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HomeMy WebLinkAboutF2023-0144 - Permitsa , voRT City of Newport Beach II II II IIIIII III IIII IIII III I IIIII) II COMB Permit: F2023-0144 �k p Community Development Department - Building Division F 2 0 2 3 0 1 4 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0712 rj Permit Counter Phone: (949) 644-3288 Issued Date : 03/29/2023 6 yak T Inspection Requests Phone: (949) 644-3255 Inspection Area : FIRE C'O</F00.0.,P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement 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 : 610 NEWPORT CENTER DR, 1250 Legal Desc : P BK295 PG 33 PAR 4 Description: COMM FIRE ALARMS 39 DEVICES (XC2022-2120) Owner: IRVINE CO Contractor: BUILDING ELECTRONIC CONTROLS Architect Address : 111 INNOVATION Address `. 2246 LINDSAY WAY Address IRVINE, CA 92618 GLENDORA, CA 91740 Phone: (949)720-3100 Phone: (909)305-1600 Phone: Con State Lie : 729905 State Lie Lie Expire : 11/30/2024 Applicant : BUILDING ELECTRONIC CONTROLS Bus Lie : BT97025666 Engineer Address : 2246 LINDSAY WAY Bus Lie Expire : 10/31/2023 Address: GLENDORA, CA 91740 Phone: (909) 305-1600 Workers' Compensation Insurance Phone: Carrier: ZURICH AMERICAN INS CO Owner/Builder : Policy No : WC302951002 Designer: BUILDING ELECTRONIC CONTROLS Address : W. C. Expire : 4/1/2023 Address : 2246 LINDSAY WAY GLENDORA, CA 91740 Phone: Phone: (909) 305-1600 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $54,400.00 Type of Construction : I -A Fire Hazard Zone i NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories ; 18 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone: PC - North Newport Center PROCESSED BY: SPECIA�- CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that € am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) i have placed next to the applicable Rem(aI 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 ma permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Low (Chapter o (Commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Anyviolationof Section 7031.6 by any applicant fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 11, as owner of the property, or my employees withwages as their solo Compensation, will do L) all of or U portions of the work; and the structure is not Intended or offered for sale (Section 7044, lusiness 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 nproventents 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 of nproved for the purpose of sale). 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 ply to an owner of property who builds or Improves thereon, and who contracts for the projects with alicensed Contractor pursuant to the Contractors' State License Law), I am exempt from licensors, under the Contractors'State License Law for the following reason .y 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 legall, ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensad'contractors, I understand 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 fallowing Web site http:ltwww.teginfo.e .govtcalaw.html, ignature of Property Owner or Authorized Agent Date .iCENSED CONTRACTOR'S DECLARATION nd effect. License Classy perjury rk License No ( g Date ) 'Z 23 V y ce I II torte hereby of imt under penalty of a 'u that 1 am licensed under provisions of Chapter g (commencing with Section 7000 of Dlvi 10 3 o the Business grid Pro a io s C d JJ he B sines s nafuf 1. VORKERW COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IB UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FNES UP TO ONE HUNDRED THOUSAND DOLLARS (111011,000). IN AUDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37D8 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one. of the following declarations: I have and will maintain a certificate of consent to sett -insure four workers' compensation. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th ormance of the work for which this permit is issued. Policy No. eve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Coda, for the performance of The work for which this permit is issued, My workers' compensohol Isur nce carrierand policy number are: Policy Number ne of Agent Phone# Date I 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 California, and agre that, it I should become subject to the wor mpens�aq on provisions of Section 3700 of the Labor Code, I shall fonttwith comply with Those provisions. Signature of Appiic_-,�_�L' DECLARATION R G JD ONSTRUCTION LE ING AGENCY I hereby affirm and pe alty, of penury that there is a construction lending agency for the performance of the work for -which this permit is issued (Section 3097, Civil Code), Lenders Name Lenders Address By my signature below, I certify to each of the foilowmg: 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 state laws relating to building construction. authorize, representatives of this city or coupt enter the Drillp y for inspection purposes. i nature of Propertyy Owner or Authorized A an Print Property Owner's or Authorized Agent 5 Nan . 1 � Date' ACTION DATE BY DE LARATION OF COMPLIANCE WITH COOS OF FEDERAL FOR OFFICE. USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AC1MD RULE 1403 PERM77£HPIRED I SURMITTEO ASBESTOS NOT] FICATdON TO PERMIT CANCEUED 01PA PERMlTEKTENDED PPRMR Orbit r'�.3 ��� � I ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CEATIF1CA7e OF � � i PROPOSED DEMOLITION OCCUPANCYiSSUFD j i SIGNATURE.