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HomeMy WebLinkAboutF2023-0049 - Permitsaa�WPORr City of Newport Beach o @ Community Development Department- Building Division t"y 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 �gGFoaN�P- newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIIIIICOMB Permit : F2023-0049 Plan Check No : PC2023-0192 Issued Date : 01/27/2023 Inspection Area : FIRE 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 : 360 SAN MIGUEL DR, 405 Legal Desc : P BK-193 PG 17 PAR 3 Description: COMM FIRE ALARM TI W/ DEVICES "DR FARSHIDI".DERMATOLOGY (7) OFFICE Owner: NCMB NO 4 LLC I Contractor i ADVANCED ALARM INC Architect Address : 1401 AVOCADO AVE STE901 i Address': 8724 MILLERGROVE DR -Address NEWPORT BEACH, CA 92660 SANTA FE SPRINGS, CA 90670 Phone: (949)279-1257 ,:.,Phone: - (562)944-2356 ': Phone: lion State Lic : 750871 State Lic: ^ "Lic Expire: 06/30/2024 Applicant: ADVANCED ALARM INC Bus Lic: BT30074955 '- Engineer Address : 8724 MILLERGROVE DR Bus Lic Expire : 03/31/2023 Address SANTA FE SPRINGS, CA 90670 Phone: (562) 944-2356 Workers' Compensation Insurance ., Phone: ` Carrier: 'OAK RIVER INSURANCE COMPANY Owner/Builder: Policy No: ADWC346149 - Designer: ADVANCED ALARM INC Address : - W. C. Expire: 4/17/2023 '-`, "" Address: 8724 MILLERGROVE DR SANTA FE SPRINGS, CA 90670 Phone: _ Phone: (562)944-2356 Code Edition : 2022 Fire Sprinklers : JJYES ' Construction Valuation : $4,519.00 Type of Construction : I -A : Fire Hazard Zone NO Added/New/Ti sq. ft. Bldg: 0 Occupancy Groups : B No of Units : .0 ' Alteration sq. ft. Bldg: Bldg Height: No of Stories : 7 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: a ®. • A Building Setbacks Flood Zone: X a • • ..aaa• Use Zone : PC - Block 400 Newport Center ��)� �/ tp o�.-,S 3(,9,-7aR6 a a•a as PROCESSED BY: 6� .00 a o 3 _ • a_o • °ate SPECIAL CONDITIONS: • a® . ©99 . 03 3 • o • 3 a • i a J 03�33 O 3 G a 3 J 933 Ja B• 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 item(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 is 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 Tafessions Code) or that he or she is exempt from l censure and the basis far the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of at more than live hundred dollars ($500). 11, as owner of the property, or my employees with wages as their sale compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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 npravements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of com letion, the Owner-Bu€ider 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 Contactors to construct the project (Section 7044 Business and Professions Code: The Contractors' State License Law does not �pl y to an owner of properly 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 from licensors under the Contractors' State License Law for the following reason: I 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 I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I uRdBreland that a copy of the applicable law, Section 7044 of the Business and Irafessions Code, is available upon. request when this application is submitted or at the following Web site:httpJ1www.legirife.ca.gov/calaw.hfmt. Iignature of Property Owner or Authorized Agent I 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 Professio Code,. 'I license is in full force ,nd effect License Class License No Date ���7 Zi Contractor Sygnature UORKERS' COMPENSATION DECLARATION 000 TARRING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYERTO CRIMINAL PENAkT'0:;4 AND CML FINES UP TO ONE HUND THOUSAND DOLLARS tSt90,000F, IN ADDITION TO THE GST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR. CODE. INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations:. 3 1 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 th erformance of the work for which this permit is issued. Policy No. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the Nance carrier and policy number are: rer Policy Number Be of Agent certify that, in the performance of the work for which this permit is Issued, I shall not employ any person in any mannl if I should become subjeq_];, the wor mpensation provisions of Section 3700 of the Labor Code, I shall fonhv of the work for which Ibis permit is issued. My workers' Date a as to became subject to rite workers' compensation laws of California, and agre comply with those provisions. Date1 Z7'Z3 ?neby affirm under, pally of perjury that there is a construction lending agancyfor the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name � Lender's Address my signature below, I cerfizfy to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application qp0 94 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 repUYGtItives oEthis city or county to entp r abov ified property for inspection purposes. �A ACTION • • DATA BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY • • • • REGULATIONS PART 61 OF TITLE40AND AQMD RULE •• • • 1403 PERMIt EXPIRED • • •`•' Or SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED • ` ` ` • EPA PERMIT EX7ENDED . • • • • • QMD PERMIT FINAL •• 3 3� a ASBESTOS NOTIFIC IS N t PLICABLE TO CERTiFIC4TEOF PROPOSEDDEMOU P•/ OCCUPANCY1SSU*60.• • SIGNATURE: