HomeMy WebLinkAboutF2023-0144 - Permitsa , voRT City of Newport Beach II II II IIIIII III IIII IIII III I IIIII) II COMB Permit: F2023-0144
�k p Community Development Department - Building Division F 2 0 2 3 0 1 4 4
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0712
rj Permit Counter Phone: (949) 644-3288 Issued Date : 03/29/2023
6 yak T Inspection Requests Phone: (949) 644-3255 Inspection Area : FIRE
C'O</F00.0.,P newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
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 : 610 NEWPORT CENTER DR, 1250 Legal Desc : P BK295 PG 33 PAR 4
Description: COMM FIRE ALARMS 39 DEVICES (XC2022-2120)
Owner: IRVINE CO Contractor: BUILDING ELECTRONIC CONTROLS Architect
Address : 111 INNOVATION Address `. 2246 LINDSAY WAY Address
IRVINE, CA 92618 GLENDORA, CA 91740
Phone: (949)720-3100 Phone: (909)305-1600 Phone:
Con State Lie : 729905 State Lie
Lie Expire : 11/30/2024
Applicant : BUILDING ELECTRONIC CONTROLS Bus Lie : BT97025666 Engineer
Address : 2246 LINDSAY WAY Bus Lie Expire : 10/31/2023 Address:
GLENDORA, CA 91740
Phone: (909) 305-1600 Workers' Compensation Insurance Phone:
Carrier: ZURICH AMERICAN INS CO
Owner/Builder : Policy No : WC302951002 Designer: BUILDING ELECTRONIC CONTROLS
Address : W. C. Expire : 4/1/2023 Address : 2246 LINDSAY WAY
GLENDORA, CA 91740
Phone: Phone: (909) 305-1600
Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $54,400.00
Type of Construction : I -A Fire Hazard Zone i NO Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : No of Units : 0 Alteration sq. ft. Bldg :
Bldg Height : No of Stories ; 18 Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks
Flood Zone : X
Use Zone: PC - North Newport Center
PROCESSED BY:
SPECIA�- CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that € 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 Rem(aI
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
ma permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Low (Chapter o (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 for the alleged exemption. Anyviolationof Section 7031.6 by any applicant fora permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
11, as owner of the property, or my employees withwages as their solo Compensation, will do L) all of or U portions of the work; and the structure is not Intended or offered for sale (Section 7044,
lusiness 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
nproventents 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 of
nproved 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 State License Law does not
ply to an owner of property who builds or Improves thereon, and who contracts for the projects with alicensed Contractor pursuant to the Contractors' State License Law),
I am exempt from licensors, 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 legall,
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensad'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 fallowing Web site http:ltwww.teginfo.e .govtcalaw.html,
ignature of Property Owner or Authorized Agent Date
.iCENSED CONTRACTOR'S DECLARATION
nd effect. License Classy perjury
rk License No ( g Date ) 'Z 23 V y ce I II torte
hereby of imt under penalty of a 'u that 1 am licensed under provisions of Chapter g (commencing with Section 7000 of Dlvi 10 3 o the Business grid Pro a io s C d JJ
he B sines s nafuf 1.
VORKERW COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IB UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FNES UP TO ONE HUNDRED THOUSAND DOLLARS (111011,000). IN AUDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37D8 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one. of the following declarations:
I have and will maintain a certificate of consent to sett -insure four workers' compensation. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
ormance of the work for which this permit is issued. Policy No.
eve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Coda, for the performance of The work for which this permit is issued, My workers' compensohol
Isur nce carrierand policy number are:
Policy Number
ne of Agent Phone#
Date
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
that, it I should become subject to the wor mpens�aq on provisions of Section 3700 of the Labor Code, I shall fonttwith comply with Those provisions.
Signature of Appiic_-,�_�L'
DECLARATION R G JD ONSTRUCTION LE ING AGENCY
I hereby affirm and pe alty, of penury that there is a construction lending agency for the performance of the work for -which this permit is issued (Section 3097, Civil Code),
Lenders Name Lenders Address
By my signature below, I certify to each of the foilowmg:
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.
authorize, representatives of this city or coupt enter the Drillp y for inspection purposes.
i nature of Propertyy Owner or Authorized A an Print Property Owner's or Authorized Agent 5 Nan . 1 � Date'
ACTION DATE BY DE LARATION OF COMPLIANCE WITH COOS OF FEDERAL FOR OFFICE. USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AC1MD RULE
1403
PERM77£HPIRED I SURMITTEO ASBESTOS NOT] FICATdON TO
PERMIT CANCEUED 01PA
PERMlTEKTENDED
PPRMR Orbit r'�.3 ��� � I ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CEATIF1CA7e OF � � i PROPOSED DEMOLITION
OCCUPANCYiSSUFD j i SIGNATURE.