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Home My WebLink AboutF2024-0043 - Permitsu4o- PoCity of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Combination Type - Work Class - Tenant Improvement ;. COMB Permit: F2024-0043 Plan Check No : PC2024-0172 Issued Date : 01/24/2024 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 : 850 SAN CLEMENTE DR Legal Desc : Description: COMM FIRE ALARM TI WITH 8 DEVICES FOR "VIVANTE SENIOR LIVING" (x2al-t- 273s) Owner: VIVANTE NEWPORT CENTER LLC Address : 1 MACARTHUR PL STE300 SANTA ANA, CA 92707 Phone Applicant: KELLY FERRIS Address : 22405 LA PALMA AVE YORBA LINDA, CA 92887 Phone: (714)270-9589 Owner/Builder : Address : Phone Contractor : CLIMATEC LLC Address : 2851 W KATHLEEN RD PHOENIX, AZ 85053 Phone: (602)674-1209 Con State Lie : 991066 Lie Expire : 03/31/2024 Bus Lie : BT30046982 Bus Lie Expire : 04/30/2024 Workers' Compensation Insurance Carrier: AMERICAN ZURICH INSURANCE COMPANY Policy No : 104086808 W. C. Expire: 12/31/2024 Architect Address Phone: State Lie Engineer: Address : Phone Designer: WEST COAST FIRE & INTEGRATION Address: 22405 LA PALMA AV YORBA LINDA, CA 92887 Phone: (714)957-5750 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $800.00 Type of Construction : I-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : A2/A3;B;R2.1;S1 No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 7 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone Use Zone: PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law Tor the reason(s) indicated below by the checkmark(s) I have placednext to the applicable item(s) 3eclion 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 to 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 '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 for a permit subjects the applicant to a civil penalty of of more than We hundred dollars ($500). 7 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, ,usinass 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 nprovements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of compleftoa, the Owner -Builder will have the burden of proving that It was not built or n roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70,44, Business and Professions Code: The Contractors' State 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). I am exempt from licensure under the Con(ractors' Stale License Law for the following reason ,y my signature. below I acknowledge III 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) ail 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 theapplicable law, Section 7044 of the Business and 'rofesslons Code, Is available upon request when this application is submitted or at the following Web site:htp:llwww.leginfa.ca.gov/colaw.html. tlgnalura of Property Owner or Authorized Agenl _ _. _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9(commencing with Section 70 f k 3 of the Business and Profe "F; nd my en is in full force nd effect. License Class. License No Date Contractor Signature PORKERS' COMPENSATION DECLARATION 'ARNING: FAILURETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 4100,000L. iN AODMON TO THE DST OF CC MPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 8708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 e formance of the work for which this permit is issued. Policy No. trave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for whichthis permit Is issued. My workers' compensation Trance carrier and policy number are: vier Policy Number Expiration Dale is of Agent Phone tf certify that, m the performance f the work for IT this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation lays of California, and afire if I should become a a #,5r9Ks` Beomn aticn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. j g tature of Applicant Date ) / // •1 A�ATIfIAI OCI^_AOAIAr t`•r\AICTCI If TI AI Aa,liul !I l�GAIr`V hereby affirm under penalty of perjury that Mere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).. Bider's Name _ Lenders Address y my signature below, I certify to each of the following: y� I am the property owner or authorized to act on the property owner's behalf. I cave read this application and the information I have provided is correct. Lagree tr ",rlv with all applicable city and county ordinances and� laws retaiing to building construction. jjj f I authorize representatives of this city or county to ent rt w tden filed property for inspectton purposes. .c iature of Preoarty Owner or Authorized Anent Pnnt PFDDenv Owner's or Authorized Aaent's Name AC NON DATE I 0Y i REGUtAIhC 5PARTOGIOFTITLF40ANDAQMORWLERAL FOR OFFICE USE ONLY I P'Rd/1T EXPrREL PERMIT EXTFhDEO "QMD ^fRtAi7 FINAL a� � ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO rFR FIFICATE C. PROP05FD DEMOLITION OCCUPANCY 15 SIGNATURE;