HomeMy WebLinkAboutXC2022-2036 - Permits (2)Cit of New ort Beach Community Development Department- Building Division
x C 2 e 2 2 2 0 3 6100 Civic Center Drive, Newport Beach, CA 92660Plan
Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
0.0,nnewportbeachca.gov/inspections
Combination Type -
Work Class - Other
COMB Permit:XC2022-2036
Chack NOPermit
Issued Date : 09/14/2022
Inspection Area : 6
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: 20662 NEWPORT COAST DR, (CS)
Legal Desc : 440 271 38
Description: COMM CELL SITE 7-MOBILE" - CHANGE OF CONTRACTOR
Owner: COUNTY OF ORANGE
Contractor' BETACOM INC
Architect
Address: 300 N FLOWER ST, 400
Address': 9331''E FOWLER AV
Address
SANTA ANA, CA 92703
THONOTOSASSA FL 33592, CA
Phone: :.
Phone::: (813)986-4922
Phone:
Con State Lic : 1051599
State Lic
'i
Lic Expire: 10313112023 -
Applicant: BETACOM INC
Bus Lic..:: BT30068063
Engineer: PINA PAUL
Address : 9331 E FOWLER AV
Bus Lic Expire :'10/3112023 '
Address : 2204 TORRANCE BLVD 105A
THONOTOSASSA FL 33592, CA
TORRANCE, CA 90501
Phone: (813) 986-4922
Workers' Compensation Insurance
Phone:
CarriersFIRST LIBERTY' INSURANCE CORPORATION
'
Owner/Builder :
Policy No: WC6Z51292367
Designer : o
Address :
W. C. Expire : 1/1/2023
Address
Phone:
®
Phone: °°.°`
° °
°
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $0.00 •
•`
Type of Construction :
Fire Hazard Zone NO
Added/New/TI sq. ft. Bldg : °
° ° °
Occupancy Groups : U
No of Units : 0
Alteration sq. ft. Bldg
Bldg Height:
No of Stories:
Added/New sq. ft. Garage : 0 •9 y `
°' ° ""
TOTAL sq. ft. Bldg : 0
Building Setbacks:
;°°°o•
o°°"3
Flood Zone : X
Use Zone:
6
sew (¢~'. ° 9 •
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PROCESSED BY:
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury. that I am exempt from the Contractors State License Law for -the reason
ction 7031:.5, Business and Professions. Code: Any city or county that requires a. permit to Construct, after, impro
permit to file a. signod statement that he or she is licensed pursuant to the provisions of the Contractors' State L
fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption- Any violation
next to the applicablettem(s)
oe, also requires the applicant for
f) of Division 3 of the Business and
is the applicant to apivil penalty of
t more than five hundred dollars ($500):
I; as owner of the property, or my empioyeeswith wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended oroffered for sale (Section 7044,
smess and Professions Code; The Contractors' State License. Law does not apply to an owner of properly, who, through employees':or personal effort, builds or improves the property, provided that the
wovements are not intended or offered for sale. 11, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not buiit or
?roved 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.
ply 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 taw),
I am exempt from heensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at leastoneyear prior to completion of the improvements covered by this permit, I cannot leg
I astructure that I have built as an owner -builder if it has not been constructed in its onfirety by licensed contractors. I understand that: a copy of the: applicable low, Section 7044 of the Business and
)fessions Code,. is available upon request when this application is: submitted or at the following Web site:blipillwww.leginfo.ce,govlcalaw.html,
Date
under penalty of perjurythat I am licensed under provisions of Chapter 9 (Commencing with Section 70. 0) of ME! n3-of
cerise Class License No Date O 2
COMPENSATION DECLARATION
CRINtNAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tS100,000), IN ADDITION
hereby affirm under penalty of perjury one of the following declarations:
3 1 have and 4v111 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
mforrnance of the work for which this permit: is issued. Policy No.
0�have 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' compensa,.
isurance carrier an policy riot mbar are:.
:amier�cre T �-r toe Y-ct� Policy Number. WCC--ZS\-16113La] - OIZ Expiration Date
Qame of AgeA....
:11 Certify that,iC1,4s performance
14A,°ItI should eci;Me subject to U
3gn8ture of Ai
LARATtOpNREQARDlNeG-�
Cori
eryby afflrmwuIVIlr penaltyof pen
-eccl rS Name.
3y IN signatua eWwii certify to e
I am the property owner or Sum
"';`have read this application. and
' • ;l agLe to cgttlplyQh all applic
• I authorize reo&eritaiives of it
, taIU'rs of Pro 4rty.64ner or Aut
AA 'ON DATE
PERMIT EXPIRED
PERW CANCELLED
PERTRIT EXfENOED
PERMIT FINAL (_ •) _ �.3
CERTIRCATEOF
OCCUPANCY ISSUED
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 Callforma.
m 9asayon provisions "action.3700 of the Labor Coded I -shall forthwith comply with those provisions. f
ury that there is
ach of the folio,
Drized 10 act on
the Information
able city end cc
IS city or count)
uNized Agent
By
correct,
Date_[ , W 1 Z `1 L Z L
the work for which this permit Is: issued .(Section 3097,. Civil Code),
to building construction.
x Inspection purposes.
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