HomeMy WebLinkAboutF2024-0390 - Permitsc.Wno,yCity of Newport Beach II II I I I� � I II III II IIIII I I II II
�`` 6. Community Development Department - Building Division COMB Permit: F2024-0390
F 2 0 2 4 0 3 9 0
F'- `. y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-1317
_ Permit Counter Phone: (949) 718-1888
> newportbeachca.gov/civic Issued Date : 08/20/2024
Combination Type - Final Date:
Work Class -Alteration Permit Status: IssuedInspection 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: 3901 MACARTHUR BLVD Legal Desc : P BK 61 PG 9 PAR 2 PAR 2 OF PARCEL MAP 61-9 AND PA
Description: COMM -ADD (2) MONITOR MODULES FOR BATTERY TAMPERS @ THE SECOND FLR BODY SHOP ON EXTG SPRINKLERS SYSTEM "NEWPORT LEXUS"
Owner: 3901 MAC ARTHUR BLVD LLC
Address : 1400 N TUSTIN ST
ORANGE, CA 92867
Phone :
Applicant:
Security Signal Devices
Address :
1740 N LEMON STREET
ANAHEIM, CA 92801
Phone:
(714)449-9900
Owner/Builder :
Address :
Phone
Contractor : Security Signal Devices
Address : 1740 N LEMON STREET
ANAHEIM, CA 92801
Phone:
(714)449-9900
Con State Lic
: 557497
Lic Expire :
0212812025
Bus Lic :
BT0080911
Bus Lic Expire : 12/31/2024
Workers' Compensation Insurance
Carrier: TRAVELERS PROPERTY CASUALTY
COMPANY OF AMERICA
Policy No: UB8S4819632143G
W. C. Expire : 12/1/2024
Code Edition : 2022
Fire Sprinklers :
YES
Type of Construction : I -A
Fire Hazard Zone :
NO
Occupancy Groups :
No of Units :
0
Bldg Height:
No of Stories :
2
Building Setbacks
Flood Zone:
Use Zone :
PROCESSED BY:
SPECIAL CONDITIO
0
Architect
Address
Phone : a sss, L �[
State Lic
Engineer:
Address
Phone:
Designer : Security Signal Devices
Address : 1740 N LEMON STREET
ANAHEIM, CA 92801
Phone: (714)449-9900
Construction Valuation :
$1,000.00
Added/New/Ti sq. ft. Bldg :
0
Alteration sq. ft. Bldg :
0
Add/New sq. ft. Garage :
0
TOTAL sq. ft. :
0
ti s\t -�.
ovoo�,
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 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 penally of
not more than five hundred dollars ($500).
❑ I, 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
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
E�roved 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' Slate License Law).
ff 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 legally
sell a structure that I have 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, is available Upon request when this application is submitted or at the following Web site:http:/Avww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Ale LICENSED CONTRACTOR'S DECLARATIONI hereby affirm under penalty of perjury that I am licensed under provisions Of Chapter 9 (commencing with Sect 70 Of ivisi n 3 of the Busines d ProFesse, and 1 icense is In full torte
and effect. License Class License No Dot ZO 7- Contractor Si ture
WORKERS' 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 (11700,000), IN ADDrnDN TO THE
'COST OF COMPENSATION, DAMAGES AS PROwDED 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:
ve acd 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
pe r � the work for which this permit is issued. Policy No.
ve and wid meintain 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 workerscompensatiol
;nsu" ce carrier and polii/c��y numbel ar�1 P
ICa-r'3�llakk_�Cr ri�nn>/?5r.�.5 Lre1 �Ih Policy Number (%Bg'J4�%q�03`L.3� Expiration Date
:3 of Agert ....,...... _
certify that, it rh) pe rmane 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 works compensation laws of California, and
, if I shoulu bedpm subjeclj�the workers' co9*96sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / ^
lalure of App6cad
hereby affirm order penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3'1&Civit Code).
y ri ,, signature
Name Lenders Address
y' rr; signature bc:ow, 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 cor ct.
I agree to comply with all applicable city and coup ordinances n ate laws relating to building construction.
I authorize representatives oft city D ounty t nter the a idenllRed property for inspection purposes.
annnhim of Prooertv Owner or Aulho ADent / Print Property Owner's or Authorized Agent Ngme ?,A N lif W,- O v4e/x
DATE
EXPIRED
CANCELLED
PERMITFINAL I
CERTIFICATE OF
OCCUPANCY ISSUED 1
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
I SUBMITTED ASRESTOS
UAS13ESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION