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Home My WebLink AboutF2023-0461 - Permits(IX'st, 4D,", City of Newport Beach,COMB Permit : F2023-0461 Community Development Department- Building Division F 2 9 2 3 8 4 6 1100 Civic Center Drive, Newport Beach, CA 92660 Fktn Check fftb : PC2023-2315 Permit Counter Phone: (949) 718-1888 Issued Date : 1011012023 newportbeachca.gov/civic Final Date: 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 : 690 NEWPORT CENTER DR Legal Desc : P BK 196 PG 13 PAR 2 PARCEL MAP 196-13 PAR 2 FOR O �T Description: COMM FIRE ALARM TI WITH,`t'IDEVICES AT FITNESS CENTER @ 2ND LEVEL OF HOTEL "PENDRY" (XC2022-1885) 7 1 l Owner: 690 HOTEL LLC Contractor: ADT COMMERCIAL LLC Architect Address : 690 NEWPORT CENTER DR Address :. 210 W BAYWOOD AV Address NEWPORT BEACH, CA 92660 ORANGE, CA 92765 Phone : Phone : (675) 566-3065 Phone Con State Lic : 1065604 State Lic Lic Expire: 05/31/2024 ' Applicant : SEYED AHRAR Bus Lic: BT30072351 Engineer Address : 210 W Baywood Bus Lic Expire : 07/31/2024 Address Orange, CA 92865 • > - - Phone: (714) 685-8133 Workers' Compensation Insurance Phone: " Carrier: OLD REPUBLIC INSURANCE Owner/Builder : Policy No: MWZY31801723 Designer: ACT COMMERCIAL LLC Address : W. C. Expire: 10/1/2024 Address: 210 W BAYWOOD AV ' ORANGE, CA 92765 • . , , Phone: Phone: (675) 566-3065 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $45,855.00 Type of Construction : I -A Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : A3/R1 No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 19 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: OWNER -(BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt Irom the Contractors' Slate License Law for there ason (a) indicated below by the checomark(s) 1 have placed next to the applicable item($) (Section 7031 a- Business and Professions Code: Any city or county that requires a pemrlt to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also raquires 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 licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permtt subjects the applicant to a civil penalty 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 U 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, hinds 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 improved for the purpose of sale). ❑ 1, as ci of the property, am exclusively contracting with licensed Contractors to constructthe 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). ❑ 1 and exempt from Iicensure under the Cuntractors' Slate 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 soil 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:htlp:llwww.1eginto.ra.gov/colaw.htmi. Signature of Property Owner or Authorized Agent_.._...._............._.__....,.___..........._________...__.._-� Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that i am licensed under provisions of Chapter 9 (commencing with Geet n ) o Division 3 of the B ass and Professions n r ende is n tt once and effect. Licer,a Piss License No I D e Contr ct Signature VJ'JRKFRS' COMPENSATION DECLARATION WARNING: FAILURE 10 SECURE WORKERSCOMPENSATION COVERAGE IS UNLAWFUL, AMU SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS00,000i, IN ADDITION TO THE Cos' OF ro MPEN SATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS PEES.. h?reol, infirm under penalty of perjury one of the following declarations: ❑ have and wi;l ciowtan a certiliCale 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, 'TN Hii L:ice of the work for which this permit is issued. Policy No. and 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' carrier and policy number are: certify that, in :he pErformance of the if I should bear,rnrl subject to the w9 Policy Number Date for which IT,is/permit is issued I shall not employ any person in any manner so as to become subject to the we e compensation laws of California, and agre comp rn �do p ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I '^ 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, 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 provitiliedis co ct. I agree to comply with all applicable city and unty or noes a. late I� ling to building construction. I authorize representatives of this city r unl. ea identified pr .arty for inspection purposes. Signature of Property Owner or Authcnz gent Print PropertyOwner's or Authorized Agen' N me Date 1 ACTION DATE Y i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i RFCIAAfION5 PART 51 OF 1'ITLF. 90 AF ACFMD RULE 1403, _ PERMIT EXPIRED LJ I sUBMITTFD AS8FSTO5 NOTIFICATION TO PERiOITEXTENDED I iJAOMD PERNFITF1NA1 a� � -�� ❑ASBESTOS NOTIFICATON IS NOn APPLICABLE 70 CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: