HomeMy WebLinkAboutF2023-0270 - Permits�EwPogr City of Newport Beach Illlll�lll�lllllllllllllVlllllllllllll�lllullllllllullll III COMB Permit: F2U23-�27U
�4 p Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1384
u= Permit Counter Phone: (949) 718-1888 Issued Date : 06/07/2023
e., newponbeachca.gov/civic r—% — Inspection Area : FIRE
cy4PoP��P Combination Type - - -
Work Class - Tenant Improvement r i L
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: 700 NEWPORT CENTER DR, 4TH FL Legal Desc : N TR 361 BLK 55 IRVINE SUB LOT BLK 55 FOR OF BLK
Description: COMM FIRE ALARM TI REMOVE 3 DEVICES. (PACIFIC LIFE) XC ;L0 a.I — O 11 b
Owner: IRVINE CO
Address : 111 INNOVATION
IRVINE, CA 92618
Phone: (949)720-3100
Applicant:
GARY RAMIREZ
Address :
1354 S PARKSIDE PL
ONTARIO, CA 91761
Phone:
(909)957-5200
Owner/Builder :
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone:
Use Zone:
PROCESSED BY:
Contractor: H C I SYSTEMS INC
Address : 1354 S PARKSIDE PL
ONTARIO, CA 91761
Phone: (909)626-7773
Con State Lic :
905493
Lic Expire :
02/29/2024
Bus Lic:
BT30042287
Bus Lic Expire :
02/29/2024
Workers' Compensation Insurance
Carrier: FEDERAL INSURANCE COMPANY
Policy No: 54309498
W. C. Expire : 3/2/2024
2022 Fire Sprinklers :
YES
I -A Fire Hazard Zone :
NO
B No of Units :
0
No of Stories :
8
X
OR - Office —Regional
0S
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer:
Address :
Phone
Designer: H C I SYSTEMS INC
Address: 1354 S PARKSIDE PL
ONTARIO, CA 91761
Phone: (909)628-7773
Construction Valuation : $1,000.00
Added/New/Ti sq. ft. Bldg: 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : a
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 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 fm
he 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
'rafessions 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
tot more than five hundred dollars (9500).
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,
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
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 built or
nyproved for the purpose of sale).
J I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, But fit
ess and Professions Code: The Contractors' State License Law does not
Poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor puusni to the Contractors' State License Law).
J I am exempt from licensure under the Contractors' Stale License Law for the following reason:
ty my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one yearl,prior to completion of the improvements covered by this permit, I cannot legeli)
ell a structure that 1 have built as an owner -budder 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:/hvww.leginfo. Lgov/calaw.html.
of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7Q0O1of Dj ' ion 3 of the Business and Pmfesgio�Code license is in full force
nd effect. License Class License No Date'1 /ram/ 1 f Z C.nniracMr Rirmafure
VORKERS' COMPENSATION DECLARATION
iARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IB UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
:OST OF COMPENSATION, DAMAGES AS PROwOED FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES,
hereby affirm under penalty of per/'ury one of the following declarations:
] I have and Will maintain a certificate Of Consent to segdnsure for workers' compensation, issued by the Director of Inc
rerf mane 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 perfer
Isurance carrier and policy number are:
tamer Policy Number
lame of Agent
Certify that, In the performance of the work for Which this permit is issued, I shalt not employ any person in any manner 3
, if I should become subject to t rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Mature of Applicant _ 0 — X i�
FINES UP TO ONE
(11100.e00), IN ADDITION TO
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is Issued. My workers'
Date
iD become subject to the workers' compensation laws of California, and agre
ply with those provisions.
Date1��/Z�
hereby affirm under penalty of perjury that there is a Construction lending agency for the performance of the work for which thil� permit is issued (Section 3097, Civil Code).
.enders Name Lender's Address
3y my signature below, I certify to each of the following:
I am the properl- r Tier or authorized to act on the property owner's behalf.
I have read thiP rpptication and the Information I have provided is correct,
t vir59 to comfN with all applicable city and county ordinances and state taws relating to building construction.
I authorize representatives of this city or county to ant the. bpv nlified property for Inspection purposes.
3i�nPture of Pro efi+ Owner or Authorized ASent,
Print IF, a Chvner's or Authorized Agent's Name
Rtt10N DATE BY DECLARATION of COMPLIANCE WITH CODE of FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
rthmi r CXMKEU
I
I L-f t SUBMITTED ASBESTOS NOTIFICATION TO
PERMI f CANCELLED
PA
P.'RA'IT E`7ENDED
PERMIT FINAL
C'Rr1FlC6TE OF
OCCUYANCYISSUF0
UQMD
f-\Gy' -
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMO ON '
SIGNATLIRF-
Date