HomeMy WebLinkAboutF2022-0165 - PermitsEWPo City of Newport Beach II II I I II I II I NI Ilu uullull II
Community Development Department- Building Division II uuu u
100 Civic Center Drive, Newport Beach, CA 92660
`u S Permit Counter Phone: (949) 644-3288
� Inspection Requests Phone: (949) 644-3255
O9c,ronN`P newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
COMB Permit: F2022-0165
Plan Check No: 0814-2022
Issued Date: 07I21I2022
a
Inspection Area: �./v/
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 : 1614 SAN MIGUEL DR
Legal Desc : A TR IRVINE SUB BLK LOT 93 IRVINE SUB LOT BLK 93 POR OF BILK (P M 35-1 PAR
Description: COMM FIRE SUPPRESSION SYSTEM (X2022-0754)
Owner: THE IRVINE COMPANY LLC
Contractor: EDISON FIRE EXTINGUISHER CO INC Architect
Address: 550 NEWPORT CENTER DR NEWPORT
Address : 3621 EAGLE ROCK BLVD LOS
Address
BEACH, CA 92660
ANGELES, CA 90065
Phone:
Phone: (323)259-9999
Phone:
Con State Lic : 569185
State Lic
Applicant: EDWARD BEDEROV
Lic Expire: 05/31/2023
Address : 3621 EAGLE ROCK BLVD LOS ANGELES, CA
Bus Lic: BT30069740
Engineer:
90065
°°°°
Phone: (949) 230-9506
Bus Lic Expire: 07/21/2023
Address : ......
° s
Workers' Compensation Insurance
Phone: ° ° • ° ° ° ° ° °
Carrier:
® °
°
Policy No:
Designer: EDWARD BEDEROV °
W. C. Expire: -
Address: 3621 EAGLE ROCK 0ffNJD'6OS ANPEI ES,
CA 90065 °• ° °
Phone: (949)230-9506 0°°°!°
° °
Code Edition : 2019
Fire Sprinklers: NO
Construction Valuation : $2,500.00
Type of Construction : V-B
Fire Hazard Zone: Y
......
° •
Occupancy Groups:
No of Units : 0
Added/New/TI sq. ft. Bldg : 0
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage: 0 ; °, ° ® • °
° ° ° °
Building Setbacks
Flood Zone: X
Use Zone: CN - Commercial Neighborhood
PROCESSED BY:
SPECIAL CONDITIONS:
(1446 F E T
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 lem(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
ae 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 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
of 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 (_) 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).
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
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).
3 1 am exempt from licensure under the Contractors' State 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 prior to completion of the improvements Covered by this permit, I cannot legal
ell a structure that 1 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 70" of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.htmi.
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectign,70DO) f Divi on 3 of the Business and 171!Iissions e, e e is in full force
Ind effect. License Class License No Da 2 tractor Signa
VORKERS' COMPENSATION DECLARATION
!ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (0100,000), IN ADDITION TO TH'.
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
ave and willdvaintain 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
erfo ance of Ml yvVV for which this permit is issued. Policy No.
I iaak4and 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' compensatioi
fs nce• carver and policy number are:
aRier•. Policy Number Expiration Date
tame of Agent • . • Phone #
31 CVfJ that. in % performance of work for ich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensaIn laws of California, and afire
eS sat. if I should beer: �ubject to the a mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
signaLlce of Applicant • at
IgJ;" 2pTION REG ING CONSTRU N LIENgW6113GENCY /
Hereby arm urldbr 1alty of perjury th a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name • • • Lenders Address
I; •mysSgnature balow,.l.certify to each of the following:
•I•ani the property oviner 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 counk to enter the above -identified property for inspection purposes.
wna— rJ
iionature of PrODeftV Omer or Authorized Aqe ] __. _ _ Print Property Owner's or Authorized Agent's Nam
ACTION
DATE
BY I
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
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 pool/spa & shall remain in place & be maintained for the
life of the pool.
PERMITCANCELLED
E3EPA
PERMITEXTENDED
E3AQMD
PERMIT FINAL
J
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFlLATE OF
o'"l
PROPOSED DEMOLITION
OCCUPANCYI55UED
_
SIGNATURE: