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HomeMy WebLinkAboutF2023-0157 - Permits�EWPoRT �.y c' Newport Beach ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillllllll �� COMB Permit : F2U23-0� 57 p� A Community Development Department- Building Division F 2 9 2 3 0 1 5 7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0795 Permit Counter Phone: (949) 644-3288 Issued Date : 04/24/2023 Inspection Requests Phone: (949) 644-3255 Inspection Area : FIRE CS[/Fn0.N�r' newportbeachca.gov/inspections Combination Type - Work Class - New 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 53oaa o113gF n� c- j Pu au c- i'•l G2?"LL. 1 Job Address: 201 COAST HWY E Legal Desc : S TWP 27 RGE6 SEC 10 SEC 26 T 6 R 10 FOR SW1/4 Description : COMM INSTALL UG FIRE LINE Owner: IRVINE CO Contractor: T T S ENGINEERING Architect Address : 111 INNOVATION Address : 10731 CHESTNUT AVE Address IRVINE, CA 92618 STANTON, CA 90680 Phone : (949) 720-3100 Phone : (714) 840-6346 Phone: Con State Lic : 755079 State Lic Lic Expire : 09/30/2023 Applicant: T T S ENGINEERING Bus Lic : BT30042841 Engineer : BEUCHAT BRADLEY CHARLES Address : 10731 CHESTNUT AVE Bus Lic Expire : 03/31/2024 Address : 38 TECHNOLOGY DRfVE STE 100 , STANTON, CA 90680 IRVINE, CA 92618 Phone: (714) 840-6346 Workers' Compensation Insurance Phone: (949) 923-6257 Carrier: ZURICH+AMERICAN+INSURANCE+COMPAN ; Y �.. Owner/Builder : Policy No: WC106300703 Designer Address : W. C. Expire: 10/112023 Address Phone: Phone: „ Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $60,066.Ou 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 : Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : AE, 8 FT; X; X Use Zone : CM - Commercial Recreational and Marine PROCESSED BY: SPECIAL CONDITIONS: �����' g�� ORI OWNER -BUILDER I hereby affirm under penally of perjury that I ant exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) ction 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 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 with Section 7000) of Division 3 of the Business and fessions Code) or that he or she is exempt from lieensure and the basis for the alleged exemption. Any violation of Section 70315 by any applicant fora permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, nness and Professions Coda: 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 rovements are not Intended or offered for sale, If, however, the building of improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or roved 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' Stale License Law does not ply 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). LJ I am exempt from licensure under the Contractors' State 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 iegallt sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable few, Section 7044 of the Business and Professions Code., is available upon request when this application is submitted or at the following Web site: http:liwww.leginfo.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 p'vi ion 3 of the Business and Professions DOJ, . an r he is In full force and effect. License Class License No Date ''/ 2 Contractor Signature - NORKERS' 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 (5100,0001. IN ADOn1ON TO THE COST OF COMPENSATION, UAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: - 1 have and will maintain a cerliTrcate 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, forth -.m ice of the won< for which this permit is issued. Policy No, 71 hav 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 nsur cc carrier a:td p)flty number are: �;au^ler ___ policy Number Expiration Date Nalno 0 ,Agent _ _ _ _ Phone q JI Certify that, inthe, performance of the work for which this permit is issued.. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and ogre ia', If I mould become subject to the rRers' ensatiMprovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /� r1 ignalure of Applicant _ _ cat _ /�2VZ= IEyLARATION RSGA PING CONSTRUCTION LENDING AGENCY hereby affirm unce�p,. salty 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 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. 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 entieQ.Wperty for inspection purposes. J ACTION DATE. BY DCRATIONOF COMPLIANCE AND EOFDERAL I FOR OFFICE USE ONLY EA51 40 R PERMITEXPIRED iJ I SUBMITTED ASBESTOS N071FICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED PERM17FIPIAL .J��y.�\(,�� AS8E5TO5 NOT IFICAT NI5 NOl VPUCABLE 10 CERTIFICATE OF L PROPOSED t OCCUPANCYISSUEO SIGNATUR