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Home My WebLink AboutF2023-0572 - Permits�EWPO?T City of Newport Beach IIIIIIIIII�IIIIIIIIIII IIIIIIIIIIII II COMB Permit F2O23-0572 D� s Community Development Department -Building Division F 2 0 2 3 0 5 7 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2847 Permit Counter Phone: (949) 718-1888 Issued Date : 1112212023 u 2 newponbeachca.gov/civic Final Date: C9GlFDRN�P Combination Type - Permit Status: Issued Work Class - Other 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 : 100 BAYVIEW CIR, 400iLA' Legal Desc : N TR 12528 BLK LOT 2 Description : COMM FIRE - INSTL NEW VISUAL NOTIFICATION APPLIANCE, REMOVE & RELOCATE VISUAL AND AUDIO-VISUAL NOTIFICATION APPLIANCES (2 DEVICES) Owner: GPI BAYVIEW LLC Address : 5601 GRANITE PKWY STE1200 PLANO, TX 75024 Phone: (949)725-9900 Applicant: H C I SYSTEMS INC Address : 1354 S PARKSIDE PL ONTARIO. CA 91761 Phone: (909)628-7773 Owner/Builder : Address : Phone Contractor: H C I SYSTEMS INC Address : 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone: (909)628-7773 Con State Lie : 905493 Lie Expire: 02/29/2024 Bus Lie : BT30042287 Bus Lie Expire : 02/29/2024 Workers' Compensation Insurance Carrier: FEDERAL INSURANCE COMPANY Policy No: 54309498 W. C. Expire : 3/2/2024 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : II-B Fire Hazard Zone : NO Occupancy Groups : No of Units : 1 Bldg Height : No of Stories : 6 Building Setbacks Flood Zone : X('' Use Zone: PC - Bayview PROCESSED BY: ( A '- 1 SPECIAL CONDITIONS: u - A Architect Address Phone: State Lie Engineer: Address Phone Designer: H C I SYSTEMS INC Address : 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone : (909) 628-7773 Construction Valuation : $1,675.00 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 from the Contractors' State License Law for the reason(s) indicated below by the checkmarkQs) I have placed next to the applicable items) Section 7031.5, Business and Professions Cade: Arty 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 vAth Section 7000) of Division.3 of the Business and professions Code) or that he or she is exempt from liceasureand 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 fire hundred dollars ($500). 1 I, as owner of the property, or my employees withwages as their sole compensation, will do (-) all of or U porfons of the work, and the structure is not intended or offered for sale (Section 7044, 3usmess 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 mprovements 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 mproved 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 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 Law). 1 am exempt from licensure 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 forat least one year prior to completion of the Improvements covered by this permit, I Cannot legaih sell a structure that I have built as an ommor-builder if it has not been constructed in its entirety by licensed contractors. I undorstand that a copy of 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:httpliwww,leginfo.ca,gov(calav+.ntml, 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 D'AT, 3 of the Business and Professi licen ns Cods, a se is In full force and effect. License Class License No Date 11 I/ /-f Zh Contractor Signature �r WORKERS' COMPENSATION DECLARATION NARNING: 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 ISi0D,666), IN ADDITION TO THE COST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ZI 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, for th Pp rformance of the work for which this permit Is issued. Policy No. I 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' compensatiol Insurance earn�jr and polilifcy" number are: Carrier g�>°Xq� \Cjf`%Q�VI Cx, GNV. Policy Number 514 Expiration Date of Agent 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 become subject to the workers' compensation laws ofCaliforn'.la, and agre , If I should become subject to the workers Compensation rovlsions of Section 3700 or the Labor Cade, I shall forthwith comply with those provisions. natureof,Applican4_". ._ _......... .._..... ...... ..,. .,, Date I/,Z y�S.xlC/ 7l-1T-7 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) enders Name Lender's Address y 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 city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter t�p ab%ov, '/'deniifie perty for inspection purposes. \/ `/n �n�1 //�1 7 ianature of PfODertv Owner or Authorized Aqent // !/ ✓� l _ Print Property Owner's or Authorized Agent's Name. I Y �n r I Car) lr) VI,-e ! Qate ACTION DATE BY DECLARATION CLARAOPART COMPLIANCE TITLE 40 A DR ODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS 1404 PERMIT EXPfRED PERMIT CANCELC£D pFRIYfiT EX7FNDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED L 1 I `UBMITTED ASBESTOS NOTIFICATION TO L.-.I ASBESTOS NOT IFICArfON 15 NOTAPPLICABLE TO PROPOSED DEMOLITION 'IGYATURE: