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Home My WebLink AboutF2023-0545 - PermitsWPoRT City of Newport Beach IIII IIIIIII IIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : F2023-0545 O Community Development Department- Building Division F �y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2711 Permit Counter Phone: (949) 718-1888 Issued Date : 1110712023 u T newportbeachca.gov/civic Final Date: C9G/FC)RN�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 : 4321 BIRCH ST Legal Desc : N TR 5169 BLK LOT 5 Description: COMM FIRE -NEW FIRE ALARM SYSTEM (XC2022-1855) 5 UCV fYc-7 Owner: 4321 BIRCH PARTNERS LTD Address : 668 N COAST HWY #1370 LAGUNA BEACH, CA 92651 Phone: (949)305-3493 Applicant: SECURITY SIGNAL DEVICES INC Address : 1740 N LEMON STREET ANAHEIM, CA 92801 Phone: (714)449-9900 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone : 2022 11-B B X CA - Office -Airport PROCESSED BY: M SPECIAL CONDITIONS: Contractor: SECURITY SIGNAL DEVICES INC Address : 1740 N LEMON STREET ANAHEIM, CA 92801 Phone: (714)449-9900 Con State Lie : 557497 Lie Expire : 02/28/2025 Bus Lie : BT00009388 Bus Lie Expire : 12/31/2023 Workers' Compensation Insurance Carrier: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy No: UB8S4819632143G W. C. Expire : 12/1/2023 Fire Sprinklers : YES Fire Hazard Zone : NO No of Units : 1 No of Stories Architect Address Phone : State Lie Engineer Address UTTil; Designer: SECURITY SIGNAL DEVICES INC Address : 1740 N LEMON STREET ANAHEIM, CA 92801 Phone: (714)449-9900 Construction Valuation : $9,328.00 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 reasons) indicated below by the checkmark(s) I have placed next to the applicable Items) Section 7031.5, Business and Professions Code: Any oily or County that regUlreS a permll to construct. alter, improve, demolish, or repair any structure, prior to Its issuance, alsu requires the applicant for he permit to filo 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 'rofessions 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 fora permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, IU iness and Professions Code: The Coniracsnrs' 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 'aprovemenls 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 the( it was not built or reproved for the purpose of sale). 1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not Ipply to an owner of properly who builds or improves thereon, and who contraCls for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from tleensure under the Contractors' State License Law for the following reason 3y 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 legall; yell a structure that I have built as an owror-buddar if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwww. eginfo.ca.gov/calaw,html, ignahlre of Property Owner or Authorized Agent.,__,_,_^�_..._�.,.._.._.._.._...._.. _ Date ACEN.SED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am 11censed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,and myJicpnse is In NII force Ind effect. License Class License No Date )�—?-7� Contractor Signature, ��9 .- ywt�/ VORKERS' COMPENSATION DECLARATION - MRNING: 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 (S100,000), IN ADDITION TO THE IOST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3THI OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a Certificate of consent id self -insure for workers' Compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th erfom7ance of the work for which this permit is issued. Policy No. 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' ranee carrier and policy number are: ter cyWiZ1 L�cts.:n ):EE Policy Number V �? S�� ) `�i0 3ZZ u� �G Expiration Date of Agent Certify (hat. in the 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 if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date )11-07 Z-j 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). endar's Name Lender's Address y my signature below, 1 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 will all applicable city and county ordinances and state laws relating to building construction. LiJlS i'G-ttrrayCAL2- 1 authorize representatives of this city or county to enter the above -ids, fled property for inspection purposes. ignature of Property Owner or Authorized Agent Print ProDerty Owner's or Authorized Auent's Name ACTION DATE. BY DECLARAT€ON OF COMPLIANCE WITIi CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART fit OF TITLE 40 AND AgNID RULE 1403 PERMIT EXPIF Ed PERMIT f1AlAL IJ ASBESTOS NOT IFICARON IS NOTAPPLICABLI, TO CERTIFICATE Of , 18 Ly ��' PROPOSED DEMOLITION OCCUPANCY lSSUEd I SIGNATURE7. //ht-)