The URL can be used to link to this page

Home My WebLink AboutF2023-0234 - Permits�1EWPo?ry City of Newport Beach II IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2O23-0234 Community Development Department- Building Division F 2 0 2 3 0 2 3 4 F r a li y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1177 Permit Counter Phone: (949) 718-1888 Issued Date : 05/2612023 0 newportbeachca.gov/civic Inspection Area : FIRE Combination Type - �.r Work Class - Alteration 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 : 20350 BIRCH ST, #202 Legal Desc : P BK 385 PG 30 PAR 1 Description : COMM FIRE ALARM (6) DEVICES (X2021-3309) Owner: NEWPORT HEIGHTS MEDICAL OFFICE LLC Address : 2141 ROSECRANS AVE #610 EL SEGUNDO. CA 90245 Phone : Applicant: NEWPORT HEIGHTS MEDICAL OFFICE LLC Address: 2141 ROSECRANS AVE #610 EL SEGUNDO, CA 90245 Phone : Owner/Builder : Address : Phone Contractor: PRO-TEK ELECTRIC,INC Address : 611 N Poplar St Orange, CA 92868 Phone: (714)634-4070 Con State Lic : 847803 Lic Expire : 10/31/2024 Bus Lic : BT30078932 Bus Lic Expire : 06/30/2023 Workers' Compensation Insurance Carrier: OAK RIVER INSURANCE CO Policy No : PRWC334025 W. C. Expire : 7/1/2023 Code Edition : 2022 Fire Sprinklers : Type of Construction : II -A Fire Hazard Zone Occupancy Groups : B No of Units : Bldg Height : No of Stories Building Setbacks : Flood Zone : X Use Zone : SP-7 - Santa Ana Heights Specific Plan PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: MICHAELWITZIGMAN Address : 8825 RESEARCH DR. IRVINE, CA 9261E Phone : (949) 753-1553 Designer Address Phone: NO Construction Valuation : NO Added/New/TI sq. ft. Bldg 1 Alteration sq. ft. Bldg : 2 Added/New sq. ft. Garage TOTAL sq. ft. : $5,000 00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(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, poor to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Cow (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031:6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500), I, 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, 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, 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 improved 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' Stale 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). I am exempt from licensure under the Contractors' Slate 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 legal sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable 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:lhvww.toginfo.oa,govlcalaw.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 ) of D' Rion 3 of the Business and Prole I e, ans dIc nse.is In full force and effect. License Class License No Data Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING; FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRUNAL PENALTIES AND CIVIL FINES UP TO' ONE HUNDRED THOUSAND DOLLARS (Sfe0,S03j, IN ADDITION TO TH' COST OF COMPENSATION, DAMAGES AS PROvi0E0 FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 13 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, torn iperformance 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 Date Te of Agent Phone # certify that, in the perforrr4¢nce 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, end agra, if I should become �(tb!act D the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Of Date �� 26 1 22. ECLARATION REGARVII w CONSTRUCTION LENDING AGENCY hereby affirm under 04 aalty of perjury that there is. a construction lending agency for the performance of the work for which this permit is issued (Section 3097 e,tubr s Name Lender's Address y my signature tslow, ' certify to each of the following: I am Cie property owner or authorized to act on the property owner's behalf. I have read this appirston and the information Oak" provided is correct. I agree to col wilt, all applicable city and courty rdinances and state laws relating to building construction. I autnorize represaptatives of this city or county to :e tar the above-Identiffed property for inspection purposes, l tr UT411ram r t iPIREO PERMITTEXI'ENDED PERMIT FINAL CEPM4CATEOF OCCUPANCYISSUED 7n\i�s37 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE IF3t1+11.17•li[r�ltttii+] FOR OFFICE USE ONLY Civil Cade). 2