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Home My WebLink AboutF2023-0498 - Permits��WPoRr City of Newport Beach D p Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 tV S Permit Counter Phone: (949) 718-1888 ' newportbeachca.gov/civic c'4<l Fp Combination Type - Work Class - Tenant Improvement COMB Permit: F2023-0498 Plan Check No : PC2023-2503 Issued Date : 10/12/2023 Final Date: Permit Status: Issued 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: 592 SUPERIOR AVE, BLDG A Legal Desc : A TR IRVINE SUB BLK 2 LOT 169 IRVINE SUB LOT 169 B Description: COMM FIRE ALARM TI WITH 53 DEVICES AT ADMIN BUILDING Owner: CITY OF NEWPORT BEACH Address : 100 CIVIC CENTER DR NEWPORT BEACH, CA 92660 Phone: (949)644-3330 Applicant: CAL - BUILDING SYSTEMS Address : 3900 PROSPECT AV YORBA LINDA, CA 92886 Phone: (877)225-2534 Owner/Builder : Address : Phone: Contractor: CAL- BUILDING SYSTEMS Address : 3900 PROSPECT AV YORBA LINDA, CA 92886 Phone: (877)225-2534 Con State Lie : 521087 Lie Expire: 01/31/2025 Bus Lie: BT30075383 Bus Lie Expire : 05/31/2024 Workers' Compensation Insurance Carrier: EVEREST NATIONAL COMPANY Policy No: 5300003506231 W. C. Expire : 7/15/2024 Architect Address Phone: State Lie Engineer: Address ,Phone: INSURANCE Designer: CAL- BUILDING SYSTEMS Address: 3900 PROSPECT AV YORBA LINDA, CA 92886 Phone: (877)225-2534 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : III -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : B/U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: TOTAL sq. ft. Building Setbacks Flood Zone : X Use Zone : PF - Public Facilities PROCESSED BY: 35 SPECIAL CONDITIONS: $15,000.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that i am exempt from the Contractors' State License Law for the reasonis) indicated below by the checkmark(s) I have placed next to the applicable terms) (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 the permit to file a signed statement that ho 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 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 not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will d0 U ail 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 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). ❑ I, 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 Lew does not apply to an owner of properly who builds or improves thereon. and who Contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). ❑ I am Exempt from licensure under the Contractors' Slate 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 legall7 sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors, I understand that a copy of the applicable law, Section 704A of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:(/Www.leginfo.ca.govicalaw html. Signature of Property Owner or Authorized. Agent _, Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cctj��y license is in full force and effect. License Class License No Date LQ/-2,123 Contractor Signature ` WORKERS' COMPENSATION DECLARATION 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 (f100,00D1, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION IDOB OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 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 ,performance of the work for which this permit is issued. Policy No_ I13 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' compensation '.insurance carrier and policy number are: _ Policy Number Date le of Agent mlvlue a 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 of California, and if I should become subiect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date CLARATION REGARDING-'GOY67RIt 1CTION LENDING AGENCY !reby 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). Iders Name __ Lender s Address^ my signature below, I certify to each of the following: I am the property owner or authorized to acton 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 neating to building construction. I authorize representatives of this city or county to enter the above-ide lifted property for inspection purposes. ...,r,,.o ,.r D..,,,a.r,, n,.,,.ar,.. A„u,erhod Aewnl e�Print Pmoadv Owner's or Authorized ADent's Name, Sh'F 1'4�ve a DATE BY ',s915121-AgATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART Bk OF TITLE 40 AND AQMD RULE 4o3 P'cRMIf FXa7RE0 Y U I Surf ED ASR EST OS NOTI FICATION TO PERMIT CANCELLED EPA PERMIT FINAL /J�,,L 'I,(Q IL V4 IJ ASBESTOS NOTI F ICA I ON 15 NO I'APPLICABLE TO CtwiNrATE OF PROPOSED DEMOLITION ,WCUI-ANCY fSSUED SIGNATURE: