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Home My WebLink AboutXC2022-1978 - Permits�aEWP0", City of Newport Beach 0 @ Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone:(949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq<IFOPN\P newportbeachca.gov/inspections Combination Type - ELEC Work Class - Other IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2022-1978 Plan Check No : 20D7-2020 Issued Date : 1012512022 Inspection Area : I 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: 701 NEWPORT CENTER DR W-5) Description: COMM CELL SITE "T-MOBILE" Owner: IRVINE CO Address : 111 INNOVATION IRVINE, CA 92618 Phone: (949)608-9659 Applicant: JACOBS Address : 2600 MICHELSON DR, 500 IRVINE, CA 92612 Phone: (619)729-2294 Owner/Builder : Address : Phone: Code Edition : 2019 Type of Construction : V-B Occupancy Groups: U Bldg Height : Building Setbacks Flood Zone Use Zone: PROCESSED BY: --6�3 SPECIAL CONDITIONS: Legal Dead: Contractor: ALAMON INC Address : 315 W IDAHO KALISPELL MT 59901, CA Phone: (406)752-8838 Con State Lie : 652774 Lie Expire : 08/31/2024 Bus Lie: BT30054015 Bus Lie Expire : 02/2812017 Workers' Compensation Insurance Carrier: ZURICH AMERICAN INSURANCE COMPANY Policy No: GLA0230053 W. C. Expire : 12/31/2022 Architect Address Phone: State Lie Engineer: OSULLIVAN SEAN Address: 25663 VIEW POINTE LAKE FOREST. CA 92630 Phone: Designer: Address Phone: Fire Sprinklers : NO Construction Valuation : $50,000.00 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg No of Units : 0 Alteration sq. ft. Bldg : No of Stories : Added/New sq. ft. Garage : 0 TOTAL sq. ft. Bldg: 0 i I hereby affirm under penally 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 item(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 he 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 3rofessions 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 Tot more than five hundred dollars IWO), 1, as owner of the property, or my employees 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 7044, Business 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 mprovements are not Intended proffered for sale. 11. 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 mproved 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 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). I I am exempt from licensure under the Contractors' Stale 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 legatl; sell a structure that I have builtas an owner -builder if it has not been constructed in its entirely by licensed contractors. 1 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:flwww.legfnfo.ca.govlcalaw.html. Signature of Properly Owner or Authorized Agent _� Date _ LICENSED CONTRACTOR'S DECLARATION �T I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) of Divisio of the Business and Professions . 'md.r�ly license is in full force and effect. License Class License No Oate Contractor Signature f JVORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERSCOMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THO SAND DOLLARS ($100,000), IN ADOPTION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTERE$T, AND ATTORNEY'S FEES. hereby affirmynder penalty of perjury one of the following declarations: id will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. Policy No. have and will maintain workers' compensation Insurance, as required by Section 3700 of the Laker Code, for the performance of the work for which this permit is issued. My workers' compensation ranee carrier aAntipolicy number are: JL. ierluyiv4r ry-r8/2�„ r}uvuw.. A' Policy Number �/,G/A.V .�--�i Expiration Date is of Agent Phone # 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 , if I should becorne subjec€ the wo`n}�rs compensation provisions of Section 3700 of the Labor Code, I shall forthwith cornply with those provisions. tatufe of Applicant JI/ _!! .........-_- -_.__.—_._...........—_.,.—__.a.__...Date.,,,--.,I6,. hereby affirm under penalty of a 'u that. there a construction lending agency for the performance of the work for which this permit Is issued Section 3097, Civil Code). P tY P O rY 9 9 P P ( ) tinder's Name Lender's Address q my signature below, 1 certify to each of the following: I am the prupertv'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 rgree to coup I; with all applicable city and county ordinances and slate laws relating to building construction. I authorize re-ire,artatives of this city or county to ter the ove-identified property for inspection purposes. I--. ,-- ..1 Or,,,.ek„ n... ,,o� — A,.H—rfon,a n„r,,,r � Print Proneriv, Owner's or Authorized AGent's Name ACTION DATE BY .'DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 3 REGULATIONS PART 61 OF TITLE 40AND AQMO RULE 1403 "'i NT EXP18FJ U l SUBMITTED ASBESTOS NOTIFICATION TO ' Ir TCAAICELLEp EPA. r M1 I EXTENDER i MD PERNII, FINAL 7t-157Z- BEST05 NOTIFICATION IS NOT APPLICABLE TO TI fCATEOF 9L fIN-C$ PROPOSED DEMOUTi n71PANCY ISf9E0 E SIGNATURE: