The URL can be used to link to this page

Home My WebLink AboutF2024-0109 - Permits�EWPO,gr City of Newport Beach II IIIIIIII II IIII II IIIIII III IIII I�IIIII I II COMB Permit: F2024-0109 A Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0424 ~ n Permit Counter Phone: (949) 718-1888 Issued Date : 03104/2024 newportbeachca.gov/civic Final Date: °ge.rcoar�P Combination Type - Permit Status: Issued Work Class - Tenant Improvement Inspection Area 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 G�` �� D1a��b�� Job Address: 4321 BIRCH ST �"'+�fl Legal Desc : N TR 5169 BLK LOT 5 Description: COMM FIRE ALARM TI - (1) DEVICE "KINDBODY NEWPORT BEACH" FERTILITY CLINK"+')('• �o • I `11 * Owner: 4321 BIRCH PARTNERS LTD Contractor: SECURITY SIGNAL DEVICES INC Architect Address : 668 N COAST HWY #1370 Address : 1740 N LEMON STREET Address LAGUNA BEACH, CA 92651 ANAHEIM, CA 92801 Phone: (949)305-3493 Phone: (714)449-9900 Phone: Con State Lie : 557497 State Lie Lie Expire : 02/28/2025 Applicant : SECURITY SIGNAL DEVICES INC Bus Lie : BT0080911 Engineer Address : 1740 N LEMON STREET Bus Lie Expire : 12/31/2024 Address ANAHEIM, CA 92801 Phone: (714) 449-9900 Workers' Compensation Insurance Phone: Carrier: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Owner/Builder; Policy No: UB8S4819632143G Designer Address : W. C. Expire : 12/1/2024 Address Phone: Phone: , Code Edition : Fire Sprinklers : Y95 Construction Valuation : $1,000,00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : No of Units : 1 Alteration sq. ft. Bldg Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X Use Zone: Office -Airport PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION € hereby affirm under penalty of perjury that I ant exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items] iection 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 1s permit to file a signed statement that fie 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 exempt from licensure and the basis for the alleged exemption. Any violatlon of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars (5500). '.. 7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044, usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employeesor 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). 1 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 poly 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), I I am exempt from licensure under the Contractors' State License Law for the following reason: ,y 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 oil a structum that I have built as an owner -builder if it has not Coen constructed in its entirety 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: into:11www.leginfo.ca,goWcalaw.hIlml. signature of Property Owner or Authorized Agent - _ _ ate ,ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S Lion 7000) Di ision 3 WIN usiness and Profs I s Code, an f ense is In full farce nd effect. License Class License No to N 3. e C actor Signature PORKERS' 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 (6101I IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I nave and will maintain a. certificate of consent to sell -insure for workers' Compensation, Issued by the Director Of Industrial Relations as provided for by section 3700 of The Labor Code, for the P Lance of the a;cr:: for which this permit Is issued. Policy No. and wit- maimein 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' Sod p�llcy number are: cf Agent _ Den' fy that, in the I, I shouS becor 0 IJLr's Name Policy Number Date Phone ti / lane of a work for which this,p it is issued: I shall not. employ any person in any manner so as to become subject to the workompensation laws of California, and agree ict t workers' compensa , revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. y6/X\7 Da 3 CONSTRUCTION LENDING AGENCY 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). Lenders Address rn; signature bslow, I certify to each of the fallowing: I am the property owner or authorized to act on the I have read this application and the Information I ha, I agree to comply with all applicabte city and cow I authorize representatives of this ty or county t nature of Proourtv Owner or AuthondAaent. ° BY PERMIT EXPIRED PERiMIT EXTENDED CERVOCA7E Of OCCUPANCYISSUED owner's behalf, led is correct. ,as and state s relating to building. construction. aGov If d property for inspection purposes. 1 `-Print Property Owner's or Authorized Agent's Name DAP✓fit f DN OF COMPLIANCE WIT14 CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE i...IASBESTOS NOTIFICATION 15 NOI"APPLICABLY TO PROPOSED DEMOLITION SIGNATURET.