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Home My WebLink AboutF2024-0278 - Permits",Wpo,, City of Newport Beach , II � I I II A Community Development Department- Building Division COMB Permit: F2024-0278 F 2 0 2 4 0 2 7 8 7 r m t n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO : PC2024-1083 Permit Counter Phoney 949 718-1888 ( newportbeachca.gov/civic Issued Date : 0611212024 c r~ Final Date: "<rtowN Combination Type - Permit Status: Issued Work Class - Tenant Improvement 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: 620 NEWPORT CENTER DR, 280 Legal Desc : P BK 295 PG 33 PAR 1 PARCEL MAP 295-33 PAR 1 FOR 0 Description: COMM FIRE ALARM TI *XC2024-0151* "LPL FINANCIAL" 7 DEVICES Owner: 620 NCD LLC Address : PO BOX 2450 NEWPORT BEACH, CA 92658 Phone Applicant: H C I SYSTEMS INC Address : 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone: (909)628-7773 Owner/Builder : Address : Phone Contractor: H C I SYSTEMS INC Address : 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone: (909)628-7773 Con State Lic : 905493 Lic Expire : 02/28/2026 Bus Lic : BT30042287 Bus Lic Expire : 02/28/2025 Workers' Compensation Insurance Carrier: FEDERAL INSURANCE COMPANY Policy No: 54309498 W. C. Expire : 3/2/2025 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : I -A Fire Hazard Zone : NO Occupancy Groups : No of Units : 1 Bldg Height: No of Stories : 16 Building Setbacks Flood Zone: X Use Zone : PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: Architect Address a Phone State Lic Engineer: -^ Address Phone: Designer: H C I SYSTEMS INC Address : 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone: (909)628-7773 Construction Valuation : $2,205.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 0 Add/New sq. ft. Garage: 0 - TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm 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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 Eyproved 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). ❑ 1 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 legally sell a structure that I nave, built as 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, ,s available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.gov/calaw.html. Siyl r lwa of Prope: t; O.vner or Authorized Agent „ Date _ LICENSED CONTRP.CTOR'S DECLARATION I t.arcby Effrrm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ten 7 BJ of Divisi n 3 of the usi ess and ProfesNiW�s Gotle, and m1`in TUII force and ehect. License Class License No t I Contr for Signature 2 WOMERS' COMOENSATION DECLARATION WARNING: FAILURE TO SEC -)RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CINL FIN P T ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CUSr Lr JOMPENSr.TIDN, DP VIAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. I affirm under penalty of perjury one of the following declarations: 0 1 havr 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, gnnr ice of the work for which this permit is issued. Policy No. WAwle and wi'! -re, Intain 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' compensatior Insutance carrier and policy number are: Policy Number Date me of Agent certify that, in th -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 agree I, if 1 she ome subject workers compensation provlsi f Section 3700 of the Labor Code, I shall forthwith comply with (hose provisions. / natur AP licant _. _ _ _ _ _. _ Ql(JI w /�LF-__ CLARATION EGAR ING CONSTRUCTION LENDING AGENCY )reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is Issued (Seclio 097. Civil Code). tder's Name _ Lenders Address 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 I have provided is correct. I agree to comply with all applicable city and county rdinances and state laws relating to building construction. I authorize representatives of this city or un enter the above-identUied propert for inspection purposes. % mature of Prooertv Owner or Authorized A t 1�/ _ I_ Print Property Owners or Authorized e 's me V ` D w ACTION I DATE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED glLil tq �7 /r W DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE REGULATIONS PART 61 OF TITLE 40 AND AQMD RLILF 1403 SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: