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Home My WebLink AboutXC2023-0158 - Permits�EWPoRr City of Newport Beach jjlj�111111111111111111111111111111uIll1111►11111111111IIJill COMB Permit: XC2023-0158 Community Development Department- Building Division X C 2 0 2 3 0 1 5 8 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1125 u r+ ? Permit Counter Phone: (949) 718-1888 Issued Date : 08/02/2023 newportbeachca.gov/civic Final Date: Cq[�GpAN`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 : 1177 CAMELBACK ST, CS Legal Desc : N TR 6680 BLK LOT 6 Description: COMM - T-MOBILE CELL SITE. R/R ANTENNAS, CABINETS, RRU'S Owner: DSI NEWPORT GROWTH & INCOME FUND Address: 18552 MACARTHUR BLVD #495 IRVINE, CA 92612 Phone : Applicant: JOSH ALBA Address: 24310 MOULTON PKWY, STE 0 1009 LAGUNA HILLS, CA 92637 Phone : (949) 336-1550 Owner/Builder : Address : Contractor: SOLEX CONTRACTING INC Address : 42146 REMINGTON AVENUE TEMECULA, CA 92590 Phone : (951) 308-1706 Con State Lic : 842101 Lic Expire : 07/31/2024 Bus Lic : BT30082259 Bus Lic Expire : 07/31/2024 Workers' Compensation Insurance Carrier: FEDERAL INS CO Policy No: 54310302 W. C. Expire: 10/1/2023 Phone: Code Edition : 2022 Fire Sprinklers: Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height: No of Stories Building Setbacks : Flood Zone : X Use Zone: PC - North Ford PROCESSED BY: SPECIAL CONDITIONS: I Architect Address Phone: State Lic: Engineer Address Phone: Designer Address: Phone: PINA PAUL 2204 TORRANCE BLVD 10SA ' TORRANCE, CA 90501 NO Construction Valuation : NO Added/New/Ti sq. ft. Bldg 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : $25,009'Ol; ; 0 ,. 0 0 DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' StateLicenseLaw for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable hems) {Section 7031.5, Business and Professions Cade: 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 file a signed statement that ho or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure 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). El I, as owner of the property, or my employees with wages as theirsolecompensation, will d0 (_) all of or [_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contraclorss' 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, 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 built or 'improved for the purpose of sale). II11I, 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 0 I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below ! acknowledge That, except for my personal residence in which I must have rositled for at toast one year prior to completion of the improvements covered by this permit, I cannot Iagail sell a structure that I have built as an ownor-builder if It has not boon constructed in its entirety by licensed Contractors. I understand 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:http1fwww.leginfo.ca,gov/celaw,html. Signature of Property Owner or Authorized Agent,Date LICENSED CONTRACTOR'S DECLA..RATION—' — - I hereby affirm under penalty pe ury that I am licensed under provisions ha tar 9 (commencing with Lion 70 ) of Divi Ion 3 of the Busines a d ens Code and In full force and effect. LCause Class �� (�License No = {�'J ( t — Contractor Si afore �« WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO 're, L PENALTIES AND CML FiNEB UP TO ONE HUNDRED THOUSAND DOLLARS (SWQ000), IN AODrtION TO THE COST OF COMPEN I-J. CN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'B FEES. I hereby affirm rnd3. penalty of perjury one of the following declarations: :t,tve 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 rmance Of 'ha`work far which ibis permi{ Is issued. Policy NC. eve and wit( maintain workers' compensation insurance, as required by Section 3700 Of the or Code, for the performance of the work for which this permit is issued. My workers' compensatior urance1 cajrrlPi and policy number are: CETfer r/r/b tit-j$/'M, '� _., ( Policy Number 0i3 �d.1 �oZ Expiration Date Name of Agent Phone # �I certify that, in the porfarma.nce of the work fqr whloh this permit i5 issued, shall not employ any person in any manner so as to become subject to the work rs' Dompensalion laws of California, and 2gre, -hat �r I a. out ecome sypj the :vorkers' compe atign pmv' :ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .lynatura ppl •;ant _.' —, _'1 'FOCI. , TI REGA ONSTRUCTION LENDING Y— e o� nereh,• affirm uadur penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 97, Civil Code). _ender's Name Lender's Address 3y 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 sty an ounty ordinances and state laws relating to building construction. I authorize representatives of this city dr ,ounItter the/ a-bove- entified pr perty for inspection purposes. p Signature of PropertyOwner or Authon an W✓L ct Print. Property Owner's or Authorized Agent's ry ie ate ACTION DATE. y DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 6t OF TITLE 40 AND AQMD RULE 1403 PERMi F EXPIRED G.El I SUBMITTED ASBESTOS NOTIFICATION TO PfRMiFCAMCELLED ron '----��---- �'ic Z'L'9 I__I ASBESTOS NOTIFICATION 15 NOlAPPLICABLE TO CERTIFICATE Of ll PROPOSED DEMOLITION OCCUPANCYISSUEA at,NAn mP.