HomeMy WebLinkAboutF2023-0037 - Permits�EwPokr. City of Newport Beach II IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2023-0037
0 d'. Community Development Department -Building Division F 2 0 2 3 0 0 3 7
1 �+ 100rrC c Cen rer Dri e, 949Newport
Beach, CA 92660 Plan Check No : PC2023-0136
p >�^ gaa ( ) Issued Date: 03/01/2023
new
Inspeodbe ction Requests
Phins neea: (94 ) 644-3255 Inspection Area: FIRE
P .9 p pp
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
Job Address: 101 BAYVIEW PL Legal Desc : N TR 12528 BLK LOT 1
Description: COMM -KITCHEN HOOD FIRE SUPPRESSION SYSTEM (X2021-2703)
Owner: KODAKA INC
Address : 1650 DELTA CT
HAYWARD, CA 94544
Phone :
Applicant: LETICIA HADEN
Address: 3621 EAGLE ROCK BLVD
LA, CA 90065
Phone: (323) 259-9999
Owner/Builder :
Address :
Phone
Contractor:
EDISON FIRE EXTINGUISHER CO INC
Address :
3621 EAGLE ROCK BLVD
LOS ANGELES, CA 90065
Phone:
(323) 259-9999
Con State Lic
: 569185
Lic Expire :
05/31/2023
Bus Lic:
BT30069740
Bus Lic Expire
: 11130/2023
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No : 9066898
W. C. Expire : 8/1/2023
Architect
Address
Phone:
State Lic
Engineer
Address
Phone
Designer: EDISON FIRE EXTINGUISHER CO INC
Address: 3621 EAGLE ROCK BLVD
LOS ANGELES, CA 90065
Phone: (323) 259-9999
Code Edition :
2022
Fire Sprinklers :
YES
Construction Valuation : $2,500.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups :
B
No of Units :
0
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
3
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks
Flood Zone :
X
Use Zone:
PC - Bayview
63
PROCESSED BY:
.'
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
i hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the peasants) indicated below by the checkmark(s) I have placed next to the applicable items)
3eclion 7031.5, Business and Professions Code: Any cityor county that requires a permit to construct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
is permit to file a signed statement that he or slie is licensed pursuant to the provisions of the Contractors' Stato 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 Iicensure andthe basis For the alleged exemption.. Any violation of Section 7031.5 by any applicant fore permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
3 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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 completion, the Owner -Builder will have the burden of proving that it was not bulls or
nproved for the purpose of sale),
11, 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
pply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a. licensed Contractor pursuant to the Contractors' State License Law).
3 1 am exempt from licensors under the Contractors' Slate License Law for the following reason ___------ _. ,_—_______
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year poor to completion of the improvements covered by this permit, I cannot legal
ell a structure that I have built as an owner -builder if ithas 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, isavailable upon request when this application is submitted or at the following Web site:http:Uwww.legtnfo.ca.govlcalaw.html.
Ilgnature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section T000) ' f 'vision 3 of the Business and Professions Code, a li se fs m full force
nd effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
ARMING: 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 ($100,001h, IN ADDITION TO THI
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 it
erformance, 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 workfor which this permit is Issued. My workers'
carrier and policy number are:
Policy Number Expiration Date
of Agent Phone fP
certify that, in the performance of the work for which thi eT I is issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
1, if I should become subject to the workers) compy on provisions ' a-B�bOvf-th€I�TL�de, I shall forthwith comply with those provisions.
nature of Applicant----- i
DalCLARATION REGARDING CONSTRUCTION L ING AGIreby affirm under penalty of perjury that. there is a canstruetfon landing athe performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act an the property owner's behalf.
I have read this application and the Information I have provided is Correct.
I agree to compll all applicable city and county orofinaingeiicand state laws relating to building construction.
I zuthorize representatives of this city or county to epl gDpat - ifled property for inspection purposes,
ACTT ON
DATE
BY I DECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART Bl OF TITLE 40AND AQMD RULE
1403
_
I FR,V. T EXPIRfE,
ASBFSTOS NOTIFICATION TO
PERMIT CANCELED
pI �SyURMITTFD
LJEPA
__._.....__...........:._....._.—._—.
PERM,TEXTENDED
— ��--rI_.
E..IAQMD
PERMIT FINA!
ASBESTOS NUTIFICA1lDN IS NOT APPLICABLE TO
LERTI. 7CATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSV,'D
SIGNATURE: