HomeMy WebLinkAboutF2022-0398 - Permitse'�WPpR' City of Newport Beach
Community Development Department- Building Division
F t"y 100 Civic Center Drive, Newport Beach, CA 92660
n Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
C9<<FORN�P newportbeachce.govlinspections
Combination Type -
Work Class - Alteration
II I I I II I II I II II I II I I COMB Permit : F2022-0398
Plan Issued Date Check oa o 12ozs2022-1911
Inspection Area??,'
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 : 880 IRVINE AVE
Legal Desc : P BK 15 PG36 PAR 1
Description: MFR FIRE ALARMS 44 DEVICES (X2020-2729)
Owner: UDR NEWPORT BEACH NORTH LP
Contractor : HILLTOP ALARMS INC
Architect: gIt`
Address : 1745 SHEA CENTER DR STE200 HIGHLANDS
Address : 7683 CAMINO TAMPICO ANAHEIM, CA
Address : , �G s��a yq®lam
RANCH, CO 80112-9
92808
V
Phone:
Phone: (714)801-2292
Phone:p
Con State Lic : 639145 -
State Lic
Applicant: HILLTOP ALARMS INC
Address : 7683 CAMINO TAMPICO ANAHEIM, CA 92808
Lic Expire : 11/30/2022
Bus Lic: BT30058505
-
Engineer : I� `� `\ ` ( Vt� C ,
Phone: (714) 801-2292
Bus Lic Expire : 03/28/2023
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Address : l
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Workers' Compensation Insurance
Phone: ' 5 C �i .�� < <',
I b
Owner/Builder:
Carrier: INSURANCE+COMPANY+OF+THE+WEST
Address :
Policy No : WSD505948201
Designer: HILLTOP ALARMS INC
Phone:
W. C. Expire : 2/11/2023
Address : 7683 CAMINO TAMPICO ANAHEIM, CA
92808
Phone: (714)801-2292
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $15,000.00
Type of Construction : V-A
Fire Hazard Zone: No
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups :
No of Units : 10
Alteration sq. ft. Bldg:
Bldg Height:
No of Stories: 3
Added/New sq. ft. Garage : 0 •
Building Setbacks :
-• . -
Flood Zone : X
Use Zone : PC - Oakwood Apartments - UP1370,
UP 1405
PROCESSED BY: -NAY —
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I. 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 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, prior to His 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 Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions 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
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 U portions of the work, and the structure is not intendedor 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 ampmves 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
Iry roved for the purpose of sale).
asowner of the property, am exclusively contracting with licensed Contractors to cons€ruct the project (Section 7044. Business and. Professions Code; The Contractors' State License Law does not
ra°p5ply 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),
u I am exempt from icensure 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 , to
of legal
sell a structure that I have built as an owner-buildor if it has not been constructed In its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 O a sand
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www,feginfo.ca.gov/calaw.htmi.
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 Sectio 7 0 ivipi f the Business and Prof s i od , a / is in full force
and effect. License Class License No Date L Contractor Signature
PORKERS' COMPENSATIONDECLARATION / y y
IARNIND: FAILURE TO SECURE WORKERS' COMPENSA11ON COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNORED HOUSAND DOLLARS 1E/04,0110i. IN ADDITION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYe FEES.
hereby affirm under penalty of perjury one of the fallowing 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
e ornranCa of the work for which this permit is issued. Policy No.
i 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' compensaflol
isurance carver and policy number are:
.arder / i7 //i+a y Number Expiration Date
tame of Agent Z phone It
certify that, In the performan if tff i6 ''for ch this permit is issued, I shoji not employ any person in any manner so as to become subject to the workers' compensation. laws of California, and agre
t, if I should bacomB ubja e(the r rErs' pensa€Ian provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
nature of Appfican _._ De Z zZ
CLARATION RE N LENDING AGENCY
baby 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, C vil Code).
Idler's Name. __-_--_-____-- lenders Address
nay signature below, I certify to each of the following
' ) am the poperty owner or authorized to act on €ha property owner's behalf.
I hive read this application and the information t have provided incorrect.
i I agree to or iply,vch all applicable city and county ordinances and state laws relating to building Construction.
I authorize representatives of this city or cou ry to enter the above -Identified property for In purposes. f Z ��
' Si ],.lure of Property Owner or AuihOlc? A en Print Pro ert D v Owner's or Authorized A ent's Name ��'� % a
ACTION N DATE ' By V DECLARATION OF COMPLIANCE WITH CODE Or FEDERAL FOR OFFICE USE ONLY
- [ REGULATIONS PART at OF TITLE 40 AND AQMD RUED
1403 LZ
M�S D'A17" EXYFREfJ 3 15UBMIT'f ED ASBF5TOS NOTIFICATION TO,
REAM, i @XP€AtOffLT
7�EPo✓I+T HNAt
LEd AFICA7E G F
OCCUPANCY ISSUED
All required alarms, latches gates and fenceswhich same as part of pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain In place & be maintained for the
TO life of the pool.