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HomeMy WebLinkAboutF2023-0037 - Permits�EwPokr. City of Newport Beach II IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2023-0037 0 d'. Community Development Department -Building Division F 2 0 2 3 0 0 3 7 1 �+ 100rrC c Cen rer Dri e, 949Newport Beach, CA 92660 Plan Check No : PC2023-0136 p >�^ gaa ( ) Issued Date: 03/01/2023 new Inspeodbe ction Requests Phins neea: (94 ) 644-3255 Inspection Area: FIRE P .9 p pp Combination Type - Work Class - New 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 -KITCHEN HOOD FIRE SUPPRESSION SYSTEM (X2021-2703) Owner: KODAKA INC Address : 1650 DELTA CT HAYWARD, CA 94544 Phone : Applicant: LETICIA HADEN Address: 3621 EAGLE ROCK BLVD LA, CA 90065 Phone: (323) 259-9999 Owner/Builder : Address : Phone Contractor: EDISON FIRE EXTINGUISHER CO INC Address : 3621 EAGLE ROCK BLVD LOS ANGELES, CA 90065 Phone: (323) 259-9999 Con State Lic : 569185 Lic Expire : 05/31/2023 Bus Lic: BT30069740 Bus Lic Expire : 11130/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No : 9066898 W. C. Expire : 8/1/2023 Architect Address Phone: State Lic Engineer Address Phone Designer: EDISON FIRE EXTINGUISHER CO INC Address: 3621 EAGLE ROCK BLVD LOS ANGELES, CA 90065 Phone: (323) 259-9999 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $2,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 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 63 PROCESSED BY: .' SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION i hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the peasants) indicated below by the checkmark(s) I have placed next to the applicable items) 3eclion 7031.5, Business and Professions Code: Any cityor county that requires a permit to construct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that he or slie is licensed pursuant to the provisions of the Contractors' Stato License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from Iicensure andthe basis For the alleged exemption.. Any violation of Section 7031.5 by any applicant fore permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 1, 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, Iusiness 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 nprovements 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 bulls or nproved for the purpose of sale), 11, 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 pply 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). 3 1 am exempt from licensors under the Contractors' Slate License Law for the following reason ___------ _. ,_—_______ ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year poor to completion of the improvements covered by this permit, I cannot legal ell a structure that I have built as an owner -builder if ithas not been constructed In its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, isavailable upon request when this application is submitted or at the following Web site:http:Uwww.legtnfo.ca.govlcalaw.html. Ilgnature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section T000) ' f 'vision 3 of the Business and Professions Code, a li se fs m full force nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION ARMING: 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 ($100,001h, IN ADDITION TO THI 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 have and will maintain 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 it erformance, 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 workfor which this permit is Issued. My workers' carrier and policy number are: Policy Number Expiration Date of Agent Phone fP certify that, in the performance of the work for which thi eT I is issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre 1, if I should become subject to the workers) compy on provisions ' a-B�bOvf-th€I�TL�de, I shall forthwith comply with those provisions. nature of Applicant----- i DalCLARATION REGARDING CONSTRUCTION L ING AGIreby affirm under penalty of perjury that. there is a canstruetfon landing athe 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 the following: I am the property owner or authorized to act an the property owner's behalf. I have read this application and the Information I have provided is Correct. I agree to compll all applicable city and county orofinaingeiicand state laws relating to building construction. I zuthorize representatives of this city or county to epl gDpat - ifled property for inspection purposes, ACTT ON DATE BY I DECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART Bl OF TITLE 40AND AQMD RULE 1403 _ I FR,V. T EXPIRfE, ASBFSTOS NOTIFICATION TO PERMIT CANCELED pI �SyURMITTFD LJEPA __._.....__...........:._....._.—._—. PERM,TEXTENDED — ��--rI_. E..IAQMD PERMIT FINA! ASBESTOS NUTIFICA1lDN IS NOT APPLICABLE TO LERTI. 7CATE OF PROPOSED DEMOLITION OCCUPANCY ISSV,'D SIGNATURE: