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Home My WebLink AboutF2022-0114 - Permits (3)o��EwaoRe City nit NewportBy Development Pamhnt- BuildingDivision F 2 0 2�� COMB Permit: F2022-0114 Fy 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0590-2022 Permit Counter Phone: (949) 718-1888 Issued Date : 03/301 022 newportbeachca.gov/civic Inspection Area 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: 393 HOSPITAL RD, NORTH Legal Desc : A TR IRVINE SUB BLK:2 LOT 169 IRVINE SUB LOT 169 BLK 2 FOR O F LOT AS DESC IN Description : COMM FIRE SPRINKLER TI -462 HEADS (X2019-1471) Owner: NEWPORT BEACH PROPCO LP Address : PHOENIX, AZ 85050 Phone: (916)508-9801 Applicant: A & D FIRE Address: 7130 CONVOY CT SAN DIEGO, CA 92111 Phone : (858) 277-3473 Owner/Builder : Address: Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone : X Use Zone : PI - Private Institutions PROCESSED BY: SPECIAL CONDITIONS: Contractor : A & D FIRE Address : 7130 CONVOY CT SAN DIEGO, CA 92111 Phone: (858)277-3473 Con State Lie : 1069002 Lie Expire : 09/30/2024 Bus Lie: BT30073130 Bus Lie Expire : 10/31/2023 Workers' Compensation Insurance Carrier: AMERICAN ZURICH INS CO Policy No: WC4020292 W, C. Expire : 9/16/2023 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 0 No of Stories Architect Address Phone: State Lie Engineer: Address: Phone Designer: A & D FIRE Address: 7130 CONVOY CT SAN DIEGO, CA 92111 Phone: (858)277-3473 Construction Valuation : Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 I hereby affirm under penalty 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 iterate) Section 7031 �5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dernoiish, or repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that lie 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 Irofesslons Code) or that he or she Is exempt from Hcensure 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 .ot more than five hundred dollars (S500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do 1_} all of or U portions of the work, and the structure isnot intended or offered for sale.{Section 7044, tusiness 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 said within One year of completion. the Owner -Builder will have the burden of proving that it was not built or unproved for the purpose of sale). .d 1, as owner of the property, am exclusively contracting with licensed Contractors fo construct the project (Section 7044, Business and Professions Code; The Contractors' State License Law does not poly to an owner of Prop" 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 far the fallowing reason: ty 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 lagail oil a structure that I have built as an ownor•builder if it has not boon constructed in its entiroty by licensed contractors. I understand that a copy of the: applicable 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:llwww.loginfo.ga,gov)caiaw.'htmi, 'signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and any license is In full force ,rid effect. License Class License No Date Contractor Signature, VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUSlECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINES UP TO ONE HUNDRED THOUSAND DOLLARS t6100,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'a 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 tt orromence 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` Fence carrier and policy number are: Policy Number Date ie of Agent Phone # 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 if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply win those provisions. tature of Applicant Date 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). enders Name Lenders Address ly my signature below, 1 certify 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -Identified property for inspection purposes, ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Anent's Name ACTION I DATE REGULATIONS. PART fit OF TITI.F 40 AND AOMD RULE 1403 PERMIT EXPIRED PERMIT CANCELLED PERMIT FINAL C011FICAFE � r j-- 125 —SIGNATURE: PROPOSED DEMOLITION OCCUPANCY ISSUED IS NOT APPLICABLE TO FOR OFFICE USE ONLY