Code Edition : Type of Construction : V-B Occupancy Groups: M Bldg Height : Building Setbacks Flood Zone : X Use Zone: PROCESSED BY: WA SPECIAL CONDITIONS: Contractor: EDISON FIRE EXTINGUISHER CO INC Address : 3621 EAGLE ROCK BLVD LOS ANGELES. CA 90065 Phone: (323)259-9999 Con State Lic : 569185 Lic Expire : 05/31/2023 Bus Lic: BT30069740 Bus Lic Expire : 11/30/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9066898 W. C. Expire: 8/1/2023 Fire Sprinklers; YES Fire Hazard Zone : NO No of Units : 0 No of Stories : Architect: Address: Phone: State Lic Engineer: Address Phone Designer: ROXYNIELSON Address : 3621 EAGLE ROCK BLVD LA, CA 90065 Phone: Construction Valuation : $2,500.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)L Section 7031.6, 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 signedstatement that ho 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 ticensure 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). 1, as owner of the property, or my employees with wages as their sole compensation., will do (_) all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044, ILISineSS 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). Z 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 pply 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: 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 ownar-buildor 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 Businoss and 'rofessions Code., is available upon request when this application is submitted or at the following Web site:http•Jiwww.leginfo.ca.gov/calaw.himj. signature of Property Owner or Authorized Agent _ Date dCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of is"o of the Business and r fessions a nse�ull force nd effect License Class License No Date Contractor Sign PORKERS' 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 t$100,000i, IN AODmON TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LASOR CODE, INTEREST, Me ATTORNEY'S FEES. hereby affirm under penalty 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 th krformance 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' ranee carrier and policy number are: Policy Number Expiration Date 1e of Agent I certify that, in the perfor once of the r w Is p Lis issued; I shall not. employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, if I should become su ject to t c ion- i s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .nature of Applicant� pate/ CLARATION REGA� i CO T CTION LENDING AG. N /_�1 7 zreby affirm under penalty o erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3D97, Civil Code). tder s Name Lender's Address my signature below, I oerlify 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 coup ordinances a s laws relating to building. construction. I authorize representatives of this city or county t�jt/�enter the ve - tiff �r/neny Tor inspcctiLn purposes, j t� mature of Property Owner or Authorized Aoant . 1. _ 77 Pion' ProoeM Owner's or Authorized Anent'n NamafV / �% L / F-t ACTION DATE BY QY4 REGULATIONS OFCw1 OF TITLE IiA_N_G WITH DAQM FEDERAL FOR OFFICE USE ONLY v REGULATIONS PART 61. OF 7XTLF AO AND AQMD RULE 1 — 140 PERMIT EXPIRED 1I SUBMITTED h5BESTOS NO- IFb;ATION TO PERMITEXTENDED I LJAQMD PCRMiT FINAL �7 �a3 crams iJ ASBESTOS NOTIFICAt10N 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYiSSUED ! SIGNATURE:.