HomeMy WebLinkAboutF2023-0269 - Permits�EWPORT City of Newport Beach 1111111111111111111111111111111111111111111111111111111111111 COMB Permit: F2023-0269
Community Development Department- Building Division plan Check No : PC2023-1384
100 Civic Center Drive, Newport Beach, CA 92660
ui Permit Counter Phone: (949) 718-1888 Issued Date : 0610712023
a. newportbeachca.gov/civic Inspection Area : FIRE
Cgl/pppr��P 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 : 700 NEWPORT CENTER DR, 3RD FL Legal Desc : N TR 361 BLK 55 IRVINE SUB LOT BLK 55 POR OF BLK
Description: COMM FIRE ALARM TI TO REMOVE 1 DEVICE. (PACIFIC LIFE)
Owner : IRVINE CO
Contractor: H C I SYSTEMS INC
Architect
Address : 111 INNOVATION
Address: 1354 S PARKSIDE PL
ONTARIO, CA 91761
Address:
IRVINE, CA 92618
Phone: (949)720-3100
Phone: (909)628-7773
Phone:
Con State Lie : 905493
State Lie:
Lie Expire: 02/29/2024
Applicant : GARY RAMIREZ
Bus Lie: BT30042287
Engineer
Address
Address : 1354 S PARKSIDE PL
Bus Lie Expire: 02/29/2024
ONTARIO, CA 91761
(909) 957-5200
Workers' Compensation Insurance
phone
Phone:
Carrier: FEDERAL INSURANCE COMPANY
Policy No: 54309498
Designer: H C I SYSTEMS INC
Owner/Builder:
W. C. Expire : 3/2/2024
Address: 1354 S PARKSIDE PL
Address:
ONTARIO, CA 91761
Phone: (909) 628-7773
Phone:
2022
Fire Sprinklers: YES
Construction Valuation : $1,000.00
Code Edition :
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg : 0
Type of Construction : I -A
No of Units : 0
Alteration sq. ft. Bldg :
Occupancy Groups: B
No of Stories : 8
Added/New sq. ft. Garage: 0
Bldg Height:
TOTAL sq. ft. 0
Building Setbacks
Flood Zone: X
Use Zone: OR - Office —Regional
e 03
PROCESSED BY:
SPECIAL CONDITIONS:
UWNER-BUILDER DECLARATION
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 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
he 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
lot 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 (� portions of the work, and the structure is not intended or offered for eels (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 sold Within one year of Completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale).
to as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bu mess and Professions Code: The Contractors' State License Lew does not
ly to an owner of property who builds or improves thereon, and who contracts for the projects With a licensed Contractor pu uant to the Contractors' Stale License Law).
! am exempt from Itcensure under the Contractors' Stale License Law for the following reason:
3y my signature below I acknowledge that, except for my personal residence In which I must have resided for at least one y
sell a structure that I have built as an owner -builder if it has not been constructed in Its entirety by licensed contractors. I un
Irofessions Code, is available upon request when this application is submitted or at the following Web sile:httpaiW W W.teginl
ilgnature of Property Owner or Authorized Agent
-ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions Of Chapter 9 (commencing with Section 70)pI
ind effect. License Class License No Date (i
YORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALI
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of
nnence 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 pe
�g..
surance caller and policy number are:
Policy Number
Agent
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so
if I should become subject) he workers' c a en ation provisions of Section 3700 of the Labor Code, I shall forthwith a
Isture of Applicant
hereby affirm under penalty of perjury that them is a construction lending agency for the performance of the work for which
ender's Name Lender's Address
y my signature below, t certify to each of the foltowing:
I am the property ov.:ner or authorized to act on the property owner's behalf.
I have read this application and the Information I have provided is correct.
I agras to ccmfiy 1Wth all applicable city and county ordinances and state laws relating to building construction.
I eithodze, representatives of this city or county to enteT the aentitled property for Inspection purposes.
ALTIOH I DATE I BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
PEHMIFINAL �(7-1-3
TI�ctuus ASBESTOS NOTIFICATIONS NOT APPLICABLE TO
LEa1,CATE Of / PROPOSED DEMOLfTiOL7N p�
OCCUPANCY ISSUED crau,rrr mc. � /LIl
to completion of the improvements covered by this permit, I cannot
that a copy of the applicable law, Section 7044 of the Business and
Date
i 3 of the Business gnd Profession ; C�rde,a licenseforce
r Contractor Signature
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.0001. IN ADOmON TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
to become subject to Ile Workers' cempensation laws of California, and ogre
ply With those provisions.
permit is issued (Section 3097, Civil Code).
FOR OFFICE USE ONLY