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HomeMy WebLinkAboutF2023-0480 - PermitswPoRT City of Newport Beach II IIIII II IIII IIII I II II IIIIIIIIIII II II COMB Permit: FZO23-0480 D Community Development Department- Building Division F 2 0 2 3 0 4 8 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2426 Permit Counter Phone: 949 718-1888 ( Issued Date : 10/05/2023 newportbeachca.gov/civic Final Date: 9//FURN�P Combination Type - Permit Status: Issued Work Class - Other 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 0 Description : COMM FIRE SPRINKLER SYSTEM 50 HEADS (XC2022-1885) "PENDRY FITNESS & PINEWHEEL" '� a� LC JE L Owner: 690 HOTEL LLC Address : 690 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone Applicant: SEYEDAHRAR Address: 210 W Baywood Orange, CA 92865 Phone: (714)685-8133 Owner/Builder : Address : Phone: Contractor: ADT COMMERCIAL LLC Address : 210 W BAYWOOD AV ORANGE, CA 92765 Phone : (675) 566-3065 Con State Lid : 1065604 Lic Expire : 05/31/2024 Bus Lic : BT30072351 Bus Lid Expire : 07/31/2024 Workers' Compensation Insurance Carrier: OLD REPUBLIC INSURANCE Policy No : MWZY31801723 W. C. Expire: 10/1/2024 Code Edition : 2022 Fire Sprinklers : Type of Construction : I -A Fire Hazard Zone Occupancy Groups : B No of Units : Bldg Height: No of Stories Building Setbacks Flood Zone : X Use Zone : PC - orth Newport Center PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lid Engineer: Address Phone Designer: ADT COMMERCIAL LLC Address: 210 W BAYWOOD AV ORANGE, CA 92765 Phone: (675)566-3065 YES Construction Valuation : NO Added/New/TI sq. ft. Bldg 1 Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : $49,475.00 0 0 0 I hereby afflon under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) ;Section 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 no permit to file a signed statement that lie 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 crofPssions Code) or that he or she is exempt from Ocensure 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 rot more than five hundred dollars ($500). D I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended proffered for sale (Section 7044, 3usiness and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements ate 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 mproved for the purpose of sale). 1, as owner of [tie property. am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improvesthereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law).. 1 am exempt here licensure under the Contractors' State License Law far the following reason By my signature below I acknowledge that, except for my personal rosidenco in which I must have resided for at least one year prior to completion of the improvements covered by this permit I cannot legal], sell a structure that I have built as an ownor-builder if it has not been constructed in its entiroty, 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:http /Iww .leginfo.ca.govicalave.html. Signature of Property Owner or Authorized Agent ___..,_._.._.......__ _..__.._ Date LICENSED CONTRACTOR'S DECLARATION _ hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with eVn70) .Division 3 of the Busin sand Profesand effect. License Uass Licepso No Contract r Signature�lORKERS'COMPP'NSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES_ norm- affirm under penalty of perjury one of the following declarations: I hl.ve and will h.bL lain a certificate 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 or-1,once of the work for which this pomrit Is issued. Policy No. y+' ,,0%e 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' ire carrier and policy number are: re,_ as of Agent _ _ cerui that. IT the pa it I e OU ;;9rep`Pf Policy Number Date work for 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 :ker IDsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. IECLARAT€Gf'�REGARDI�iEa CONSTRItL'rTIQN�CEN6II413 AGENCY-------------......... .......__.________-.,»T------.�/ 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 ender's Name Lender's Address ly nay signature below, I cerl.ify loeach 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 provided i correct. I agree to comply vvah all applicable city and county ordina an"lawps',irp to building construction.I authorize representatives of this aty or county toe r inspection purposes. licnature of Property Owner or Aulhonz ent . n Print Property Owner's or Authorized Auenl's Naae — ACTION DATE. REGULATIONS. PART 61 OF TITLE 40 AND AQM0 0.ULF 1403 PERMIT EXPiREO tJ I SUBMITTED ASBESTOS NOTI FI CATION TO PFRM(i CANCF.LdED 77L---I��'E'�PA PERMIT EXTENDED.. ... .._ .. .._ _...nQMD -.... .. ...._. _....... PCRP,VT FIA1Al �Y t� � ASBESTOS NOl IHCAt10N I5 NOl APPLICABLE tU CER FIACAlE OF I. PROPOSED DEMOLITION OCCUPANCY'ISSUEO �i. SIGNATURE: Civil Code).