HomeMy WebLinkAboutF2023-0147 - PermitsCity of Newport Beach
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Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
111111111111111111111111111111111111111111111111111111111111 JillCOMB Permit : F2023-0147
Plan Check No : PC2023-0726
Issued Date : 03/30/2023
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: 1441 AVOCADO AVE, 703 Legal Desc : P BK 91 PG 19 PAR 1
Description: COMM FIRE ALARM TI: W/ (13) DEVICES "DR. MCNEIL" (XC2022-2115)
Owner: NCMB NO 3 LLC
Address : 1401 AVOCADO AVE STE901
NEWPORT BEACH, CA 92660
Phone: (949)644-D603
Applicant: ADVANCED ALARM INC
Address : 8724 MILLERGROVE DR
SANTA FE SPRINGS, CA 90670
Phone: (562) 944-2356
Owner/Builder :
Address :
Phone
Contractor:
ADVANCED ALARM INC
Address :
8724 MILLERGROVE DR
SANTA FE SPRINGS, CA 90670
Phone:
(562)944-2356
Con State Lic
: 750871
Lic Expire :
06/30/2024
Bus Lic :
BT30074955
Bus Lic Expire : 03/31/2023
Workers' Compensation Insurance
Carrier: OAK RIVER INSURANCE COMPANY
Policy No: ADWC346149
W. C. Expire: 4/17/2023
Architect
Address
Phone:
State Lic
Engineer
Address
Phone:
Designer:
ADVANCED ALARM INC
Address :
8724 MILLERGROVE DR
SANTA FE SPRINGS, CA 90670
Phone:
(562)944-2356
Code Edition :
2022
Fire Sprinklers :
YES
Construction Valuation : $8,996.00
Type of Construction :
I -A
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 :
8
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks
Flood Zone:
X
Use Zone:
PC - Block 400 Newport Center
5W? -53 t0 - U
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am Exempt from the Contractors' State License Law tot 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
the permit to file a signed statement that ho 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
Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portionsofthe work, and the structure is not intended or offered -for sale (Section 7044,
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 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 built or
improved for the purpose of sale).
1, as owner of the property, am exclusively contracting With licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
apply, to an owner of property who builds or Improvesthereon, 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 .
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.cannot legalll
sell a structure that I have built as an owner -builder it it has not been constructed in its entirety by liconsadcontractors. I understand that a copy of the applicable law. Section 7044 of the Business and
Professions Codc,'s Lvailable upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED C0NTR4LCTOR'S DECLARATION
I hereby affirm loader penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section OOO) of Division 3 of the Business and Professions ' e, and r - c se Is In full force
and eff^ct. License Class License No Date�� Contractor SignatureL..
VN'ORXERS' COMPENSATION DECLARATION
W ININCt FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED DUSAND DOLLARS f3100,000i, IN ACDrrION TO THE
CJS1 OF COMPENSgi ION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LAaOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
1 I P ^e afid 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
}o..rforma ce of the work for which this permit is issued. Policy No.
S11 hav and wil; ma:ntsln 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' compensedor
1Gvr re carrier and policy number are:
Policy Number
of Agent
Date
:11 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
hat, if I should become subject t e workV_x
nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
3ignalure of Applicant_ _ Dat
)ECLARATION REG A DI CONSTR. DO AGENCY
hereby affirm underpe5oKy of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3697. Civil Coda),
.enders Name Lenders Address
3y 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 ordina s and state f relating to building construction.
I authorize representatives of this city or county to e er above-1 property for inspection purposes. �\
3i nature of Property Owner or Authorized Agaat. Print Property Owner's or Authorized Agent s Narn w4J G
ACTION DATE BY Or,LARATION. OF COMPLIANCE WITH CODE OF FEDERAL rOR OFFICEuSE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQMO RULE
403
PERMIT EXPIRED
PERMIT EXTENDED
TO
PERMIT FINAL jlQ(�';�3 �Il.(pf?y(J I1„-I ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIEICATEOF 1 PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE: