The URL can be used to link to this page

Home My WebLink AboutF2023-0596 - Permits"EWPo" City o� Newport 3ea.-hr 0� Cor.imuniry Deve!opme.it Department- Building Division > 100. Civi,. Cantar Jrive Ne•vp.xt 3aach, CA 92660 u S Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Cg4F00.N\P Combination Type 'Nort Class - Other F 2 0 2 3 0 5 9 6II COMB Permit: F2023-0596 Plan Check No : PC2023-2996 Issued Date : 12/18/2023 Final Date: Permit Status: Issued 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: 101 BAYVIEW PL Legal Desc : N TR 12528 BLK LOT 1 Description: COMM -EMERGENCY RESPONDER RADIO COMMUNICATION SYSTEM (X2021-2737) Owner: CLEARWATER AT NEWPORT BEACH OWNER Contractor: PAL SECURITY SYSTEMS INC Architect LLC Address : 400 WATER ST, 200 Address : 13752 Inglewood Ave Address EXCELSIOR, MN 55331 Hawthorne, CA 90250 Phone : (612) 741-8936 Phone : (424) 456-4682 Phone Con State Lic : 740461 State Lic Lic Expire : 09/30/2025 Applicant: PAL SECURITY SYSTEMS INC Bus Lic: BT30079410 Engineer: Address : 13752 Inglewood Ave Bus Lic Expire : 07/31/2024 Address Hawthorne, CA 90250 Phone: (424) 456-4682 Workers' Compensation Insurance Phone: Carrier: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA Owner/Builder : Policy No : WC034274724 Designer: PAL SECURITY SYSTEMS INC Address : W. C. Expire: 7/1/2024 Address : 13752 Inglewood Ave Hawthorne, CA 90250 Phone: Phone: (424) 456-4682 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : Type of Construction : III -A Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - Bayview PROCESSED BY: SPECIAL CONDITIONS: t 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 rext to the applicable items) (Section 7031 '5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dernollsh, or repair any structure, prior a 1 s i5eUance, also requires the appi#cant 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 ofthe 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500), El 1, as owner of the property, or my employees with wages as their sole compensation, will do 1_) all of or (_) portions of the work, and the structure '.s not Intended proffered fo• sple (Sec.i�n 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, nuilds or innom-es Ine props ly, 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 o, proving ;h3' it •vdq not built or improved for the purpose of sale). ❑ 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not app€y to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).. -- I am exempt from lcensura 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 prior to Completion of the improvements covered by this permit, 1. cannot legally sell a structure that I have built as an owmor-builder if it has not been constructed in its entirety by licensed Contractors. I vnderstand 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:llwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent ___ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SBGLIbO 700 ) of Di is(a i the Business and Professions Cade and / nse i In lull farce and effect. License Class License No Date S / Contractor Signature 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 13100,0001., IN ADDITION TO THE COST OF COMPENSATION, DAMAGES Asp Rovimin FOR IN SECTION 370E. OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FERS, I hereby affirm under penalty of perjury one of the fallowing declarations: [,,.,t 1 have and will maintain a oeniGcale 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, a orma ce of the work for which this permit is issued. Policy No. l,�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` compensatior F''i1111 s nce carrier and policy number are: to of Agent certify that, in the performance of the if I should become subject to the we Of Policy Number Date ;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 agra v provistons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 99 _ Dale„ i 2� Y 127 OLARATION REGARVING CONSTRUCTION LENDING AGENCY areby 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). Ider s Name Lender's Address my signature below, I Certify to each of III$ following: I am Vie property owner or authorized to act on the property owner'sbehalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances an state laws relating to building construction. I authorize representatives of this city or county to elpter tli(e above '1 ltifleAproperty for inspection purposes. p f I rn of DATE BY DECLARATION OF COMPLIANCE Ve li CODE OF FEDERAL I REGULATIONS PART 51 OF TITLE 40 AND AOMD GULF. PERMIT EXPIRED ( I 1 U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAL ��1�]2 �61ft-tOVLYU5 { L,.IASBESIDS NOTIFICAi ION 15 NOT 'APPLICABLE TO CERTIFICATE OF lob ( PROPOSEOOEMOLITION OCCUPANCYi55UED SIGNATURE: FOR OFFICE USE ONLY lr