HomeMy WebLinkAboutF2023-0454 - PermitsaEwPovR City of Newport Beach II COMB Permit: F2023-0454
A Community Development Department - Building Division F 2 0 2 3 0 4 5 4
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2307
Permit Counter Phone: (949) 718-1888 Issued Date : 10/17/2023
��s.. newportbeachca.gov/civic Final Date:
c9G�FORN�P Combination Type - Permit Status: Issued
Work Class - Addition 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 : 3459 VIA LIDO Legal Desc : P BK 85 PG 1 PAR 1
Description: COMM FIRE ALARM TI WITH 80 DEVICES FOR "LIDO THEATRE" (X2022-0844)
Owner: LIDO PARTNERS
Address :
3425 VIA LIDO #250
NEWPORT BEACH, CA 92663
Phone:
(949)723-7100
Applicant :
MORGAN COLE
Address :
2500 CORPORATE PLACE
MONTEREY PARK, CA 91754
Phone:
(323)840-5999
Owner/Builder :
Address :
Phone
Contractor: D & S ELECTRONIC PROTECTION Architect:
SYSTEMSINC
Address:
2500 CORPORATE PLACE
MONTEREY PARK„ CA 91754
Phone:
(323)224-6700
Con State Lic
: 1018244
Lic Expire :
09/30/2024
Bus Lic:
BT30081972
Bus Lic Expire : 06/30/2024
Workers' Compensation Insurance
Carrier: WESTCHESTER FIRE INS.
Policy No : 71827765
W. C. Expire: 2/12/2024
Address
Phone :
State Lic
Engineer:
Address
Phone :
Designer: D & S ELECTRONIC PROTECTION
SYSTEMSINC
Address : 2500 CORPORATE PLACE
MONTEREY PARK„ CA 91754
Phone: (323) 224-6700
Code Edition :
2022
Fire Sprinklers :
YES
Construction Valuation : $41,000.00
Type of Construction :
II-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups :
Al/B
No of Units :
0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
3
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks
Flood Zone :
X
Use Zone:
CG - Commercial General
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 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 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
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).
Q 1, as owner of the property, or my employees with wages as their sole compensation, will do i_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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,
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).
Ell, 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).
Q I am exempt from licensure under 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 legally
sell a structure that I have built as an ownor-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:htlp:JJwww.leginfo.ca.gov/calaw.fitml.
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 70 0) f Div'sian 3 0f the Business and Professions Code, an tense Is In full force
and effect. License Class License No Date O Contractor Signature is
COMPENSATION DECLARATION
WARNING; 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES 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:
Q i have and will maintain a certificate of consent to self -insure for workers' Compensation, issued by the Uimclor of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN
performance 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
certify that, in the performance of the work for which this permit is
if I should become subject to the workers' compensation pcQvijE
of Applicant
Date
not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
3700 of the Labor Code, I shall forthwith comply with those provisions.
Date _ I-Q/ a I I ;t
hereby 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).
ender's Name _ Lenders Address
y my signature below, II certify to cacti of the following:
I are the property owner or authorized to act or, 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 enter the above-identifF� erty for inspection purposes.
Owner or Authorized
ACTION
DATE
BY I DECLARAILOWOF COMPLIANCE WITH COD€OF FEDERAL
I REGULATIONS PART t OF TITLE 40 AND AQMD RULE
1403
FOR OFFICE USE ONLY
PERMIT EXPIRFD
I SUBMITTED ASBFRTOS NOTIFICATION TO
PERMIT CANCEtLE.7
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PERMIT EXTENDED
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CERTIFICATE OF
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L,- l ALSBESTOSNOTIFICALION ISN01' APPLICABLE TO
[Y`l I PROPOSED DEMOLITION
OCCUPAN[Y ISSUED
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I SIGNATURE: