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HomeMy WebLinkAboutF2023-0137 - PermitsCity of Newport Beach Community Development Department- Building Division 00'. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - Work Class - Alteration IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIICOMB Permit : F2023-0137 Plan Check No: PC2023-0653 Issued Date : 03/23/2023 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 SPRIKLER TI RELOCATE (12) HEADS XC abaa-att3 �2 \f Owner: NCMB NO 4 LLC Contractor :' COSCO FIRE PROTECTION INC :. Architect Address : 1401 AVOCADO AVE STE901 ` Address 1075 LAMBERT RD, BLDG D :.Address NEWPORT BEACH, CA 92660 BREA, CA 92821 Phone: (949) 279-1257 —Phone: (714) 974 8770 Phone Con State Lic : 577621 State Lic Lic Expire : 09/30/2023 , Applicant: COSCO FIRE PROTECTION INC Bus Lic: BT00022773 Engineer: —ID��O Address : 1075 LAMBERT RD, BLDG D BREA, CA 92821 Bus Lic Expire : 07/31/2023 �,•®®• Address \3 Phone: (714) 974-8770 Workers' Compensation Insurance Phone: °, `, a " Carrier: ACE AMERICANINSURANCE COMPANY • Va� , Owner/Builder : Policy No; WLRC52021376 Designer: COSCO FIRE PROTECTJON°INC Address : ' W. C. Expire: 1/1/2024 ' Address : 1075 LAMBERT RD, BIUG,Q' BREA, CA 92821 , Phone: Phone: (714)974-8770 ° .° °. Code Edition : 2022 Fire Sprinklers : .'YES Construction Valuation : $15,000.00 Type of Construction : Fire Hazard Zone :� NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 1 Alteration sq. ft. Bldg: Bldg Height: No of Stories: Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks: Flood Zone : X Use Zone: PC - Block 400 Newport Center PROCESSED BY: SPECIAL CONDITIONS:L-CT $� OO°03° Y GOOY OWNER-13UILDER DECLARATION I. hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forthe teasonls).indicaled below? y the checkmark(s) I haveplaced next to the applicable items) (Section 7031.5,.Business and Professions Code: Arty 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 the 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 70001 of Division 3 of the Business and Professions Code)or that he or she is exempt from licensors and the basis, for he alleged exemption. Any violation of Section 7031.5-By any applicant fora permit subjacts the applicant to a civil penalty of not more than five hundred dollars ($500),- El I, as owner of the property, or my employees with wages as their sole compensation, will do all of or U portions of the work, and the structure is not intended proffered -for sale (Section 700, Business 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 Improvements are not intended oroffered -for sale. If, however, (lie building or improvement is sold within one year of completion, the Owner-Buifderwill have the burden of proving that it not built or Improved for the purpose of sale). © I, as owner ofthe property, am exclusively Contracting with licensed Contractors to construct the project(Section 7044 Business and Professions Code; The Contractors' State License Law does not: a ly to an owner of property who builds orfriproves' hereon, and who contracts for the projects with a licensed Contractor: pursuant to the Contractors' State License Law). . I am exempt from licensure under the Contractors' State License Law for the following reason By 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 cannotlegaii sell a structure that I have built as an owner builder if it has not been, constructed in: its entirety by licensed contractors. I ut derstand that a copy of the appiccanI a taw, Section 70" of the: Business and Professions Code, is available upon request when INS application is submitted or the folfowing Wen site.hitp,./Mw r.legir)fo.ea.govtcala.w.htmi.. Signature of Property Owner or. Authorized Agent Date: LICE anORKERS cerr ENSunder tRTtt.?N DECLARATION of perjury that I am led underprovisions None Y? 1e69Zol manning with SectionDafe 00 0, F Division 3:of the Business urofassio e,.' n y license is in full force: . 22i Contractor Signature _� AIMININra FAILURE WO SECURE WORKERS' COMPENSATION COVERAGE IS. UNLAWFUL, AND SHALL SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO, ONE HUNDRED THOUSAND DOLLARS (FIQUI II, IN ADDITION TO THE CAST OF COMPIMISITIpN6 PAIAGES AS PROVIDED FOR IN SECTION 3TE S OF THE. LABOR CORE, INTEREST, AND ATTORNEYS FEES', hereby-afFrm under penalty of perjury one of the following declarations; JI' h 4 and willi maintain a- certificate of consent to self -insure for workers! compensation, Issued by: the Director "df Industrial Relations as provided for by Sectiony'3700 of the: Labor Code, for tfi )EIrlbFinarlce of tftt; 4&k jor which this permit Is issued. Policy No. I have and wi11 maintain workers' compensation insurance, as required by Section 3700 Of the Labor Code, for they performance of the work for which this 'permil is Issued. My workers' compensation n9drar'(s� carrier Jv;! pollcy, number are CArl'ier" . Policy Number Expiration Date Noma oPkgem. .. �, Phone-# Inc); 'jj+,that. in tfid performance of the work for which this permit is Imed. I shall not employ any person in any marimnIso as to become subject to the workers' compensation laws of California, and agre that; if i shDuld baoo� e-a�`tbje�ct to the workers compensation prov€siops of Section 3700 of theLaborCode,. I shall forthwith comply with those provisions. Signature ofAppl cant ", T_„_�' L Date oS IDhereby DECLARATION der penalty R perjur that there Is a construction ending agency for the performance of the work for which this permitis issued (Section 3097,. Civil Code), Lender's Name. Lenders Address By my signaturebelow, I certify to each of the following:: t am the property owner or authorized 10 act on the property owner's behalf. t have mad this application and the Information I have provided is correct. I agree to: comply with aft applicable city And county ordinances and state laws: relating to building construction.. I authorize representatives of this city or cou ty to "eT ve-identified property for inspection purposes. LS Signature of PropertyOvmer.or Authorized A. en. Print Prb e Owner's orAuthorized Agent's Narn ACTION DATE. By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 i7F T)tLEAO AND AQMD RUBE 1403- PERMIT EXPIRED 13 I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCE€LED M EPA- PERMFrWEMDED LIMO PERM1TFINAL ASBESTOS NOTIFICATIONTS NOT APPLICABLE TO. CERIMCATE OF PROPOSED DEMOLITION, OCCUPANCYISSUED I SIGNATURE: