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Home My WebLink AboutF2023-0106 - PermitsCity of Newport Beach ¢`��WPoRr �. Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 n uaY. S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cq</FOPT��P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement F 2 0 2 3 0 1 0 6II COMB Permit: F2023-0106 Plan Check : PC2023-0460 Issued Date : Inspection Are 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 : 100 BAYVIEW CIR, 510 Legal Desc : N TR 12528 BLK LOT Description: COMM FIRE ALARM TI - 2 DEVICES (X2022-0400) X C a 0;)s -p d10, Owner: GPI BAYVIEW LLC Address : 5601 GRANITE PKWY STE1200 PLANO, TX 75024 Phone Applicant: H C I SYSTEMS INC Address : 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone: (909) 628-7773 Owner/Builder : Address : Phone: Contractor: H C I SYSTEMS INC Address : 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone : (909) 628-7773 Con State Lie : 905493 Lie Expire: 02/29/2024 Bus Lie: BT30042287 Bus Lie Expire : 02/29/2024 Workers' Compensation Insurance Carrier: FEDERAL INSURANCE COMPANY Policy No: 54309498 W. C. Expire : 3/2/2023 Architect Address Phone : State Lie Engineer: Address Phone Designer: GARY RAMIREZ Address : 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone : (909) 957-5200 Code Edition; 2022 Fire Sprinklers : YES Construction Valuation : $1,166.25 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 6 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X Use Zone : PC - Bayview PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I ant exempt from the Contractors' State 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 he permit to file a signed statement that he or she is licensed pursuant to the previsions 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 licertsure and the basis. for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or L) 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 mprovements 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 builtor mprovod for the purpose of sale). 11, 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 Ipply 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), J I am exempt from licensure under the Contractors' State License Law for the following reason 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 legall! ;ell 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:httpliwww.leginto.ca.gov/calow.html. 7ignature 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 000) of DIVI,"o f the Business and Professio C and myJJ��eerise is In full force Ind effect. License Class License No D Contractor Signature /y iC/L VORKERS' COMPENSATION DECLARATION ;ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 370S OF THE LADOR CODE, INTEREST, AND ATTORNEY'S FEE$. �hereby affirm under penalty of perjury one of the following declarations: „1 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 th �formanca of the work for which this permit. is issued. Policy No. f l Five 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' comper iol tsuance carrigr and pplij�X number are: ,1 Number Expiration Date M I 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 Ogre 1, if I should become subject the orkers' cc ❑salion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,e 2 nature of Applica / D6(y��CX.. I�✓ CLARATION RE RDING CONSTRIIGTION LENDING AGENCY (�j ueby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section3097, Civil Code). Wer's Name Lender's Address 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 County ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter! a hove-jden'1i property for inspection purposes. i J,1� ,^ n �� nature of Prooeav Owner or Authorized Auant Print Prooertv Owner's or Authorized About's Namd\I NA rrnY v U Dale ACTION I DATE 1 BY " XDECLARATION OF COMPLIANCE WITH CODE. OF FEDERAL FOR OFFICE USE ONLY v I I REGULATION5 PART 61 OF TITLE 40 AND AQM0 RULF. 1403 P£RMITEXPIR£D U ISL'4rv'ITTEh ASRFSTCS NOTIFICATION TO PERMIT EXTENDED PERMITFINAL +1-2- (��{[,1 UASBESTOS NOTIFICATION ISNOTAPPLICAE1,1. TO CERTIFICATE OF r pROPOSF.DDEMOLITION OCCUPANCYISSUED SIGNATURE'