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Home My WebLink AboutF2023-0036 - PermitsCity of Newport Beach ¢a�WPoRr r Community Development Department- Building Division - 1DO Civic Center Drive, Newport Beach, CA 92660 U ? Permit Counter Phone: (949) 644-3288 e,< Inspection Requests Phone: (949) 644-3255 c'�tiFoar"�P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIICOMB Permit : F2023-0036 Plan Check No : PC2023-0135 Issued Date : 02/03/2023 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 : 2121 COAST HWY E, 160 Legal Desc : P BK 152 PG 28 PAR 2 Description: COMM FIRE SPRINKLER TI - 22 HEADS (XC2022-2020) Owner: COAST BUSINESS CENTER LTD Address : 1451 QUAIL ST STE201 NEWPORT BEACH, CA 92660 Phone: Applicant: DONALDMESQUIT Address: 101 S KRAEMER BLVD, 100 PLACENTIA, CA 92870 Phone: (323)909-2658 Owner/Builder : Address : Phone Contractor: BOLT MECHANICAL Address : 101 SOUTH KRAEMER #100 TUSTIN, CA 92780 Phone: (323)909-2658 Con State Lie: 979288 Lie Expire: 12/31/2024 Bus Lie : BT30063467 Bus Lie Expire : 06/30/2023 Workers' Compensation Insurance Carrier: FALLS+LAKE+FIRE+AND+CASUALTY+COMP ANY Policy No: FLA01427101 W. C. Expire : 5/20/2023 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : B No of Units : 0 Bldg Height: No of Stories : 1 Building Setbacks : Flood Zone : X Use Zone: OG - Office —General PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: Address Phone Designer: DONALDMESQUIT Address : 101 S KRAEMER BLVD,0 106 PLACENTIA, CA 92870 Phone: (323)909-2658 7 14- aIDD- Loi 3 a 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' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ftem(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 ie 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 Tofessions Code) or that he or she is exempt from I!censure and the basis for tha 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 ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044, usiness and Professions Code: the Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not Intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not buift or nproved for thepurpose of sale). 1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code; The Contractors' State License Law does not pply to an owner of property who builds or improve$ thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I I am exempt from licensure under the Contractors' State 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 legallt 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 lho Business and Tofessions Code, is available upon request when this application is submitted or at the fallowing Web site:http:liwww.leginfo.ca.govlcalaw.html. �ignahrre of Property Owner or Authorized Agent.-.__ I Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under pen7lly of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect! 000 of Di "sion 3 of the Business and essio Code, and IrenAa I� I^ full force rideffect License C lass License No Da 3 w2 Contractor Signa e V•)RKWF S' COMPENSATION DECLARATION 'ARUING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS f5100,000j, IN ADOFTION TO THE OR CF CCNPENSATIm:, DAMAGES AS PROVIDED FOR IN $ECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm undcr;,rial€y of perjury one of the following declarations: 1 hive 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 Zor ance of the work for which this permit is issued. Policy No- e and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade.. for the performance of the work for which this permit is issued. My workers' compensatiol Isuranne carder and policy number are. Policy Number Date '.ame of Agent Phone If It ..er,;y that, in ,he performance of the work for which tli'I permit is issued, I shall not employ any person in any manner so as to become subject to the workers' c mpansatian laws of Cahfamla and ogre iot, if I should becom Eject to the,workers' com alto provist of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /,,J iynaiure of Applicant Date I?- ow> � 'ECLARATION REGA OI ONSTRUCTION LENDING AGENCY hereby affirm under p alty of perjurythat there is a construction lending agency far the performance ofthe work for which this permit is issued (Section 3097, Civi Code). ender's Name Lender's Address y my signature below, I Certify 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 and the information I have provided is correct. I agree to comply with all applicable city and ou ty ordinances and state laws relating to building construction. or I authorize representatives of this city count o ente_rthe above-IdgRMi d property for inspection purposes. Signature of Propertyy Owner or AUmOnZed Agent : — rnm rro any owner s or Aumonzeo Agenr s ivame >r r �u v v ACTION DATE. BY ECLARAT OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULA IONS PART SS OF TITLE AO AND ACMD RULE 1403 _.. __. NOTIFICATION TO PERMIT CANCELLED PERMITEXEFNUEp PERiMITFINAL 5,1 V X3 It..10�y%j�SI UASBESTOS NOTIFICATION( SNOT APPLICABLE TO CEAnFICATEOF /� PROP05EDDEMOLITMN OCCUPANCVISSUEO l SIGNATURE: