Loading...
HomeMy WebLinkAboutF2023-0243 - Permits��WP�RT City -of Newport Beach II IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : F2U23-0243 Community Development Department- Building Division F 2 e 2 3 0 2 a 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1255 D } S Permit Counter Phone: (949) 718-1888 Issued Date : 05/25/2023 .x. newportbeachca.gov/civic Inspection Area : FIRE °gc��onN`P Combination Type - Work Class - Tenant Improvement 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 : 924 AVOCADO AVE Legal Desc : P BK 270 PG 15 PAR 1 P M 270-15 PAR 1 FOR OF PAR Description: COMM FIRE APRINKLER SYSTEM 17 HEADS (XC2023-0016) Owner: IRVINE COMPANY Address : 110 INNOVATION DRIVE IRVINE, CA 92617 Phone: Applicant: DELTA FIRE PROTECTION Address: 7356 FULTON AVE NORTH HOLLYWOOD, CA 91605 Phone: (818)764-7990 Owner/Builder : Address : Phone Contractor: DELTA FIRE PROTECTION Address : 7356 FULTON AVE NORTH HOLLYWOOD, CA 91605 Phone: (818)764-7990 Con State Lie : 555329 Lie Expire : 01/31/2025 Bus Lie: BT30081689 Bus Lie Expire : 05/30/2024 Workers' Compensation Insurance Carrier: INSURANCE CO OF THE WEST Policy No; WVE503314807 W. C. Expire: 3/14/2024 Code Edition : 2022 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : No of Units : Bldg Height: No of Stories Building Setbacks : Flood Zone : X Use Zone : PC - Newport Village PROCESSED BY: S� SPECIAL CONDITIONS: Architect Address Phone : State Lie Engineer: Address Phone Designer: DELTA FIRE PROTECTION Address : 7356 FULTON AVE NORTH HOLLYWOOD, CA 91605 Phone: (818)764-7990 YES Construction Valuation : NO Added/New/TI sq. ft. Bldg 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : $3,500.00 0 0 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 Bemis) ction 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 permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (,ty���`tI,apter 9 (commencing with Section 7000) of Division 3.of the Business and fessions Code) or that he or she is exempt from liconsure and the Basis for the alleged exemption Any violation of Seatton 7rS I S by any applicant for a permit subjects the appficaritto a civil penalty of more than five hundred dollars ($500). II ICI 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the I Business and Professions Code: The Contractors' State License Law does not apply to an owner of property, who, through ei improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comploth Improved for the purpose of sale). 0 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bus ra ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor put L! I am exempt from licensum under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence In which I must have resided for at least one year sell R structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed Contractors. ) under, Professions Code, is available upon request when this application is submitted orat the following Web sita:http:/lwww.leginfo.c Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Sectio 0 ) o and effect. License Class License No OR WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES COST OF COMPENSATION, GAMAGFS AS PROVIOEA FOR IN SECTION 1TOS• OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES, I hereby affirm under penalty of perjury one of the fallowing declarations: © 1 have and will maintain a certificate of consent to sed,eaure for workers' compensation, issued by the Director of inn 'performance of the work for which this permit tIs issued. Policy No, �tav_e and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the Rafter (insurance carrier and policy number are: Carrier Policy Number of Agent k, and the structure is not intended or offered for sale (Section 7044, Des' or personal effort, builds or improves the properly, provided that the the Owner -Sunder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law GOES not to the Contractors' State License Law), to completion of the Improvements covered by this permit, I cannot that copy of the applicable. law, Section 7044 of the Business and Icalaw.ntml. Date A /7 the Business and Prr)fVROrrVC�eA9d my I191firse, is In full force CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS10g000), IN ADD RICH 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 certify that, in the performance of the we " for which thi raft is issued.. I shall not. employ any person Inany manner so as a become subject to the workers' aompensation laws of California. and agree t, if I should become subject to t r r Dompansa provisions of Section 3700 of the Labor Code, I shalt forthwith con ty with those provisions. nature of Applit;a t Dafrb "� y Gi.AitATEON REG O ST TION LEN7.3 Of ENCY areby affirm under penalty of perjury that there is a Construction lending agency for the performance of the work for which this ermit is issued (Section 3097, Civtl ode). ider's Name Lender's Address my signature below, I certify to each of the fallowriaig: I am the property owner or authorized to act on the property owner's behalf. )�z I have read this application and the Information I have provided is correct ./ I agree to comply with all applicable city and c unty ordinances an sta I relatln t uflding construction. I authorize representatives of this city or co to enter the o -ide ' ed prope or inspection purposes. (nature of Pro en Owner or Authorized Arm rint Property Owner's or Authorized A em's Name ate . J7l TION DATE. BY I DFZL<RATION OF COMPLIANCE WITH CODE Or FFDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQNIU RULE PERMIT CANCEU ED 1 LJEPA _ P€RMITEXTENOEO�� PEAMIT'FiNAt J �U�f� { iT,t ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF 71, PROPOSED DEMOLITION OCCUPANCYISSUEO 1 SIGNATURE: