HomeMy WebLinkAboutF2023-0009 - Permits��E`wPORT
City of Newport Beach
p @
Community Development Department - Building Division
100 Civic Center Drive, Newport
�.
Beach, CA 92660
y.
Permit Counter Phone: (949) 644-3288
Cq</FORN�P
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type -
Work Class - Other
IIIIIIIIIIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIICOMB Permit : F2O23-0009
Plan Check No : PC2023-0026
Issued Date: 0110412023
Inspection Area : 3
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 : 1700 16TH ST Legal. Desc : P BK 15 PG 36 PAR 2.
Description: MFR -INSTALL FIRE ALARM IN BASEMENT 10 DEVICES (X2020-2697)
Owner: CORONADO SOUTH APARTMENTSLP
Address : 1745 SHEA CENTER DR STE200
HIGHLANDS RANCH, CO 80129
Phone :
Applicant:
HILLTOP ALARMS INC
Address:
7683 CAMINO TAMPICO
ANAHEIM, CA 92808
Phone:
(714) 801-2292
Owner/Builder
:
Address:
Phone :
Contractor: HILLTOP ALARMS INC
Address : 7683 CAMINO TAMPICO
ANAHEIM, CA 92808
Phone: (714) 801-2292
Con State Lic :
639145
Lie Expire:
11/30/2024
Bus Lie:
BT30058505
Bus Lie Expire
: 03/28/2023
Workers' Compensation Insurance
Carrier: INS CO OF THE WEST
Policy No: WSD505948201 -
W. C. Expire : 2/11/2023-
Code Edition : 2022
Fire Sprinklers :
YES
Type of Construction : V-B
Fire Hazard Zone :
NO
Occupancy Groups : R2
No of Units :
20
Bldg Height:
No of Stories :
2
Building Setbacks :
Flood Zone: X
Use Zone: PC - Oakwood Apartments - UP1370, UP 1405
PROCESSED BY:
SPECIAL CONDITIONS:
Architect:
Address
Phone:
State Lie
Engineer
Address
Phone :
Designer:
Address
Phone:
Construction Valuation : $5,000.00
Added/New/Ti sq. ft. Bldg : 0
Alteration sq, ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
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) 1 have placed next to the applicable item(s)
iection 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 Tor
is permit to file a signed statement that he or she is licensed pursuant t0 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 U all of or L) 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
n 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 Law).
I am exempt fmm licensure under the Contractors' Stale 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 legal
all 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://w .leginfo.ca.gov/celaw.htmi.
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 Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Dale Contractor Sionature
VORKERS' COMPENSATION DECLARATION
IARNING: 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 (siMIL0001, IN ADDITION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under 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
erformance of the work for which this permit is issued. Policy No.
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'
vance carrier and policy number are:
Policy Number
of Agent
Date
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 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
mature of Applicant Date_ _
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
3reby 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).
ides s Name Lenders Address
my signature below, I certify to each of the following:
1 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 to enter the above -Identified property for inspection purposes.
ACTION I DATE I BY ( DECLARATION
TONS OF COMPLIANCE
O 1 LIANCTITLE WITH
AND DE OFAQMD FEDERAL I FOR OFFICE USE ONLY
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
OEPA
PERMIT EXTENDED
LJAQMD
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
OASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: