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Home My WebLink AboutF2022-0640 - PermitsCity of Newport Beach p e Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 0 t Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement F 2 0 2 2 0 6 4 0COMB Permit : F2022-0640 Plan Check No : PC2022-3149 Issued Date : 12/19/2022 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 : 906 AVOCADO AVE Legal Desc : P BKr270 PG 15 PAR ..1.P M 270-15 PAR 1 FOR OF PAR Description : COMM FIRE SPRINKLER TI W/ (14) HEADS. "ALCHEMY 43". 1232SF (XC2022-2000). Owner: IRVINE CO Contractor `. A&D FIRE - Architect: Address: 111 INNOVATION Address: 7130 CONVOY CT Address IRVINE, CA 92618 SAN DIEGO, CA 92111 Phone: (949)608-9659 Phone: (858)277-3473 Phone: Con State Lic : 1089002 - State Lic: Lic Expire : 09/30/2024 - Applicant: A & D FIRE Bus Lic: BT30073130 Engineer: Address : 7130 CONVOY CT Bus Lic Expire: 10/31/2023 Address : SAN DIEGO, CA 92111 Phone: (858)277-3473 Owner/Builder Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone: Use Zone: PROCESSED BY 2019 I-B B X PC - Newport Village SPECIAL CONDITIONS: Workers' Compensation Insurance Carrier: AMERICAN ZURICH INS CO Policy No : WC008315007 W. C. Expire: -1/1/2023 Fire Sprinklers : YES Fire Hazard Zone : NO No of Units : 0 No of Stories: Phone: Designer: A & D FIRE Address: 7130 CONVOY CT SAN DIEGO, CA 92111 Phone: (858)277-3473 Construction Valuation : $6,950.00 Added/NeW/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 as a oW°aco ° ° t,IYYIVtK-OSIILUL.K lJMULAKA tIUN ' I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the appiicebte item(s) :ctton 7031.5, Business and Professlons 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 permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stata License Law (Chapter 9 (commencing with $action 7000) of Division 3 of the Business and tfessions Code) or that he or she is exempt from lieonsure andthe 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 more than Rye hundred. dollars ($500). LI I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of 11 Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through e Improvements are not Intended or offered for sale. ff, however, the building or improvement is sold within one year of comp improved for the purpose of sale), L as owner of the property, am exclusively contracting with licensed Contractors to constmot the project (Section 7044, apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below f acknowledge that, except for my personal residence in which I must have resided for at least one y sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I tun Professions Cade, is available upon request when this application is submitted crat the following Web sita:httpJ/wwwJagini Signature of Property Owner or Aufftorized Agent LICENSED CONTRACTOR'S DECLARATION. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section TOGO) of and effect. License Class License No Date _121 COMPENSATION DECLARATION rARNING: FAILURETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL'. CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION S706 OF THE LABOR COOE,INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: l 1 have and will maintain a certificate of consent to sett -insure for workers' compensation, Issued by the Director of e�rffooptnance of the work for which this permit Is issued. Policy No. dl have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe isuuance carrier and poticy number are: :arrier -n, Zrs21C-H Policy Number /�> c r /n 5?4/�on'? of Agent work, and the structure is not intended or offered for sale (Section 7044, ployeaS or personal effort, builds or improves the property, provided that the Ion, the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). that a copy of the applicable law, Section lcalaw.htmi. __..._.. Date and lsion 3 of the Business and Profes s de, tense is In full force Contractor Signature AND CIVIL FINED UP TO ONE HUNDRED THOUSAND DOLLARS 1S10g0001. IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit Is Issued. My workers' Date 2/,z(r/—�4- entity 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 1 should become subfe wow c s' co'�'npensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. stureofApplicant 2 �kr Date !2l/9107_ I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which ,this permit Is Issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, t cerVy to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have reed ir'yshppiicatiDn and the information F have provided is correct I agree to comply with all applicable city and county ordinances and state laws relating to building construction. • • • 1 authodze rep•esentatives of this city or county to er - a 09vt-lWiied property for inspection purposes. • •ACTION • I DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY • " • • REGULATIONS PART 61 OF TITLE 40AND AOMD RULE • su•e•. 1408 'FaRMIT €XPfREO, •1 U I SUBMITTED ASBESTOS NOTIFICATION TO •�•P/tYwfIT FINAL • se= �LII IpI�J j`�VIILJHI IJ.ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO C€RRFICA7f CF• • I PROPOSED DEMOLITION QGGLfPANCYI55� €D _ SIGNATURE: s