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HomeMy WebLinkAboutF2023-0573 - PermitsvoRT City of Newport Beach I t l 9 Community Development Department - Building Division F 2 0 2 3 0 5 7 3 y. 100 Civic Center Drive, Newport Beach, CA 92660 - Permit Counter Phone: (949) 718-1888 U 'ti S newportbeachca.gov/civic Combination Type- Work Class - Other COMB Permit : F2023-0573 Plan Check No : PC2023-2846 Issued Date : 1113012023 Final Date: Permit Status: Issued Inspection Area -1K rl 0 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 : 3443 PACIFIC VIEW DR 11) ,✓ Legal Desc : A TR IRVINE SUB BLK 96 LOT 463 IRVINE SUB LOT 463 Description: COMM -TWO WAY COMMUNICATION SYSTEM "HARBOR DAY SCHOOL" Owner: HARBOR DAY SCHOOL Address : 3443 W COAST HWY NEWPORT BEACH, CA 92663 Phone: Applicant: DPR CONSTRUCTION Address: 1450VETERANS BLVD REDWOOD CITY, CA 94063 Phone: (650)474-1450 Owner/Builder : Address : Phone Contractor: DPR CONSTRUCTION Architect Address : 1450 VETERANS BLVD Address REDWOOD CITY, CA 94063 Phone: (650)474-1450 Phone: Con State Lic : 1083716 State Lic Lic Expire : 11/30/2025 Bus Lic: BT30042122 Engineer: Bus Lic Expire : 12/31/2023 Address Workers' Compensation Insurance Phone: Carrier: LIBERTY INSURANCE CORPORATION Policy No: WA766DO66943032 Designer: W. C. Expire: 9/1/2024 Address Phone: Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : No of Units : Bldg Height: No of Stories Building Setbacks Flood Zone: X Use Zone: PI - Private Institutions PROCESSED BY: SPECIAL CONDITIONS: NO Construction Valuation : $10,000.00 NO Added/New/Ti sq. ft. Bldg : 0 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 . �_ .,.ash "'F• I hen -by affirm ur.der 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 70+1.5, Pu=_'ness 3nc' R ofcssiais 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 the permit lu file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions 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 not more than five hundred dollars ($500). ❑ I, a3 own.;r cf the property, or my e, nploymas with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not Intended or offered for sale (Section 70", Busine-s and Professi�nr Cede: The Contractors' Stale 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 al a not intended or offerPrl for sple. 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' State License Law does not apply 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). ❑ 1 am exempt from licensors under the Contractors' Slate License Law for the following reason: By 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 sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professi ne ende, and m license ense is In full force and effect. License Class License No Date V 11410&5 Contractor Signature ?T�:✓�-2j.f.�'— 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 (f100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. hereby affirm under penalty of perjuryone of the following declarations: ❑ 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 IN aormance 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' carrier and policy number are: Policy Number of Agent Date 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 subieaLtW-ttlsworkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date fc 1/IA/L3 )reby 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). lders Name Lender's Address 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. I agree to comply with all applicable city and county ordinances and state laws relating to building construction, I authorize representatives of this city or county to apt bove-identified property for inspection purposes. t / nature of Prooertv Owner or Authorized Agent V ter_ Print Property Owner's or Authorized Aaent's Name W I £Z Wf"G ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXP?RED U 15UBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITEXTENDED QMD PERMIT FINAL. - / Y 'L (DYZ.YlAS �,. ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: