HomeMy WebLinkAboutF2022-0576 - Permits��WPOR�
City of Newport Beach
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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.gov/inspections
Combination Type -
Work Class - New
F 2 0 2 2 0 5 7 6COMB Permit : F2022-0576
Plan Check No: PC2022 2800` n
Issued Date : 11/07/2022 a
Inspection Area : FIRE
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE D,
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL
Job Address: 895 DOVE ST, 475
Description: COMM FIRE ALARM (7) DEVICES
Owner: NEWPORT PLAZA OFFICE LLC
Address : 2001 ROSS AVE STE2800
DALLAS, TX 75201
Phone :
Applicant:
ADT COMMERCIAL LLC
Address:
210 W BAYWOOD AV
ORANGE, CA 92765
Phone :
(675) 566-3065
Owner/Builder
:
Address :
Phone
Code Edition : 2019
Type of Construction : 1-13
Occupancy Groups:
Bldg Height:
Building Setbacks
Legal Dose : N TR-:7694 BLKfLOT 4 TRACT NO 7694 LOT 4 AND LOT 5 POR OF LOT
XC2022-1866
Contractor: ADTCOMMERCIAL LLC
Architect
Address : 210'W HAYWOOD AV
Address
ORANGE CA 92765
Phone: (675)566-3065
Phone:
Con State Lie : 1065604
State Lie
Lie Expire: 05/31/2024°same
Bus Lie: BT30072351
Engineer: °
Bus Lie Expire :' 07/31/2023
Address
0
Workers' Compensation Insurance
Phone: °
Carrier`: OLD REPUBLIC INSURANCE
Policy No: MWC31431721
Designer: ADT COMMERCIALLLdooc
W. C. Expire: 10/1/2022''Address:
210 W BAYWOOD AV e 9 e
ORANGE, CA 92765 "
Phone: (675) 566-3065 °
Fire Sprinklers : YES
Construction Valuation : $5,292.56`e
Fire Hazard Zone i NO
Added/New/TI sq. ft. Bldg : 0
No of Units : 0
e e
Alteration sq, ft. Bldg
No of Stories s
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
Flood Zone : X Use Zone : PC - Newport Place I �q)Vl FIX
PROCESSED BY: 1 I
SPECIAL CONDITIONS:
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is License Law does not apply to an owner of property who, through >employees' '.or personal effort, builds or Improves the property, provided that the
however, the building or Improvement Issoldwithin one year of completion, the Owner-BUilder will have the burden of proving that it was not built or
ued for the purpose of sale).
as Owner of the property, am exclusively contracting with licensed Contractors to construct the project (Election 7044, Business and Professions Code; The Contractors' State License Law does not.
to an owner of property who builds or improvestthereon, and who contracts: for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
tm exempt from Ueensum under the Contractors' Stale License Low for the following reason;
I sionature below I acknowladae that: except for my personal residence in which I must have resided for at least one: year poor to completion of the improvements covered by this. permit, I cannot leg
..«..-..... .,,.—,_. _— ___ ........
raby affirm under penalty of perjury that l am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division of the Business and Pro lions C8 m ense is In full force
effect. License Class License; No Date. Contractor Signat.: -- --.--
IRKERS' COMPENSATION DECLARATION
:NING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL„AND SHALL SUBJECT AN. EMPLOYER TO CRVWAIN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10 000), IN ADDRION TO THE
T OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3103 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S. FEES.
reby affirm urelar pea ltyof perjury one of the following declarations:
) Dgvopnd will,m Umpin a Certificate' of consent to sell -insure for workers'. compensation, Issued by: the Director of IndustrialRelationsas provided for by Section 3700 of the Labor Code, for thi
T'c�rmanee of the vm"forwhich this permit Is issued. Policy No.
ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued, My workers' compensatior
Rant@ carrier: ar"pojioy number are;:
my, 0 Policy Number Expiration Date
Re df'Agent. �,� Phone-#
cadify4hat, roil" performanc of the work for hthis permit is issu I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agrar
,,1is ould beco€ae subj=CONSTRUC
Insertion provisions of ection 1 f the Labor Coder I shall forthwith comply with those provisions.
• •... ._._.:: � Date
nature bf Applig$nt
TION REG G AGE
rebpp a Nm undw 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).
4 r,s area. -• • : Lender's Address
ny Signature below, I certify to each of the followiing::
I am the property owner or authorized to act on the property owner's behalf.
i have readthis application and the information I have provided Is correct.
I agree to comply with all applicable city and co :ordinances an state laws. relating to building construction. S O ROL)S (-I _ Fl H 12 4 /L-
I authorize representatives of this city or COUP to enterthe a v%idenlfNe property for Inspection purposes.
9ature of Prop eft Owner or Authorized / a.. -- Pint Property Owners or Authorized Agent's Name ate
riON I DATE I By I DECLAR orgoF COMA IANCE WITH. Cox Or FEDERAL FOR OFFICE USE ONLY
NOTAPPLt4ABt£ TO