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Home My WebLink AboutF2023-0186 - PermitsCity of Newport Beach IIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIII II COMB Permit F2O23-01 $6 Community Development Department- Building Division F 2 0 2 3 0 1 8 6 4y 100 Civic Center Drive, Newport Beach, CA 92660 Platt Check No : PC2023-0991 T Permit Counter Phone: (949) 644-3288 Issued Date : 05/0112023 ri .,.. Inspection Requests Phone: (949) 644-3255 Inspection Area : FIRE r9�/F00.N\P newportbeachca.gov/inspections Combination Type - Work Class - Alteration 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 MC QCA-T-) o T..-o S" oaf' Job Address : 320 MARINE AVE,,Al D Legal Desc : A TR BALBOA ISLAND SEC 4 BLK 14 LOT 11 BALBOA ISLAND SEC 4 L OT 11 BILK 14 E 75 FT Description: COMM INSTALL KITCHEN FIRE SUPPRESSION SYSTEM FOR:"BA RILL" (X2021-0693) Owner: 320 MARINE AVE LLC Contractor: EDISON FIRE EXTINGUISHER CO INC Architect Address : 2505 W COAST HWY STE201 Address : 3621 EAGLE ROCK BLVD Address NEWPORT BEACH, CA 92663 LOS ANGELES, CA 90065 Phone : Phone : (323) 259-9999 Phone Con State Lic: 569185 State Lic Lic Expire: 05/31/2025 Applicant : EDISON FIRE EXTINGUISHER CO INC Bus Lic: BT30069740 Engineer Address : 3621 EAGLE ROCK BLVD Bus Lic Expire : 11/30/2023 Address LOS ANGELES, CA 90065 ' Phone: (323) 259-9999 Workers' Compensation Insurance Phone: Carrier: STATE FUND Owner/Builder : Policy No : 9066898 Designer: Address : W. C. Expire: 8/1/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $2,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X Use Zone : MU-W2 - Mixed -Use Water g aV L �i� CONSTRUCTION NOISE PROCESSED BY SPECIAL CONDITIONS: ON THE WEEKEND I �0�U OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Cade: 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 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 Professions Code) or that he or she is exempt from ficensure 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). 1, 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, Business and Professions Code: The ContractorsState 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 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 improved for the purpose of sale). El 1, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not apply 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 licensureunder the Contractors' State 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 legal], sell a structure that I have built as an ownor•builder if If has not bean constructed in Its on6roty 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:htip:IiWww.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 7& of Division 3 of the Business and Professio n f my license is In full force and effect. License Class License No Date 7i?� Contractor Signatur WORKERS' LOMDENSATION DECLARATION . IARNING. FAILURE TO SF!URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE �bS f Or cOMP[N^AT'ON, CAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY" S FEES. I hereby affirm under penalty of perjury one of the following declarations: 19,:ve 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 perfdfmance of !`la work for which this permit is issued. Policy No. rse and will. maintain workers' compensation iTISUMnee, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' n,e carrier and po-icy number are: 3-r's: Policy Number Expiration Date c.`,agent _ JI certify that, in :11 peformance Of t. a woYR for which this permit is issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre if I s,wuld become subject t rk s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply Win those provisions. ignature of App&cant_f1N. ECLARAT[ON REGAR C TRUCTION LENiSiNG AGENCYhereby affirm under peof p that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y 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 1 have previd is correct, I agree to comply with all applicable city and County Ord! an as n state laws relating to building Construction. I authorize representatives of this city or county to e)4t�r( heIs e-Centifted property for inspection purposes. signature of Property Owner or Authorized Agent Lh/ Print Property Owner's or Authorized A ACTION DATE. BY DE LA ATIONOF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY € RE3 LATIONS PART 61 OF TITLE 40 AND AQMD RULE PEFMr EXPIRED I LJ I SUBMITTED ASBESTOS NOTI FICATION TO PERMITCANCELl.ED q 1_tEPA PERM77 EXTENDED aQMD PER,M)r FINAL— _ CERTiFICAiE Of OCCUPANCYISSUEO I _ _ _ - gyp" ( 3 ASBESTOS ESTOS NOTIFICA NON IS NOT APPLICABLE TO % PROPOSED DEMOLITION SIGNATURE: