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City of Newport Beach
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.govfinspections
Combination Type -
Work Class - Tenant Improvement
COMB Permit : F2O22-0292
Plan Check No: 1473-2022
Issued Date: 07/21/2022
Inspection Area y/if 1-10-
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
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Job Address : 2001 WESTCLIFF DR, 102
Legal Desc : N TR 4225 BLK_ LOT 3 TR 4225 LOT 3 NWLY 140 FT
Description: COMM FIRE ALARMS 7 DEVICES (X2022-0954)
Owner: AOPAey %n p 571men8
Contractor: SONITROL ORANGE COUNTY Architect
Address : 1f75! (U// ��e 61ed 4,yp 6,4 q,,p:o
Address : 23 MAUCHLY, 100 IRVINE, CA 92618 Address
Phone:
Phone: (949)293-3185
Phone:
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Con State Lic : 1030851
State Lic :
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Applicant: JASON MARTIN
Lic Expire: 09/30/2023
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Address:
Bus Lic: BT30040301
Engineer:
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Phone:
Bus Lic Expire: 08/31/2022
Address:
Workers' Compensation Insurance
Phone:
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Carrier:
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Policy No:
Designer:
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W. C. Expire:
Address:
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Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation :
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$5,Oi1O.W
Type of Construction : V-B
Fire Hazard Zone : Y
Occupancy Groups: A-2/13/M
No of Units : 0
Added/New/TI sq. ft. Bldg :
0 a •' a
Bldg Height:
No of Stories : 4
Added/New sq. ft. Garage:
0
Building Setbacks:
Flood Zone: X
Use Zone: CG - Commercial General
PROCESSED BY:
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SPECIAL CONDITIONS:
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OWNER -BUILDER DECLARATION
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 applicable items)
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
1e 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
'rofessions Code) or that he or she is exempt from ficensure 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
of more than five hundred dollars (S500).
I, 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,
usiness 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 built or
nproved 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
poly 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
y 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
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:!lwww.leginfo.ca.gov/calaw.html.
ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of C�iay,�r 9 (co ction 7 0 f Division 3 of the Business and Prpfe s Code, my i' ense is in full force
nd effect. License Class License No Date -6ontractor Signatull;i _6
ifORKERS' COMPENSATION DECLARATION ��—
ARNING11FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE
iPsY 11R COMPEN!§pTilp1A,0dkMAGES AS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
hereby affirm uhtler 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 IN
` or ante of Ve vpili.for which this permit is issued. Policy No.
;urance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior
Policy Number �✓ ?C $a 5 2 S 7 y '� Expiration Date - 0/2-1
and will. maintain workers'
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lame et'gent _ Phone If
91 certify that, in 444 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 agree
:;A: it Vfould be�omgssub' to the workers' co ensatiprovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
ignaiure of Applicant It-���1�, 7 Z 2 Z
iECLARATION REGt,JD Acs � rRti' O NDING AGENCY
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, Civil Code).
enders Name Lenders Address
y 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 Drip state ws relating to building construction.
I authorize representatives of this city or cou tenter the a v idend ed property for inspection purposes.
'ignature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Name
ACTION
DATE
BY V
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DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RU LE
1403
FOR OFFICE USE ONLY - (/
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill poollspa & shall remain in place & be maintained for the
life of the pool.
PERMITCANCELLED
DEPA
PERMIT EXTENDED
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PERMITFINAL
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
OCCUPANCY155UED
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