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Home My WebLink AboutF2023-0127 - Permits�WPoRr City of Newport Beach Community Development Department- Building Division d ' 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq��FOR��P newportbeachca.gov/inspections Combination Type - Work Class - New F 2 0 2 3 0 1 2 7COMB Permit : F2023-0127 Plan Check No : PC2023-0612 Issued Date : 03/21/2023 Inspection Area 0 fvd 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: 1441 AVOCADO AVE, 703 Legal Desc : P BK 91 PG 19 PAR 1 Description: COMM FIRE SPRINKLER SYSTEM 21 HEADS (XC2022-2115) Owner: NCMB NO 3 LLC Address : 1401 AVOCADO AVE STE901 NEWPORT BEACH, CA 92660 Phone: (949)644-0603 Applicant: COSCO FIRE PROTECTION INC Address : 1075 LAMBERT RD, BLDG D BREA, CA 92821 Phone: (714)974-8770 Owner/Builder: Address : Phone Code Edition : 2022 Type of Construction Occupancy Groups: Bldg Height : Building Setbacks : Flood Zone: X Use Zone : PC - Block 400 Newport Center PROCESSED BY: SPECIAL CONDITIONS: Contractor: COSCO FIRE PROTECTION INC Architect Address : 1075 LAMBERT RD, BLDG D Address BREA, CA 92821 Phone: (714)974-8770 Phone: Con State Lie : 577621 State Lie: Lie Expire : 09/30/2023 Bus Lie: BT00022773 Engineer: Bus Lie Expire : 07/31/2023 Address : Workers' Compensation Insurance Carrier: ACE AMERICAN INSURANCE COMPANY Policy No: WLRC52021376 W. C. Expire: 1/1/2024 Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Phone: Lae SrA Designer: COSCO FIRE PROTECTION INC Address: 1075 LAMBERT RD, BLDG D BREA, CA 92821 Phone: (714)974-8770 YES Construction Valuation : NO Added/New/TI sq. ft. Bldg 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. $3,771.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penally 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 applicableftem(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 Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and `rofessions Code) or that he or she is exempt from licensors and the basis forthe 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 (_) all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044, Iusmess 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 Improvemant is sold within one year of completion., the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 3 1, 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 pIV 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), I am exempt frorn licensors under the Contractors' Stale 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 legallt all a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a Copy of the. applicable law, Section 7044 of the Business and 'rofassions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.govicalaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of peruryry that I am licensed under provisions of Chapter (commencing with Section 00) of Division 3 of the Business and Pr ssl ns C s, a y liconse-is In full farce nd effect. License Class [L' - 74 License No .� 71(al y Dat 1- Contractor Signatur VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORE THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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, forth gEformance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Expiration Date of Agent 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 agre t, if I should become s/u/pc�gto the wor sahon provisions of Section 3700 of (he Labor Code, I shall forthwith comply with (hose provisions. [nature of Applicant D 6-7- Z Z CLARATION REGARDING CONS fRUCTI NDING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which-thispermit is issued (Section 3097, C vIl Code). ider'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 count ordinances and state laws relating to building construction. I authorize representatives of this city or county to nt vie -I entitled property for inspection purposes. //�X/! —A.f / [nature of PTODartv Owner or Authorized Agent �� Pont Prooertv Owner's or Authorized Aoent's Nam6/ \ �ifc}��J_/=IOJ.,�-.__ .!Aato m zi-'U -Z? ACTION DATE BY ! DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL ! REGULATIONS PART 61 OF TITLE 40 AND AOMO RULE 1400 FOR OFFICE USE ONLY PERMIT EXPIRED I SL'9MITTEo ASBESTOS NOTIFICATION TO IN PERMIT CANCELLED PERMIT EMENDED -�C{IEF __ ...__.-.....�--r-- .. LWQMD__ _ PERMIT FLNAL ' 1�3 _ ��% OASBESTO5 NOTIFICATION IS NJT A.-L:CASLE TO CERTIFICATE OF t 1 PROPOSED DEMOLITION OCCUPANCYLSSUED SICCF,TUR`.: