HomeMy WebLinkAboutF2022-0479 - PermitsU"""�
City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIII��IIII�I�III����IIII�I�I�IIIIII COMB Permit: F2022-0479
Plan Check No : PC2022-2305
Community Developmentt Department
Beach, CA 826 Division Issued Date : 12/0112022
100 Civic Center Drive, I
Permit Counter Phone: (949) 644-3288 Inspection Area : FIRE
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type -
Work Class - New
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE L TE
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
Description: COMM FIRE ALARM SYSTEM (650) DEVICES
owner: KODAKA INC
Address : 1650 DELTA CT
HAYWARD, CA 94544
Phone :
Applicant : TRL SYSTEMS INCORPORATED
Address: 9531 MILLIKEN AVE
RANCHO CUCAMONGA, CA 91730
Phone: (909)390-8392
OwnerlBuilder
Address :
Phone:
Code Edition : 2019
Type of Construction : �B/S2/R2
Occupancy Groups:
Bldg Height
Building Setbacks :
Flood Zone : X
Use Zone : PC - Bayview
PROCESSED BY: _ " ) "
SPECIAL CONDITIONS:
Legal Desc : N TR 12528 BILK LOT 1
"CLEARWATER" X2021-2737
TRL SYSTEMS INCORPORATED
Contractor:
9531 MILLIKEN AVE
Address:
RANCHO CUCAMONGA, CA 91730
Phone:
(909)390-8392
Con State Lic
: 413747
Lic Expire
1 30/2023
Bus Lic:
BT02071605
Bus Lic Expire : 06/30/2023
Workers' Compensation Insurance
Carrier: HARTFORD
Policy No: 72WEZR5673
W. C. Expire: 10/1/2023
Architect: e•
Address :
Phone:
State Lic
Engineer:
Address :
Phone:
Designer: TRL SYSTEMS INCORPORATED
Address : 9531 MILLIKEN AVE
RANCHO CUCAMONGA, CA 91730
Phone : (909) 390-8392
Construction Valuation : $70,000.00
Fire Sprinklers : YES
Added/NewlTI sq. ft. Bldg : 0
Fire Hazard Zone : NO
Alteration sq. ft. Bldg :
No of Units : 0
Added/New sq. ft. Garage : 0
No of Stories :
TOTAL sq. ft. : 0
J�1 VWC
qOR� 55a- bl (0-1
penjury
I hereby affirm under penaltyro Professions
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
(Section 7031.5. Business and Professions Cade: Arty city or county that requires a permit to construct. alter, improve, demolish, or repair any structure, pear totes iss
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 (Uctrwith S resth item{a
Professions Code) or that he or she is exempt from licensers and the basis for the alleged exemption. Any violation of Section 7D3L5 by any applicant for it permit subjects ofDivistiance, also ion
a3 of the
Business
applicant
aof
not more than five hundred dollars ($50D),commencing action jests this Dwiplic 3 of the Business and
o a
vil
I, asS owner ro the property, or he employees with wages as their sole compensation, will do } all of or
Business and Professions Code: The ContraOtOrs' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves rov
(_} portions of the work, and the structure Is not intended or offered for sale (Section 7044,
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 ¢f sale). p es the property, provided that (he
.111. 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
11 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' State License Law),
I am exempt from licensors under the Contractors' State License Law for the following reason: _ _
By my signature balm 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
sell a structure that I have built as an owner -builder if it has not been constrvctad in its entiroty, by licensed contractors. I understand that a copy of the. applicable law, Section Professions Code, is available upon request when this application is submitted oral the following Web site:http:flwww.leginfo.ca.gov(celaw.ntml. covered by this permit, cannot legally
Signature of Property Owner or Authorized Agent _ , on 7044 of the Business and
LICENSED CONTRACTOR'S
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 00) f Division 3 of the Business and PYa Date _
and effect. License Class
NORKERS' COMPENSATION DECLARATION License No Date q i s Cod ense is In full force
L Ci ' 22 Contractor Signature
YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL REST, AN AN ATTORNEYS
ER TO CRIMINAL PENALTIES AND CIVIL FINES OF TO ONE HUNDRED THOUSAND DOLLARS (Ii0U,a00t, IN AODRION TO THE
:DST OF COMPENSATION, LREWE4ASFROVIMEOFORiNSECTIONATsa OFTHE LABOR CODE, INTEREST,ANDATTORNYER FEED.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a Certificate permit
of consent to Policy
No, for workers' compensation.. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
I have a of the work for which this perrof is issued Policy No.
eve and well maintain workers' compensation insure
carrier and policy number era: nice, as required by Section 3700 of the Labor Code,. for the performance of the work for which this permit is issued.
Policy Number
TB of Agant Expiration Date _
certify that in the erf0 ante of the work for which this permit is issued, I shall not employ ananner Phone If
if Inshould becom su j •t to the a hers' mpensation provisions of Section 3700 Of he Labor Code.it shall forthwith oomply wish hose plrovis ons�
store of Applicant
hereby affirm under 7 ry�`....�Ivrv`� IrYe�§NCY
Roder s Name p al,ty perjury er'u that theca is a construction lending agency for the performance of the Work for which this permit is issued (Section 3
y my signature below, I certify to each of ilia following: Lenders Address
I am the Property owner or authorized to act un the property owner's behalf. I have read this application and the information I have provided' crest.
I agree to comply with all applicable city and unty rdlnanc an
I authorize representatives of this city or count to er t aws relating to building construction. I /
gnature of Property Owner or Aulhonzad Ana.ni •identtfie operty for inspection purposes.
I uYunnATEON OF COMPLI 1A+ITN CODE OF FEDERAL FOP. OFFICE USE ONLY
REGULATIONS PART 51 OF 4D ANDA
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