HomeMy WebLinkAboutF2023-0163 - PermitseWPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2023-0163
Community Development Department- Building Division F 2 0 2 3 0 1 6 3
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0823
u i Permit Counter Phone: (949) 718-1888 Issued Date :
�. newportbeachca.gov/civic Inspection Area : FIRE
�9tico PN�P 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, STE 250 Legal Desc : P BK 295 PG 33 PAR 4
Description: COMM FIRE ALARM - 8 DEVICES (XC2023-0112)
Owner: 610 NEWPORT CENTER DR LLC
Address : 610 NEWPORT CENTER DR STE890
NEWPORT BEACH, CA 92660
Phone: (949)720-2400
Applicant:
JESSICASMARKER
Address:
4770 CAMPUS DR, STE 100
NEWPORT BEACH, CA 92660
Phone:
(805)444-8677
Owner/Builder
:
Address :
Phone
Contractor:
BUILDING ELECTRONIC CONTROLS
Address :
2246 LINDSAY WAY
GLENDORA, CA 91740
Phone:
(909)305-1600
Con State Lic
: 729905
Lic Expire :
11/30/2024
Bus Lic:
BT97025666
Bus Lic Expire : 10/31/2023
Workers' Compensation Insurance
Carrier: ZURICH AMERICAN INS CO
Policy No: WC302951002
W. C. Expire : 4/1/2024
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone
Designer: BUILDING ELECTRONIC CONTROLS
Address: 2246 LINDSAY WAY
GLENDORA, CA 91740
Phone: (909)305-1600
Code Edition :
2022
Fire Sprinklers :
YES
Construction Valuation :
$2,444.00
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:
18
Added/New sq. ft. Garage:
0
TOTAL sq, ft.:
0
Building Setbacks:
Flood Zone :
X
Use Zone :
PC - North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS:
U ri
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that t 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 Items)
(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 rile a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law ( hapter 9 (commencing with Section 7000) of Division 3 of the Business and
professions Code) or that he or she is exempt from licansure and the basis for the alleged exemption. Any violation of Section V 31.5 by any applicant for a permit subjects the applicant to a civil ponalty of
Tot more than five hundred dollars ($500),
71 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the wt rk, 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 empic yees' 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 compledo , the Owner -Builder will have the burden of proving that it was not built or
Improved for thepurpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bush ass and Professions Code: The Contractors' State License Law does not
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a ly to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor purs ant to the Contractors' State License Law).
I am exempt from licansure under the Contractors' Stale 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 plor Ia completion of the improvements covered by this permit, I cannot legal
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I underst Ind that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted orat the following Web site:http:/lwww.leginfo.ca ov/calaw.html.
Signature of Property Owner or Authorized Agent ate
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7.00 of D�'yi ion 3 of the Business and Prof ssi ode and m 1 nseis full (ore
and effect. License Class License No Date .0 Contractor Signature
VORKERS' COMP£4'SATION DECLARATION v
DARNING: FAILURE TO -f J-E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A 4113 CIVIL FINES UP TO ONE HUNDRED TW 0 DOLLARS (Sf00.000), IN ADDITION TO THE
:OS r OF COI.IPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby afrr .andzr i-enaay of perjury one of the following declarations:
;end will milmain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Ind trial Relations as provided for by Section 3700 of the Labor Code, forth,
Leo Iaoce of the work for which this permit is issued. Policy No.
I re a-td will mainlsin workers compensation insurance, as required by Section 3700 of the Labor Code, for the perforionce of the work for which this permit is issued. My workers' compensatior
sAiloance carder and policv number are:
:arrler_ Policy Number Expiration Date
Jame of Agent Phone #
ce.tify 6tat. in thw pea*yrm ce of the work for is this permit is issued. I shall not employ any person in any manner so a to become subject to the workers' compensation laws of California, and agre
1, it I should becers su.}j to the workers' ca p Eioepro 'lions ofSeclion 3700 of the Labor Coda: tshall forthwith co ply with those provisions.
nrNre of Appliesnr Dat� �
GLARATION Rt<L;Aii' M6 S RUCTION L ING GENG
neby affirm under penalty f rjury that there is a construction lending agency for the performance of the work for which this Demnit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
my signature below. I certify to each of the Following:
I am the property owner or authorized to act on Me property owner's behalf.
I have read this application and the informaAm
eve provided i5correct.
1 agree to comply with all applicable c14 any ordinances nil to laws relating to building construction.
I authorize representatives or this city or coenter the abo a-j� fif ed^m`artyfo,,r inepectlon purposes.nature of ProaerN Omer or Authorized Ade�. 4 1 J( JY UVl. C'rmt Property Owner's or Authorized Agent's Na e _
ACTION ( DATE BY �D Ij DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
Jlti REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE + J
1403
PERM/7EXPIRED ILJ ISunMIFTED ASBESTOS NOTIFICATION TO
tERTIFtCATE OF I I ITFINAtµ�wU' I POTAP
KOP` EO- N i� ION IS� �� %CIt 1 E TO
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