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Home My WebLink AboutXC2023-0003 - Permits�EWPOR,a City of Newport Beach eCommunity Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 (U!" Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 -w,, newportbeachca.gov/inspections Combination Type - ELEC PLUM Work Class - Tenant Improvement IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�II COMB Permit : XC2023-0003 Plan Check No : PC2023-0068 Issued Date : 02/14/2023 Inspection Area : 7 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 : 1901 WESTCLIFF DR Legal Desc : N TR 4225 BLK LOT 4 TR 4225 LOT 4(AND SELY 110 FT LOT 3 Description : COMM - INSTALL 3 NEW FOUNTAINS; 201 SF, 118 SF, 120 SF Owner: BUMHAM WARD PROPERTIES LLC Address: 1100 NEWPORT CENTER DR STE200 NEWPORT BEACH, CA 92660 Phone Applicant: AQUATIC TECHNOLOGIES Address: 32232 PASEO ADELANTO #A SAN JUAN CAPISTRANO, CA 92675 Phone: (949)493-9548 Owner/Builder Address : Phone Contractor: AQUATIC TECHNOLOGIES Address : 32232 PASEO ADELANTO #A SAN JUAN CAPISTRANO, CA 92675 Phone: (949)493-9548 Con State Lie : 744177 Lie Expire : 12/31/2023 Bus Lie : BT9702IB23 Bus Lie Expire : 06/30/2023 Workers' Compensation Insurance Carrier: ZURICHAMERICAN INSURANCE COMPANY Policy No : WC450355509 W. C. Expire: 10/1/2023 Code Edition : 2022 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height: No of Stories Building Setbacks : Flood Zone: X Use Zone : CG - Commercial General PROCESSED BY: 13J SPECIAL CONDITIONS: Architect Address Phone : State Lie Engineer: Address : Phone Designer: AQUATIC TECHNOLOGIES Address: 32232 PASEO ADELANTO #A SAN JUAN CAPISTRANO, CA 92675 Phone: (949)493-9548 NO Construction Valuation : NO Added/New/Ti sq. ft. Bldg 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: TOTAL sq. ft. : $100,000.00 0 439 0 0 I hereby silirm under 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 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 fife 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 'rofessions Code) or that he or she is exempt from Iicensure 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 iot more than five hundred dollars ($500). 1 1, as owner of the property,or my employees with wages as their sole compensation, will do ( ) all of or (_) 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 mprovements 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 mproved 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). 71 1 am exempt from Ifcensure, 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 far al least one year prior to completion of the Improvements covered by this permit, I cannot legall) sell a structure that I have builtas 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 fallowing Web site:htip:tlw .leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penally of 99,,ury that i am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, and my IIDan_ se is in fu I force and effect. License Class L t License No -7L441 1 Date?�l4 `2�J Contractor Sgnatur�i'(wil 6 ac ' �, WORKERS' COMPENSATION DECLARATION WARNING: FALURETO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SRALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNORED THOUSAND DOLLARS ($100,000),IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. IIhhereby affirm under penalty of perjury one of the following declarations: rl I have and will maintain a certificate of consent to selfdnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 37DO of the Labor Code, for th performance of the work for which this permit 'es issued. Policy No. $11 have and will maintain workers' Compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. My Workers' compensatiol insurance carrier anU �ptol-icynumber are: Carver% 11 CID- - Policy Number Expiration Dale Name of Agent Phone # Ill certify that, in the performance of the Work for which this permit is issued,. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should become subject to the workers' ' ycc]o,mpenssaaatiion provisionsofSection 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant`!�!i!'�85.9_`_�_.J`d'SeD-..�5��! ...•-.,Datei�[�'�. .. DECLARATION REGARDING CONSTRUCTION LENDING AGENCY 1 4� I hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work forwhich this permit is issued (Section 3097, Civil Cade). Lender's Name Lender's Address By my signature below, I. certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read T.i'., ..pplication and the information I have provided I$ CorreCL I agree to with all applicable city and county ordinances and slate laws relating to building construction. culhorize rsprecrntatives of this city or county to enter the above-icientified property for inspection purposes. 11 A i vn , In n�s � L ea OPrint ProeeM Owner's or Authorized Agent's Name M f rapfjL�%_1.� 1'_( olkk _Date _ILL '7 Ise ,;CTICN DATE T 9Y l `1 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 630E TITLE 40 AND AQMD RULE PE RWIT Whi?ED PERMIT ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERT r ICATE GF I I s� ;;r C) JYLaANCY ISSUED