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Home My WebLink AboutF2022-0571 - Permitsrt �_ City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Ali 9i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 c,�/FORN�P newportbeachca.gov/inspections Combination Type - Work Class - Other COMB Permit: F2022-0571 F 2 0 2 2 0 5 7 1 Plan Chec�No : PC2022-2770 Issued Date 03/22/2023 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: 101 BAYVIEW PL Legal Desc : N TR 12528 BLK LOT 1 Description: COMM TWO WAY COMMUNICATION DEVICE "CLEARWATER" Owner: KODAKA INC Address : 1650 DELTA CT HAYWARD, CA 94544 Phone Applicant: PAL SECURITY SYSTEMS INC Address : 13752 Inglewood Ave Hawthorne, CA 90250 Phone: (424)456-4682 Owner/Builder : Address : Phone: Contractor: PAL SECURITY SYSTEMS INC Address: 13752 Inglewood Ave Hawthorne, CA 90250 Phone: (424)456-4682 Con State Lic : 740461 Lic Expire : 09/30/2023 Bus Lic: BT30079410 Bus Lic Expire : 07/30/2023 Workers' Compensation Insurance Carrier: EMPLOYEE SERV GRP Policy No : WC053420868 W. C. Expire : 7/1/2023 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : NO Occupancy Groups : No of Units : 0 Bldg Height : No of Stories : Building Setbacks : Flood Zone : X Use Zone : PC - Bayview PROCESSED BY: 5z_ SPECIAL CONDITIONS: act as PAL SECURITY SYSTEMS INC 13752 Inglewood Ave Hawthorne, CA 90250 (424)456-4682 struction Valuation : $20,000.00 ed/New/TI sq. ft. Bldg: 0 ration sq. ft. Bldg : ed/New sq. ft. Garage : 0 AL sq. ft. : 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicableitem(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 is 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 'rofesstons Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not 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 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). 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 poly to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), am exempt from Ilcensure under the Contractors' Stale License Law for the following reason: iy 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 logall, ell a structure that I have built as an owner -builder if ithas not been constructed in its entiroty 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:liwww.leginfo.ca.gov/calaw:htmi, ',ignature 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 j of !via' n 3 of the Business and Prof io s Cgde^�nd my license is In full force rid effect. License Class License No Date 2 ?p23 Contractor Signatura JORKERS' COMPENSATION DECLARATION ARNING: 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 IS100,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury oneof the following declarations: ] I have end 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 erformance of the 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 workers' carder and policy number are: Policy Number of Agent Date JI 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 agre tat, if I should become s4ect to the workers' compensation provisions of Section 3700 of the Labor Code:. I shall forthwith comply with those provisions. ,igniters of Applicant „- Date ?LZ3 I>RCLARATIGN R6GA to LENDING AGENCY hereby affirm under penalty ire,�4,ury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ' Cade). enders Name Lender's Address ly my signature below, I 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. 1 agree to comply with all applicablecity and county ordinances and state laws relating to building construction. I authorize representatives of this city or count erim the -Identified property for inspection purposes. ikinature Of ProDenv Owner Or Authorized Agent \ Print Prnnptla rlwAvr c nr Avulhrt i nF &no Vc Nnm ACTION EXPIRED DATE BYrNTION. OF COMPLIANCE WITH CODE OF FEDEI A IONS PART 61 OF TiTLE40 AND ACiMD RULE 1 I I SUBMITTEDA5BESTOS NOTIFICATION TO PERMITFXTEN06D_ �I 7 rUAOvID PERMIT FINAL /a.Q 1_I ASMESTUS NUTiF1Cr.TIUN I5 NOT APpL,CAR4E fU CERTIFICATE Of �( PROPOSED DEMOLITION OCCUPANCYUSUED j SIGNATURE: FOR OFFICE USE ONLY