HomeMy WebLinkAboutF2023-0573 - PermitsvoRT City of Newport Beach I t l 9 Community Development Department - Building Division F 2 0 2 3 0 5 7 3
y. 100 Civic Center Drive, Newport Beach, CA 92660
- Permit Counter Phone: (949) 718-1888
U 'ti S
newportbeachca.gov/civic
Combination Type-
Work Class - Other
COMB Permit : F2023-0573
Plan Check No : PC2023-2846
Issued Date : 1113012023
Final Date:
Permit Status: Issued
Inspection Area -1K
rl 0
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 : 3443 PACIFIC VIEW DR 11)
,✓ Legal Desc : A TR IRVINE SUB BLK 96 LOT 463 IRVINE SUB LOT 463
Description: COMM -TWO WAY COMMUNICATION SYSTEM "HARBOR DAY SCHOOL"
Owner:
HARBOR DAY SCHOOL
Address :
3443 W COAST HWY
NEWPORT BEACH, CA 92663
Phone:
Applicant:
DPR CONSTRUCTION
Address:
1450VETERANS BLVD
REDWOOD CITY, CA 94063
Phone:
(650)474-1450
Owner/Builder :
Address :
Phone
Contractor:
DPR CONSTRUCTION
Architect
Address :
1450 VETERANS BLVD
Address
REDWOOD CITY, CA 94063
Phone:
(650)474-1450
Phone:
Con State Lic
: 1083716
State Lic
Lic Expire :
11/30/2025
Bus Lic:
BT30042122
Engineer:
Bus Lic Expire : 12/31/2023
Address
Workers' Compensation Insurance
Phone:
Carrier: LIBERTY INSURANCE CORPORATION
Policy No:
WA766DO66943032
Designer:
W. C. Expire:
9/1/2024
Address
Phone:
Code Edition :
2022
Fire Sprinklers :
Type of Construction :
V-B
Fire Hazard Zone
Occupancy Groups :
No of Units :
Bldg Height:
No of Stories
Building Setbacks
Flood Zone:
X
Use Zone:
PI - Private Institutions
PROCESSED BY:
SPECIAL CONDITIONS:
NO Construction Valuation : $10,000.00
NO Added/New/Ti sq. ft. Bldg : 0
0 Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
. �_ .,.ash "'F•
I hen -by affirm ur.der 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 next to the applicable item(s)
(Section 70+1.5, Pu=_'ness 3nc' R ofcssiais 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
the permit lu file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure 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).
❑ I, a3 own.;r cf the property, or my e, nploymas 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 70",
Busine-s and Professi�nr Cede: 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
Improvements al a not intended or offerPrl for sple. 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 of sale).
❑ I, 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
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).
❑ 1 am exempt from licensors under the Contractors' Slate 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, I cannot legally
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety 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://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professi ne ende, and m license ense is In full force
and effect. License Class License No Date V 11410&5 Contractor Signature ?T�:✓�-2j.f.�'—
NORKERS' COMPENSATION DECLARATION
NARNING: 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 (f100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES.
hereby affirm under penalty of perjuryone of the following declarations:
❑ 1 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 IN
aormance 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
certify that, in the performance of the work for which 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
. if I should become subieaLtW-ttlsworkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date fc 1/IA/L3
)reby 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).
lders 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 ordinances and state laws relating to building construction,
I authorize representatives of this city or county to apt bove-identified property for inspection purposes. t /
nature of Prooertv Owner or Authorized Agent V ter_ Print Property Owner's or Authorized Aaent's Name W I £Z Wf"G
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXP?RED
U 15UBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMITEXTENDED
QMD
PERMIT FINAL.
- / Y
'L
(DYZ.YlAS
�,. ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCYISSUED
SIGNATURE: