HomeMy WebLinkAboutF2022-0442 - PermitsaEWaoRT City of Newport Beach II II I I II I II I II II II III I II COMB Permit : F2022-0442
o� Community Development Department- Building Division
Y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2070
U Ta9 Z Permit Counter Phone: (949) 644-3288 Issued Date : 08/1812022
Inspection Requests Phone: (949) 644-3255
cq4/FpµN�P newportbeachca.gov/inspections Inspection Area :FIRE
Combination Type -
Work Class - Alteration
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: 1021 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR AND FOR PA R 1 OF P.M.
Description: COMM FIRE RELOCATE (2) HEADS AND PLUG (2) HEADS (DR MARTENS AIRWAIR)
Owner: IRVINE COMPANY LLC THE Contractor: D C'FIRE PROTECTION Architect
Address: PO BOX 2450 NEWPORT BEACH, CA 92658 Address: 14772.HARPER ST MIDWAY CITY, CA :: Address
92655'--
Phone:
Phone: ': (714)309-0144
Phone:
Con States Lic : 584285
'State Lic
Applicant: D C FIRE PROTECTION
Lic Expire: 01131/2024 :.
Address : 14772 HARPER ST MIDWAY CITY, CA 92655
: Bus Lic: BT30046894 -,
Engineer
Phone: (714) 309-0144
Bus Lic Expire : 04/30/2023
Address
Workers` Compensation Insurance
Phone:
Owner/Builder :
Carrier :
Address :
Policy No.: EXEMPT
Designer
Phone:
W. C. Expire: -
Address:
Phone:
Code Edition : 2019
-: Fire: Sprinklers : ' NO
Construction Valuation
Type of Construction: II-B
Fire Hazard
Zone : , No
Added/New/Ti sq. ft. Bldg
Occupancy Groups :
No of Units: :1
Alteration sq. ft. Bldg:
Bldg Height:
No of Stories : ''2
Added/New sq. ft. Garage
Building Setbacks
Flood Zone : X
Use Zone: PC - North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS:
. .
•
00
$3,000.00• ° •
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of pedury that I am exempt -from the Contractors' State License Law:forthe reason(s) Indicated below by the chackmark(5) I have placed next to the applicable Item(sj
ebon 7031.5; Business and Professions Code: Any city or county [hat requires a permit to construct, altar. improve. demolish, or repair any structure, prior to he issuance, also requires the applicant for
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
fessions Code) Or that be or she is exempt from Iicensure, and the basis for the alleged exemption. Any violation of Section 703'1:5.by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($509):.
1, 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,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees ar 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 -Builder will have the burden of proving that it was not. built or
ffIm roved for the purpose of sale).
I, as owner of the property, am exclusivelycontracting with licensed Contractorstoconstruct the project (Seotion 7044,. Business and Professions Coda: The Contractors' Stale License Law does not
(apply to an owner of properly who builds or improves,thereon, and whG contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
U I am exempt from licensure under the Contractors'. State License Law for the following reason:
of
under penalty of
that.
of
Date
I cannot
am licensed under provisions of Cttapierg(comm Ing with Secti0T)m ) of Division 3 of the Business and Prof �ssign d� my license is In full farce
License No S S3 Li — �5 Da�.JiB /,� a Contractor Signature )O f ✓6dt �
gATiON f
AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO.ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
i affir@r'Ranalty of perjury one of the following declarations:
I and will riraintatri 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
anee of th§ work for which this permit is issued.. Policy No.
+e and JI-di telain 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` compensai
be carder and policynumber are:
.�.��. Policy Number Expiration Date
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 agre
compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions.
1Ai f CAIIlEi3[' A[dr.`RITMV
there 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):.
Lender's Nama.. Lender's Address
By my signature below, t certify to each of the following;
I am the property owner or authorized to act on theproperty owner's behalf.
I have read this application and the informational 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 coo yto a derpified property for inspection purposes.
$i nature of Proesny Owner or Authorized ant Print PropartyCwner's or Authorized Agent's. Nam DcrA,E l / Vj. Cat C/ DatA�' a
ACTION. DATE BY DFCLARATIONbFfOMPLIANCEwrrH CODE OF FEDERAL FOR OFFICE USE ONLY
€ REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
E 1403
PERM)TCANCE€LED - pA - All required alarms.; latches gates and fenceswhich serve as part of a pool/Spa:barrier, Shall
PERMIT EATENDED QMD bean place prior to approval to fill poollspa &t shall remain In place & be maintained for the
PERMIT FINAL. ', �� f ASBESTOS NOTIFICATION IS NOT APPLICABLE TO I life of the pool.