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Home My WebLink AboutF2023-0593 - Permits04'. City of Newport Beach COMB Permit: F2023-0593 Community Development Department- Building Division F 2 0 2 3 0 5 9 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: 949 718-1888 ( ) Issued Date : 12/12/2023 newportheachca.gov/civic Final Date: Combination Type - Permit Status: Issued Work Class - Tenant Improvement 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: 2600 COAST HWY E, 120 Legal Desc : P BK 216 PG 46 PAR 1 Description : COMM FIRE SPRINKLERS (XC2023-0333) 5 HEADS Owner: SMM 2600 PCH LLC Address : 2618 SAN MIGUEL DR #370 NEWPORT BEACH, CA 92660 Phone: (949)750-2300 Applicant: A & D FIRE Address: 7130 CONVOY CT SAN DIEGO, CA 92111 Phone: (858)277-3473 Owner/Builder : Address : Phone Contractor; A & D FIRE Address : 7130 CONVOY CT SAN DIEGO, CA 92111 Phone: (858)277-3473 Con State Lic : 1069002 Lic Expire: 09/3012024 Bus Lic : BT30073130 Bus Lic Expire : 10/31/2024 Workers' Compensation Insurance Carrier: SAFETY NATIONAL CASUALTY CORPORATION Policy No: LDC4068447 W. C. Expire: 9/16/2024 Architect Address Phone: State Lic Engineer: Address Phone : Designer: A & D FIRE Address : 7130 CONVOY CT SAN DIEGO, CA 92111 Phone : (858) 277-3473 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $9,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : CC - Commercial Corridor PROCESSED BY: SPECIAL CONDITIO S: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (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 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 Professions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Section 701.5 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 do (_) all 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). 111, 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). I❑ 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 forat least one year prior to completion of the Improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the, Businoss and Professions Code, is available upon request when this application is submitted or at the following Wee site:littpaiwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent—_�.___...�__ Date ;LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7 DO)of Division 3 of the Business and Profess' TIE e, a 1,j,.n ,has is In full force ;and effect. License Class License No Daf 1// 2 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 SAND DOLLARS (8100,000), IN ADDITION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 the orf mance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Ott, —ET> ^- ATlo,� a Policy Number / �� arc i Yvy7 Expiration Date i of Agent certify that, 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 oif I should become subject tot rkers' co a a provisions of Section 3700 of the Labor Code:, I shall forthwith comply with those provisions. ureofApplicant __.. 'cw--ZZ -2 3 areby affirm under penalty v' perjury that there Is a constructidrflending agency for the performance of the work for which this permit Is Issued'. (Section Idar's Name Lenders Address my signature below, I certify to each of the following: I am Ilia property owner or auihonz.ed 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 applcablo city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county mar e beve-Identfh rc peaty for inspection purposes. :nature of Property Owner or Authorized Agent �,<_. Print Property Owner's or Authorized Agent's Name DATE. By DECLARATIO"F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE EXPIRED I ) € L-.f i SUBMITTED ASBESTOS PERMIT EXTENDED _ LJAOMD PBRMlTFINAL j ay n1 ) &M511ASdESTOS NOT IFILAHON 15 N01 APPLICABLE TO CERT1FfCAIE OF , PROP05ED DEMOLITION OCCUPANCY i5SUE0 SIGNATURE: c-c Code).