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HomeMy WebLinkAboutF2022-0165 - PermitsEWPo City of Newport Beach II II I I II I II I NI Ilu uullull II Community Development Department- Building Division II uuu u 100 Civic Center Drive, Newport Beach, CA 92660 `u S Permit Counter Phone: (949) 644-3288 � Inspection Requests Phone: (949) 644-3255 O9c,ronN`P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement COMB Permit: F2022-0165 Plan Check No: 0814-2022 Issued Date: 07I21I2022 a Inspection Area: �./v/ 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 PlcacQP s11>( Job Address : 1614 SAN MIGUEL DR Legal Desc : A TR IRVINE SUB BLK LOT 93 IRVINE SUB LOT BLK 93 POR OF BILK (P M 35-1 PAR Description: COMM FIRE SUPPRESSION SYSTEM (X2022-0754) Owner: THE IRVINE COMPANY LLC Contractor: EDISON FIRE EXTINGUISHER CO INC Architect Address: 550 NEWPORT CENTER DR NEWPORT Address : 3621 EAGLE ROCK BLVD LOS Address BEACH, CA 92660 ANGELES, CA 90065 Phone: Phone: (323)259-9999 Phone: Con State Lic : 569185 State Lic Applicant: EDWARD BEDEROV Lic Expire: 05/31/2023 Address : 3621 EAGLE ROCK BLVD LOS ANGELES, CA Bus Lic: BT30069740 Engineer: 90065 °°°° Phone: (949) 230-9506 Bus Lic Expire: 07/21/2023 Address : ...... ° s Workers' Compensation Insurance Phone: ° ° • ° ° ° ° ° ° Carrier: ® ° ° Policy No: Designer: EDWARD BEDEROV ° W. C. Expire: - Address: 3621 EAGLE ROCK 0ffNJD'6OS ANPEI ES, CA 90065 °• ° ° Phone: (949)230-9506 0°°°!° ° ° Code Edition : 2019 Fire Sprinklers: NO Construction Valuation : $2,500.00 Type of Construction : V-B Fire Hazard Zone: Y ...... ° • Occupancy Groups: No of Units : 0 Added/New/TI sq. ft. Bldg : 0 Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 ; °, ° ® • ° ° ° ° ° Building Setbacks Flood Zone: X Use Zone: CN - Commercial Neighborhood PROCESSED BY: SPECIAL CONDITIONS: (1446 F E T 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 lem(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 ae 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 'rofessions 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 of 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, ;usiness 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 nprovements 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 nproved for the purpose of sale). 11, 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 poly 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). 3 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legal ell a structure that 1 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 70" of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.htmi. signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectign,70DO) f Divi on 3 of the Business and 171!Iissions e, e e is in full force Ind effect. License Class License No Da 2 tractor Signa VORKERS' COMPENSATION DECLARATION !ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (0100,000), IN ADDITION TO TH'. OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: ave and willdvaintain 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 in erfo ance of Ml yvVV for which this permit is issued. Policy No. I iaak4and 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' compensatioi fs nce• carver and policy number are: aRier•. Policy Number Expiration Date tame of Agent • . • Phone # 31 CVfJ that. in % performance of work for ich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensaIn laws of California, and afire eS sat. if I should beer: �ubject to the a mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. signaLlce of Applicant • at IgJ;" 2pTION REG ING CONSTRU N LIENgW6113GENCY / Hereby arm urldbr 1alty of perjury th 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 I; •mysSgnature balow,.l.certify to each of the following: •I•ani the property oviner 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 ordinances and state laws relating to building construction. I authorize representatives of this city or counk to enter the above -identified property for inspection purposes. wna— rJ iionature of PrODeftV Omer or Authorized Aqe ] __. _ _ Print Property Owner's or Authorized Agent's Nam ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool. PERMITCANCELLED E3EPA PERMITEXTENDED E3AQMD PERMIT FINAL J ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFlLATE OF o'"l PROPOSED DEMOLITION OCCUPANCYI55UED _ SIGNATURE: