HomeMy WebLinkAboutF2023-0193 - Permits�atiwPoRT City of Newport Beach
D Community Development Department - Building Division
n 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
u y T newportbeachca.gov/civic
c'�rFoaN`� Combination Type -
Work Class - Tenant Improvement
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COMB Permit: F2023-0193
Plan Check No: PC2023-1015
Issued Date : 05/2412023
Inspection Area : FIRE
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 : 4675 MACARTHUR CT, 100 Legal Desc : P BK.196 PG 40 PAR 3
Description : COMM - RELOCATE (2) FIRE ALARM DEVICES "GENSLER" (XC2023-0049)
Owner: IRVINE COMPANY
Address : 110 INNOVATION DRIVE
IRVINE, CA 92617
Phone:
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 :
Type of Construction :
I -A
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg
Occupancy Groups :
B
No of Units :
0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
15
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks
Flood Zone :
X
Use Zone :
PC - Koll Center
PROCESSED BY:
SPECIAL CONDITIONS:
$2,763.00,
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the mason(s) indicated below by the checkmark(s) I have placed next to the applicable ftem(s)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
ha 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
'rofessions Code) or that he or she is exemptfrom leemsure, and the basis for the alleged exemption. Any violation of Section 7031.E by any applicant for a permit subjects the applicant to a civil penalty of
tot more Than five hundred dollars ($600},
1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure Is notintended 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 porsonai 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 builtor
nproved for the purpose of sale).
1 I, as ,net of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply 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).
1 am exempt from licensors under the Contractors' State License Law far the following reascm
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at feast one year prier to completion of the improvements covered by this permit, t cannot legal],
ell a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
srofessions Code, is available upon request when this application is submitted or at the following Web sjte:httptllwwwcleginfo.ca,govlcaidw.html.
tlgnature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION �
hereby affirm under penalty of pertury that I am licensed under provisions of Chapter 9 (commencing with Section 7g80 OF ,vision 3 of the Business and Prof stone Coc�,a, an It nse is In full force
rid effect. License Class License No Date Contractor Signature1n
VORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LARDS CODE, INTEREST, AND AT'rORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
3 1 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
WITnance of trio work for which this permit is issued. Policy No. _,—
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 warners`
carrier and policy number are:
Policy Number
of Agent
Date
certify that, to 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 worke/S'bpmi*nation :provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those Provisions,
of
Date 5 L 2 -V-2
sreby affirm uncle, nodally of perjury that there is a construction tending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
rider's ,Jame Lender's Address
lily signature 7elew, I Dandify t —each of the following:
I an. the property owner or authorized to act on the property owner's behalf.
I ha is read this application and the Information I have provided incorrect.
I ag-ee to comply with all applicable city and county ordinances and state laws relating to building. construction.
I Pv horizo representatives of this City or county W enter the �f�ab 4dan ifierdproperty for inspection purposes. 1
ni)-a-e of Property Owner or Authorized Agent "MAnIX.A(V Q I 1 Prof Property Owner's or Authorized Aaomr' N nrnPV�(J A r" —in 1
A-7=V
EWIRED
PERMiY FxTFNprD
PERMIT iiNA! �
CERT7FrCAif Oi I
OCCUPANCYISSUED l
DATE ( By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61. OF TITLE 40 AND AOMD RULE
TO
n") i i,.J AS13ESIOS NOTIFICATION 15 NOT APPLICABLE TO
(Fret/ 3 PROPOSED DEMOLITION
FOR OFFICE. USE ONLY
Date