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Home My WebLink AboutF2023-0126 - PermitsCity of -Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Community Development Department- Building Division F 2 0 2 3 0 1 2 6 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: 949 644-3288 ( ) Inspection Requests Phone: (949) 644-3255 04,newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement COMB Permit: F2023-0126 Plan Check No : PC2023-0609 Issued Date: 03/21/2023 Inspection Area x e 10 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 SATURDAYOR SSUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS 5,/" i\..., y% �.A !..A-.i N,3 Job Address : 910 COAST HWY W Legal Desc : P BK 0133 PG 13 PAR 1 Description: COMM FIRE APRINKLER SYSTEM 20 HEADS (X2022-1758) Owner: GUGASIAN LEVON TR Contractor: PERFORMANCE FIRE SYSTEMS INC Architect Address : 11 RIDGELINE DR Address : 12001 BARLETT ST Address NEWPORT BEACH, CA 92660 GARDEN GROVE, CA 92845 Phone : Phone : (714) 886-8138 Phone Con State Lic : 1055488 State Lic Lic Expire : 07/31/2023 , 1 Applicant : PERFORMANCE FIRE SYSTEMS INC Bus Lic : G.-C Engineer Address : 12001 BARLETT ST Bus Lic Expire: 3 t -3` 12A Address GARDEN GROVE, CA 92845 Phone : (714) 886-8138 Workers' Compensation Insurance Phone Carrier: AMERICAN FAMILY Owner/Builder: Policy No: 5FA5WC800109601 Designer: PERFORMANCE FIRE SYSTEMS INC Address : W. C. Expire : 2/1/2024 Address : 12001 BARLETT ST GARDEN GROVE, CA 92845 Phone : Phone : (714) 886-8138 �)YZy1f :L Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $7,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories: 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : CG - Commercial General PROCESSED BY: A M *71 T7- SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION thereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) 3eclion 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 to permit to file a signed statement that lieor 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 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 L) all of or {_) portions of the work, and the structure is notlntended or offered for sale {Section 7044, .usinsss 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 nprovements 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 bur€t or 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 pIV to an owner of property who builds or Improves thereon, and who contracts fur the projects with a licensed Contractor pursuant to the Contractors' Slate Lldsnse Law), I am exempt from licensure 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 legally all a structure that I have built as an owner -builder if it. has not been constructed in its entirety by licensed contractors. I understand thata copy of the applicable raw, Section 7044 of the Business and professions Code, isavailable upon request when this application is submitted or at the following Web site:httpllwww.loginfo.ca.gov/calaw.htmi. :,gnature of Property Owner or Authorized Agent Date JCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I ant licensed under provisions of Chapter 9 (commencing with Section Off of Dhrision 3,of the Business and P sss' s-6 dr�end-sq licsnse' n full fares nd effect. License Class License No Da _S Z1 - GonVacfor &ignal e L VORKERS' COMPENSATION DECLARATION EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (St00,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIOEU FOR IN SECTION }TOM OF THE LABOR CQQE, INTEREST, AND ATTORNE s FEE$. hereby affirm under penalty of perjury ono 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, for In( erformance 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 of Agent Date 3 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 rat, if I should become 4oubject to the w-orkef�s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. ignaiure of Applicant 1 l/ Da 3- IECLARATION REGARDIN 9TRUCTIfOrlif- LENDING AGENCY hereby 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), enders Name Lenders Address ,y rey signature below, I certify to each of the following: I are 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 authoriza representatives of this city or county Po Spier theilibawa4daEflfied pr90?ny for inspection purposes. a , ACTION DATF BY r ( DECCARATION OF COMPLIANCE WITH CODE OE FEDERAL FOR OFFICE USE ONLY I E REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE —Ei- - 1hU3 _ _ PERMIT EXPtREo l I WLM',TIED 1,SHESTO; NOT] FI„ATtO'Ii Tu PF.irMiT CANCELLED --- j EPt, PERMIT FINAL ((L1UI �kUV�YG) LJ ASBESTOS NOTAPPLICABLE TO 1$ NOT APPLICABTO CEATIRCATE'OF ff PROPPSEO DEMOLITION OCCUPANCY ISSUED SFGNATJRE: