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Home My WebLink AboutXC2023-0398 - Permits�EavoRT City of Newport Beach IIIIIIIIII IIIIIII IIIIIIIII III IIIII II III I II COMB Permit : XC2023-0398 Community Development Department -Building Division x C 2 0 2 3 0 3 9 8 i y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No " ` n Permit Counter Phone: (949) 718-1888 Issued Date : 0712812021 o.newportbeachca.gov/civic Final Date: C4��F00.N`P Combination Type - ELEC Permit Status: Issued Work Class - Other Inspection Area : 7 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: 1111 CAMELBACK ST Legal Desc : P BK 304 PG 5 PAR 2 P M 304-5 PAR 2 FOR OF PAR Description: COMM CELL SITE. INSTALL NEW AT&T ANTENNAS & RADIO REMOTE UNIT W/ NEW SCREENING WALL *REPLACE EXPIRED PERMIT* Owner: DSI NEWPORT GROWTH & INCOME FUND Address : 1111 CAMELBACK ST NEWPORT BEACH, CA 92660 Phone: Applicant: METRO RF SERVICES INC Address: 2320 S ARCHIBALD AVE ONTARIO, CA 91761 Phone: (909)230-4920 Owner/Builder : Address : Phone Contractor: METRO RF SERVICES INC Address : 2320 S ARCHIBALD AVE ONTARIO, CA 91761 Phone: (909)230-4920 Can State Lic : 895236 Lic Expire : 04/30/2025 Bus Lic : BT30061751 Bus Lic Expire : 03/31/2024 Workers' Compensation Insurance Carrier: FEDERAL INSURANCE CO Policy No: 54326429 W. C. Expire : 5/15/2024 Architect Address Phone: State Lic Engineer: LEE CHRIS Address: 27758 SANTA MARGARITA PKWY MISSION VIEJO, CA 92691 Phone: (949)468-9702 Designer Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $1.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New, sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X Use Zone : PC - North Ford PROCESSED BY: SPECIAL CONDITIONS: EXPIRED PERMIT X2021-0727 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable tern(s) (Section 7C31-6. 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 fife a signed statement that lie 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 'Professions Code) or that he or she is exampt from ficensure 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 not more than five hundred dollars ($500), ❑ I, as owner of the property, or my employees With wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business end 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 [list the Improvements 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 buitt or Ilimproved for the purpose of sale). �0 I, as owner of the property, am exclusively contracting with licensed Contradicts to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not !apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License taw), I am exempt from Ilcensure under the Contractors' State License Law for the following reasonBy my signature below: 6 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 sell a structure that I have built as an owner-buildor if it has not been constructed in Its entirety by licensed contractors. I understand that a copyof the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:flwww.ieginfo.ca.gov)calaw,html, Signature of Property Owner or Authorized Agent Date ^_ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty' of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of D'vis'on 3 of the Business and Pro 'onsCo ,air t1 {�1fC,ens_ a is In full farce and effect. License Class License No Date o 23 Contractor Signatukho WORKERS' COMPENSATION DECLARATION r -Z`_ WARNING: 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 (Si00.D00J, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I haw 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 the OVK<nce 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 Date lame of Agent Phone # 31 certify that, in the performance of the work for!�yyhich 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 agree rat, if I should become subject to t ker ' (npensatic, revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignalure of Applicant _, _ Dat ��/''i!/23 fECt_ARATION REGA. G C NST ON L ` 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 (Section 3097, Civil Code). ender's Name Lander's'Address ly 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, 10 A14V t,, irk- TRKZ•t o I agree to comply with all applicable city and county ordinances and ate laws relating to building. construction. _ I authorize representatives of this city or county to enter th; ov operty for inspection purposes, iianature of PrODerty Owner or Authorized Agent AcJ Print Property Owner's or Authorized Agent's _ __ Date ACTION DATE BY DELARAIKOXOF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRED I SU4MITTEb�SRE TOS NOTIFICATION TO PERMIT CANCELLED I CT.-1rC'A. PERMIT FXTENDED LJAQM D PCRNNi F1AlAL ' LQ �- C!' ❑ASBESTOS NOT IFICAI ION IS NOTAPPLICABLE f0 CERTIFICATE OF / PROPOSED DEMOLITION OCCUPANCY ISSUED 5I9N AI URE