HomeMy WebLinkAboutF2023-0184 - Permits�EwPo�T City of Newport Beach
D� Community Development Department - Building Division
�n 100 Civic Center Drive, Newport Beach, CA 92660
n Permit Counter Phone: (949) 644-3288
S Inspection Requests Phone: (949) 644-3256
CgCIFppN�N newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
COMB Permit : F2023-0184
F 2 0 2 3 - 0 1 8 4�� II
Plan Check No: PC2023-0971
Issued Date : 04/27/2023
Inspection Area :,7-' 1��
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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: 4695 MACARTHUR CT, 1450
Legal Desc : P BK 196 PG 40 PAR 2
Description : COMM FIRE ALARMS 11 DEVICES (XC2023-0014)
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Owner : TRIO COMMUNITY ASSOCIATION
contractor: BUILDING ELECTRONIC CONTROLS
Architect : 6
'r
Address : 4695 MACARTHUR CT
Address : 2246 LINDSAY WAY
GLENDORA, CA 91740
Address :
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NEWPORT BEACH, CA 92660
Phone : (909) 305-1600
Phone:
Phone :
Con State Lic : 729905
State Lic —1
Lic Expire : 11/30/2024
Applicant: BUILDING ELECTRONIC CONTROLS
Bus Lic : BT97025666
Engineer
Address
Address : 2246 LINDSAY WAY
Bus Lic Expire : 10/31/2023
GLENDORA, CA 91740
Workers' Compensation Insurance
phone
Phone: (909) 305-1600
Carrier: ZURICH AMERICAN INS CO
BUILDING ELECTRONIC CONTROLS
OwnerlBuilder :
Policy NO: WC302951002
Designer:
Address: 2246 LINDSAY WAY
Address :
W. C. Expire: 4/1/2024
GLENDORA, CA 91740
Phone: (909) 305-1600
Phone:
Fire Sprinklers : NO
Construction Valuation : $10,529.00
Code Edition : 2022
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg : 0
Type of Construction : I-B
0
Alteration sq. ft. Bldg :
Occupancy Groups : A3
No of Units :
15
Added/New sq. ft. Garage : 0
Bldg Height :
No of Stories :
TOTAL sq. ft. : 0
Building Setbacks :
Flood Zone : X
Use Zone : PC - Koll Center
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty 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 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 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
Professions Code) or that he or she is exempt from licensure 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 (_) all of or U portions of the 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 properly, 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).
0 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
apply 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 I am exempt from licensors under the Contractors' State License Law for the following reason:
3y my signature below I acknowledge that, except for my personal residence In which I must ha re resided for at least one year prior to completion of the improvements covered by this. permit, I cannot legal sell a structure that I have built as an ownor-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:http://www.leginfo.ca,gov/calayefitmi,
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) of CIA ion 3 of the Business and Pk
ssfors Coda, a - yJ CeIT .a in full force
ind effect License Class License No Dat 7 Contractor Signatu �/,�
NORKERS' COMPENSATION DECLARATION `�
YARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS $1D0,000). IN ADOmON TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEWS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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
,erformance of the work for which this permit is issued. Policy No,
have 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'
l'"ce carrier and policy number are:
is of Agent
Certify that, in ilia pe;;;orpppllland
if I should become kUffiaCi to
lature of Avolica nt I /y\' C;
of the work
Policy Number _ Expiration Date
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
ft�e�i alion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
areby affirm under pelhalty of pe�-Ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,
idar's Name Lenders 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 count. ,enter the ab �V Vid�e title df�property for inspection purposes. 1
nature of Property Owner or Authorized Agent Print Prooertv Owner's or Antheri>an hr,. Y V.f I lnl
ACTION DATE. By V I b-tAARATION. OF COMP.IANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
9EGJLATION4 PART 61 of TITLE 40 AND AAMD RULE
140S
PERMIT EXPIRED I SUBMIT "ED A54FS I OS NJTI FICATION TO
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PER Mf7 FlNAl I ❑ ASBE570SNO71FICA'r1ONI5N01'APPLICABLe TO
CERUFlCAiE OF PROPO EDDEMC'T'ON
OCCUPANCY ISSUED Lv
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SIGNATURE:
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