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Home My WebLink AboutF2023-0466 -�gW PO/PT City of Newport Beach IIIII II I II I IIII II IIIIIIII III IIIIIIII II COMB Permit: F202,3-0466 D� 1' � Community Development Department- Building Division F 2 0 2 3 0 4 6 6 r: , n 100 Civic Center Drive, Newport Beach, CA 9266D Plan Check No: PC2023-2354 Permit Counter Phone: (949) 718-1888 Issued Date : 10/04/2023 newportbeachca.gov/civic Final Date: °q<iaoa�"P Combination Type - Permit Status: Issued Work Class - Tenant Improvement 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 : 424 32ND ST, F Legal Desc : P BK 344 PG 27 PAR 1 UN A PM 344-27, PAR 1 OF PROJ Description: COMM TI FIRE SPRINKLERS *WORK IN PRGRS* (3 HEADS) XC2023-0383 Owner: GARY JARVIS Address : 1200 QUAIL ST, STE 205 NEWPORT BEACH, CA 92660 Phone: (714)329-4877 Applicant: GARY JARVIS Address : 1200 QUAIL ST, STE 205 NEWPORT BEACH, CA 92660 Phone : (714) 329-4877 Owner/Builder : GARY JARVIS Address : 1200 QUAIL ST, STE 205 NEWPORT BEACH, CA 92660 Phone: (714)329-4877 Contractor Address : Phone: Con State Lic Lic Expire Bus Lic : Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No W. C. Expire Code Edition : 2022 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : B No of Units : 1 Bldg Height : No of Stories Building Setbacks Flood Zone : X Use Zone : __MU-CV/15TH ST - Mixed -Use Cannery Village and 15th Street PROCESSED BY: SPECIAL CONDITIONS: 123-1855 Architect Address Phone: State Lic Engineer: Address Phone Designer: SDL FIRE PROTECTION Address : 1291 N MELANIE STE D ANAHEIM, CA 92807 Phone: (714)408-5276 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. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt trom the Contractors' State License Law for the reasons) 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 )e Permit to file a signed statement that he or she is licensed pursuant to the provisions of tho Contractors' State License Law (Chapter 9 (commencing. with Section 7000) of Division 3 of the Business and 4pleIssions 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 re than five hundred dollars ($500). 1, 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 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 oprovemenls 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 nproved for the purpose of sale). 7 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 pply 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 licensore under the Contractors' State License Law for the following reason -__- .... iy my signature below I acknowledge that, except for my personal residence in which I must have resided for at feast one year prior to completion of the improvements covered [his permit 1 cannot legalll oil a structure that I have built as an ownar-builder if it. has not been constructed in Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7 44 a the flu moss and rofessions Code„ is available upon reques when this a pine submitted or at ih Wl(ig eb site:http,/I"w,leginfo.ca,gov/calaw.html. ��Z gnature of Property Owner or Authorized Dn �__ _ _._._._,_._. Date .ICENSED CONTRACTOR'S DECLA. ION _ �`Tv hereby affirm under penalty of perjury that a licensed under provisions of Ch er 9 (commencing with See. of Division 3 of the Buem rofessions Code, and my license is in full force nd effect. License Class License No Da Contract alure VORKERS' COMPENSATION DECLARATION. 'ARNING: 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 IEtO0,000), IN AUQmCN TO THE DST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3T0e OF THE LABOR CODE. INTEREST, Me ATTORNEYS FEES. hereby affirm under penalty of perjury one of the fallowing declarations: I I have and will maintain a certificate of consent 10 self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth erformance 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 performance of the work for which this permit is issued. My workers' ranee carrier and policy number are: Policy Number Date of Agent Phone P artify 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 worker ' compensation laws of California, and agre If I should becomes act the workers compensation provisions ion 3700 of the Labor Code, I shall forthwi(h comply with those provisions . nature of Appl n! iw�'teC Le ;I, L�2-Cz— CLARATION R A DI CONSTRUCT10N DI AGENCY !reby affirm under penalty of perjury that there Instruction lending agency for the performance of the work for which this permit Is issued (Section 3ivilCode). roars Name __ _ _ __ Lenders Address my signature below, I certify to each of the following: 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 ity and coot dinances and state laws relating to building construction. (/.�A yy [ _ Ta n/ r1 S i J I authorize representatives of this city y coynt .Y ,at7ov rtt ad'prc?Pe. y for insPeclion purposes. / \ (/ , 1,,, 1. 11 ACTION ; DATE E BY t PEG 'i7T�a N ART NI OF ANC F140 AN000DE OF FEDERAL J FOR OFFICE USE ON PERN'TEXPIRED { UisuBMITTFDASBESTOSNOTIFICATICNTO ) PERIv11T CANCELLED I LICPA PEPoLF7T EXTENDED -_- rr 77 _ ��j7 /iaZ -_.._.. r"L✓IyP'If IS NOI APPLICABLE tU CPEERRPF1ICATE OF "OUT DIOpU OCCUPANCY ISSUED f SIGNATURE: