HomeMy WebLinkAboutF2023-0025 - Permits�aEW 4Rr City'of,Newport Beach
D @ Community Development Department- Building Division
F Fy 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
a Inspection Requests Phone: (949) 644-3255
°+c�❑��R\+`� newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
COMB Permit: F2023-0025
F 2 0 2 3 0 0 2 5�� �I
Plan Check No: PC2023-0092
Issued Date : 0112612023
Inspection Area : FIRE
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 : 690 NEWPORT CENTER DR Legal Desc : P BK.196 PG 13-PAR 2 PARCEL MAP 196-13 PAR 2 POR OF PAR AND PAR 3 PER
Description: COMM -RELOCATE 118 FIRE SPRINKLERS @ PENDRY HOTEL SOCIAL CLUB XC2022-1934
Owner: 690 HOTEL LLC
Contractor: ADT COMMERCIAL LLC
Architect
Address : 690 NEWPORT CENTER DR
Address : 210 W BAYWOOD AV
Address
NEWPORT BEACH, CA 92660
ORANGE, CA 92765
Phone :
Phone : (675) 566-3065
Phone
Con State Lie : 1065604
State Lie
Lie Expire: 05/31/2024
Applicant: ADT COMMERCIAL LLC
Bus Lie : BT30072351
Engineer:
Address : 210 W BAYWOOD AV
Bus Lie Expire : 07/31/2023
Address
ORANGE, CA 92765
Phone: (675) 566-3065
Workers' Compensation Insurance
Phone:
Carrier: OLD REPUBLIC INSURANCE
Owner/Builder :
Policy No: MWC31431722
Designer
Address :
W. C. Expire : 10/1/2023
Address : F
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : YES
Construction Valuation : $52,000.00
Type of Construction : I -A
Fire Hazard Zone : NO
Added/NewlTI sq. ft. Bldg: 0
Occupancy Groups : B
No of Units : 0
Alteration sq. ft. Bldg:
Bldg Height:
No of Stories : 20
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
Building Setbacks
Flood Zone : X
Use Zane PC - North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS:
a1 3-703- 57a9c1
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasoi 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
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
'rofesslons Code) or that he or she is exempt from iicensvre and the basis for the alleged exemption. Any violation of Section 703t.S by any applicant for a permit subjects the applicant to a civil penalty of
tot more than five hundred dollars ($500j.
1, Be owner of the property, or my employees with wages as their sole compensation:, will do (_) all of or L) 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 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, tries Owner -Builder will have the burden of proving that it was not built or
nprovod 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
Ippty 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 am exempt from frcensure under the Contracters' State 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 prior to completion of the improvements covered by this permit, I. cannot legal],
ell a structure that I have built as an owner -budder if it has notbeen constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and
^rofessions Cade, is available upon request when this application is submitted or at the following Web site:httPrifwuv✓.leglnfc.ca,gov/cataw.html.
Bignatum 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 O) Division 3:of the Business anTPssions e, and license is In full force
ad effect. License Class License No Date Contractor Sign
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS t5100,000), IN ADDITION TO THE
DST OF COMPENSATION, nAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR Coos, INTEREST, AND ATTORNEY's 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, forth
Vane Fee 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 _Expiration Date
of Agent
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 UoDOme subject to the workers' mpensation laws of Califdrms. and agro
Tat, if I should become fact to the worker_*' comps a€ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
,rgnature of Applicant Cie. , !�(� ��
IECLARATION REGA DING N L DING AGE Y
hereby affirm under penalty of perpurythat linen is a construction lending agency for the performance of iha work forwhich this permit. is issued (Section 3097, Civil Codej.
tinder's Name Lender's Address
ly my signature below, ]cartffy to each of die fDliawing:
I am the property owner or authorized to act on the property owner's behalf,
—
I have read this application and the informati have provided is rre��_�� C)�
I agree to comply wan all applicable city a0d my ordinance d s laws relating to building.. construction. `\ l/
I authorize representatives of this city ar Goua e.Tter = ve : mjfwd property fc, inspection purposes.
_.
ACTION GATE. BY [ CLARATIO OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE.ONLY
REGULATIONS PART GS Of TITLE 40 AND AQMD RULE
5403 _ _ _ _ _
PERMITEXPfRED I[ 151.RM.TTin �Gr rzT'n.NhT:SirA nnM Tf1
PERMITFINAL �/m 1-23 1"100 i) UASSESTOS NOTIFICATION 15 NOT APPLICA9IE TO
CER RCATE Of I,PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE: