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HomeMy WebLinkAboutF2023-0602 - Permits�EWPOR, City of Newport Beach IIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2U23-�6�2 Community Development Department- Building Division F 2 9 2 3 0 6 6 2 100 Civic Center Drive, NewportBeach, CA 92660 Plan Check No : PC2023-3026 Permit Counter Phone: (949) 718-1888 Issued Date : 12/22/2023 u newportbeachca.gov/civic Final Date: Cq�/FORN�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 : 1400 BALBOA BLVD W Legal Desc : N TR 234 BLK 114 LOT 1 TR 234 LOT 1 BLK 114 -EX ST Description: COMM ALT (E) FIRE SPRINKLER PIPING 200' LINEAL FEET. Owner: CHRIST CHURCH BY THE METHODIST Address : 1400 W BALBOA BLVD NEWPORT BEACH, CA 92661 Phone: Applicant: MICHAEL M MCSTAY Address : 27068 LA PAZ RD 212 ALISO VIEJO, CA 92656 Phone: (844)737-3473 Owner/Builder : Address : Phone SEA UNITED Contractor: PRECISION FIRE SYSTEMS Address : 27068 LA PAZ RD 4212 ALSO VIEJO. CA 92656 Phone : (949) 337-3317 Con State Lic : 906248 Lic Expire : 11/30/2025 Bus Lic: BT30077317 Bus Lic Expire : 11/30/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9344262 W. C. Expire : 8/11/2024 Architect Address Phone: State Lic Engineer Address Phone: Designer: PRECISION FIRE SYSTEMS Address: 27068 LA PAZ RD 9212 ALISO VIEJO, CA 92656 Phone : (949) 337-3317 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $10,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/NeW/TI sq. ft. Bldg: 0 Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : AO 1; X Use Zone : PI - Private Institutions PROCESSED BY SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION € hereby affirm under penalty of perjury that I am exempt from the Contractors.' State License Law for the reason(sj indicated below by the checkrnark(s) I have placed next to the applicable items) ction 7031-5, Business and Professions Code: Any city Or county that requires a pernilt 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 (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions Code) or that he or she is exempt from lcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fore permit subjects the applicant to a Civil penalty of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not. intended or offered for sale (Section 7044, Tress and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the rovements 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 roved for the purpose of sale). 1, 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 ly 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). J I am exempt from €icensure under the Contractors' Stale License Law for the following maser: -y my signature below I acknowledge that, except for my personal residence in which I must have resided For at least one year prior la completion oil a structure that I have built as an ownor-builder if it has not been constructed in its entiroty by licensed contractors. I undorstand that a copy of 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hUp:/hvww.leginfo.ca.goNdcolaw.htmi. ,Ignature of Property Owner or Authorized Agent ICENSED CONTRACTOR'S DECLARATION law, Section 7044 of Date and hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000). Divi on of the Businessand,Ereigs8,p `, an y license is in full force nd effect. License Class License No Date 2 Z 2 Contractor r at COMPENSATION DECLARATION IARNING; FAILURE To SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tSID0.0001, IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and wit! maintain a certificate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th ierfgffnance 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: Policy Number of Agent Date I certify that, in the performance of the work it is issue3 I sPali not employ any person in any manner so as to become subject to the workers' compensation laws of Califorma, and agre t, if I should become subject to Yyyyy��eeeaae------.WW.vwvva ens-aFSe lion 3700 Of the Labor Code, I shall forthwith comply with those provisions. nalum of Applicant _ Date— 2 � 2- CLARATION REGARDINOa CONSTRUCTION LENDING AGEl 3reby 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). idei s Name Lender's Address 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 provided is correct. I agree to comply with all applicable city and county Crum state laws relating to building construction. I authorize representatives of this city or count .nte �e-ified property for inspection purposes. Signature of Property Owner or Auth ACTION DATE PERMIT EXPIRED PERMIT CANGELEED PERMIT EXTENDED PERMIT FINAL lima CERTIFICATE OF l OCCUPANCY155UED PART 61 OF TITLE 40 AND AQMD RULE, _ ` L 1403 U ASBESTOS NOTIFICATION 15 N01APPLICABLE 'r0 PROPOSED DEMOLITION SICNf.TURE. or FOR OFFICE USE ONLY