HomeMy WebLinkAboutF2023-0267 - Permits�EWPoRr City of Newport Beach IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�lllrylll COMB Permit : F2U23-U267
o� 4 Community Development Department -Building Division
100 Civic Center Drive, NewportBeach, CA 92660 Plan Check No: PC2023-1384
Permit Counter Phone: (949) 718-1888 Issued Date : 06/07/2023
a. newportbeachca.gov/civic Inspection Area : FIRE
cq4 rp 0.��P Combination Type - 5 A. I tom_" �'�.
Work Class -Tenant Improvement
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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 : 700 NEWPORT CENTER DR, 1ST FL Legal Desc : N TR 361 BLK 55 IRVINE SUB LOT BLK 55 FOR OF BLK
Description: COMM FIRE ALARM TI WITH 1 DEVICES (PACIFIC LIFE)
Owner: IRVINE CO
Address : 111 INNOVATION
IRVINE, CA 92618
Phone: (949)720-3100
Applicant:
GARY RAMIREZ
Address :
1354 S PARKSIDE PL
ONTARIO, CA 91761
Phone:
(909)957-5200
Owner/Builder
:
Address:
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks :
Flood Zone:
Use Zone:
2022
I -A
X
OR - Office Regional
PROCESSED BY: 1
SPECIAL CONDITIONS:
Contractor: H C I SYSTEMS INC
Address : 1354 S PARKSIDE PL
ONTARIO, CA 91761
Phone: (909)628-7773
Con State Lic : 905493
Lic Expire : 02/29/2024
Bus Lic: BT30042287
Bus Lic Expire: 02/29/2024
Workers' Compensation Insurance
Carrier: FEDERAL INSURANCE COMPANY
Policy No: 54309498
W. C. Expire: 3/2/2024
Fire Sprinklers :
YES
Fire Hazard Zone :
NO
No of Units :
0
No of Stories:
8
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone
Designer: H C I SYSTEMS INC
Address: 1354 S PARKSIDE PL
ONTARIO, CA 91761
Phone: (909)628-7773
Construction Valuation : $2,375.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 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 item(s)
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
ie 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
Irofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 70331.5 by any applicant for a permit subjects the applicant to a civil penally of
of more than five hundred dollars ($500).
11, 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,
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 properly, provided that the
nprovements 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
n�Inroved for the purpose of sale).
J I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not
�ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Lew).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legally
ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed 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 following Web site:http:llwww.leginfo.ca.govicalaw.html.
Ngnature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7009) f vi • on 3 of the Business and Professlo od _ d m license is in fug force
nd effect. License Class License No Date ((�i Contractor Signature
PORKERS' COMPENSATION DECLARATION 00
'ARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND BNALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CPA FINES UP TO ONE HUNDRED THOUSAND DOLLARS %U10,000). IN ADDITION TO THE
OAT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS, 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 self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the labor Code, for the
grformance 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 carder and policy number are:
Policy Number
Date
no 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 subieotA61he workers' conlperntAtion provisions of Section 3700 of the Labor Code, I shall forthwith comply With those Provisions.
of
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).
ender's Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to acton the property owner's behalf.
I have read this application and the Information I have provided is correct.
I agree to comp:y Oth all applicable city and county ordinances and state laws relating to building construction.
I authorize reps aala0ves of this city or county toe N�the a -ids ifs capeuly\ inspection purposes.
+annl're of PrODElt! Cwner or Authorized Aaent Z Print Property Owner's or Authorized Agent's Name !//r,
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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PERMIT FINALL
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OCCUPANCY ISSUED
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ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMO11� ON
SIGNATURE: 1��i�