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HomeMy WebLinkAboutF2022-0116 - PermitswtYO City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III J 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 1 1 6 Permit Counter Phone (949)644-3288 r'r�rPd 1M11i4�`. Job Address: 100 BAYVIEW CIR NS St: 1 Ft: 2 Unit: aa© o Inspector Area: FIRE Owner: 100 BAYVIEW LLC Address: 100 BAYVIEW CIR NEWPORT BEACH CA 92660 Phone: Applicant: NANCY/HCI SYSTEMS INC Address: 1354 S PARKSIDE PL ONTARIO CA 91761 Phone: Code Edit : 2019 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: No of Units Flood Zone: Bldg Sprinklers: Construction Valuation: V-B-SPR B 0 0 FIRE Permit: F2022-0116 Project No: 0621-2022 Inspection Requests Phone (949)644-3255 Description: COMM FIRE ALARM TI (X2021-3385) 4 DEVICES Legal Description: N TR 12528 LOT 2 Contractor: H C I SYSTEMS INC Address: 1354 S PARKSIDE PL ONTARIO CA 91761 Phone: 909-628.7773 Con State Lic: 905493 Lic Expire: 02/29/2024 Bus Lic: BT30042287 Lic Exp Date: 02/28/2023 Worker's Compensation Insurance Carrier: FEDERAL INSURANCE CO Policy No: 54309498 Expire: 03/0212023 6 Issued Date: 03/09/2022 0 Setback- Front: X Rear: Y Left: Right: Building PC Fee : Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee TOTALFEE: PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: FEES $1,445.00 $0.00 Fire Residential Alarm PC Fee: $0.00 Planning Counter Review: $0.00 Planning Zoning PC Fee $0.00 $173.00 Public Works PC Fee $246.00 Public Works Traffic Plan Check Fee; $0.00 $423.00 Plan Check Fee Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 State Lic: State Lic: MAYATEJOSEPH 1354 S PARKSIDE PL ONTARIO CA 91761 Records Management : $4.00 $0.00 $0.00 Fee Due at Permit Issuance : $423.00 • • • • ° -' OTHVTdDU.PQRTMERI7: i• a re i • • �' ° 1�J i ® ®• i PLAII dHBCRED BeY :• ° • ° 4f m APPROVAL TO ISSUE: o• s•o • i • me• m • ® i e PERMIT EXPIRES 180 DAYS AFTER 1v4SIIANC (21? lA it VAIs/D INSPECTION G m : • ®•i •i• • •i •• ii• OWNER-BUILDLK UtL LNKAI IUIN I hereby affirm under 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 a pplicabie 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 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 (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, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill 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). ❑ I am exempt from licensure under the Contractors' State 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.html. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti nq'7I00�70)7of'Division 3 of the Business and Professions Code, a d my license is in full force and effect. Date `f `v Contractor Sign License Class License No WORKERS' COMPENSATION DECLARATION WARNING: 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 IS100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: k ave 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 th mance of the work for which this permit is issued. Policy No. aveand 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' compensatiocecarrier and policy number are:r Policy Number Expiration Date is of Agent 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 subject to the wo ers' W Wnsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7 /1,21.77 ,.._._._ IECLARATION REG RD G C STRUCTION LENDING AGENCY ng agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). hereby affirm under penalty of perjury that there is a construction lendi Lender's Address ender's Name ly 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 tp enter the abgve dent ied property for inspection purposes. ,[lp v6r��� :Innatnre of Prooertv Owner or Authorized Agent X '" Print Property Owner's or Authorized Agent's Name 1 fl W ACTION DATE BY • .ura.�xrw.,,..�, u1 FEDERAL RF.QIJL41Q NS PART 610E TITLE ANU I • • ; : 4QMjP,RULE•1403� I SUMMIAiD ASBESTOS NORFICATIO/V TO:. • • 0 ESA• ❑ AQMD El ASBESTOS N0778CATIONIS NOT APPLICABLE TO PROPOSE&DEMQLITION. • • • •StONATt�RE.� PERIVIITEXPIRED PER44I7 CANCELLED • • • • PERA4iTEXTENDED PERMIT FINAL M • • • • CERTIFICATE OF • •• OCCUPANCYISSUED