HomeMy WebLinkAboutF2023-0220 - PermitsSEW POaT City of Newport Beach IIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III COMB Permit F2U23-U22U
0� @ Community Development Department - Building Division F 2 0 2 3 0 2 2 0
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1096
Permit Counter Phone: (949) 718-1888 Issued Date : 05/11/2023
newportbeachca.gov/civic r p, ^" t—^s"S',!Q `""^, Inspection Area : FIRE
Combination Type -
Work Class - Tenant Improvement
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANr
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYP . ALL AREAS
Job Address: 1200 NEWPORT CENTER DR, STE 270 Legal Desc : P BK 316 PG 3 PAR 3
Description: COMM FIRE ALARM TI WITH 1 DEVICE (XC2023-0091)
Owner: IRVINE CO
Address : 111 INNOVATION
IRVINE, CA 92618
Phone : (949) 720-3100
Applicant: KYNDALL TAYLOR
Address: 2246 LINDSAY WAY
GLENDORA, CA 91740
Phone : (909) 305-1600
Owner/Builder :
Address :
Phone
Contractor:
BUILDING ELECTRONIC CONTROLS
Address :
2246 LINDSAY WAY
GLENDORA, CA 91740
Phone :
(909) 305-1600
Con State Lic
: 729905
Lic Expire :
11/30/2024
Bus Lic :
BT97025666
Bus Lic Expire : 10/31/2023
Workers' Compensation Insurance
Carrier: ZURICH AMERICAN INS CO
Policy No : WC302951002
W. C. Expire: 4/1/2024
Architect
Address
Phone :
State Lic
Engineer
Address
Phone
Designer: BUILDING ELECTRONIC CONTROLS
Address: 2246 LINDSAY WAY
GLENDORA, CA 91740
Phone : (909) 305-1600
Code Edition :
2022
Fire Sprinklers :
YES
Construction Valuation :
$2,470.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups :
E
No of Units :
0
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
2
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
0
Building Setbacks:
Flood Zone :
X
Use Zone:
PC - Corporate Plaza West
BY:
PROCESSED
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkrnark(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, dernolish, or repair any structure, prior to its issuance, also requires the applicant for
the 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
Professions Code) or that he or she is exern,pt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora 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 L) all of or L) 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),
El I am exempt from licensure under the Contractors' State License I_aw for the following reason:
^T _�
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at leas[ one year prior to completion of the 'improvements Covered by this permit, I cannot legall,
sell a structure that I have built as an ownor-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Suction 7044 of the Business and
Professions Code, is. available upon request When this application is submitted or at the following'Neb site:http://www.leginfo.ca.gov/calaw.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 7000 of Division of the Business and Prolepsiipns�Code�, an y c rise' full force
and effect License Class License No Date )�. Contractor Signature ��/(]L�A
NORKERS' COMPENSATION DECLARATION
NARNING: 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 f$100,000i, IN ADDITION TO THE
]DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS, INTEREST, Me ATTORNEY"s FEES.
hereby affirm under penalty of perjury one of the following declarations:
-11 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:, forth
ter�formance 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'
rance carrier and policy number are:
Policy Number
Date
is of Agent Phone #
certify that, inthe 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 taws of California, and
If I should becomes subject to the jvarN erq compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date 5/
3reby 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).
lder's Name Lender's Address
my signature below, I certify to each of ilia Following:
I am the property owner or authorized to act on the property owner'sbehalf.
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 sta laws relating to building construction.
I authorize representatives of this city or county o nteT the ab ve- entlf d rp operty for inspection purposes. ,L
nature of Prppe!y Owner or Authorized Agent I ��,��cP. �(� Print Property Owner's or Authorized Agent's Name ___.. k k IyrLtJ\Li-� VA Al Date
DATE i BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
k i REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE
TO
PEN,111T EXTENDED
FC.?i TT FINAL $K51 0S NOTIFICATION IS NUT PPLICABLE TO
CE5r(FI�Aif OF Ab Z POSED DL, O ITIO V\ /J/\
r1CCUPANCY 1S$UEO V l SIGNATIIRF: tiW l`V-9.sA!1nn