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HomeMy WebLinkAboutF2023-0115 - PermitsCity of Newport Beach ��EWPoRr` e Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °4icoa��r newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIICOMB Permit : F2023-0115 Plan Check No : PC2023-0497 Issued Date : 0310712023 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 : 2901 COAST HWY W, 100 Legal Desc : P BK 199 PG 39 PAR 1 Description : COMM FIRE SPRINKLER SYSTEM 42 HEADS (XC2022-1909) Owner: WATERFRONT NEWPORT BEACH LLC Address : 2895 ROYSTON PL BEVERLY HILLS, CA 90210 Phone: Applicant: CRAIG FIRE PREVENTION INC Address: 122 122 W POMONA AVENUE MONROVIA, CA 91016 Phone: (626)357-4045 Owner/Builder : Address : Phone : Contractor: CRAIG FIRE PREVENTION INC Address : 122 122 W POMONA AVENUE MONROVIA, CA 91016 Phone: (626)357-4045 Con State Lic: 1037827 Lie Expire : 04/30/2024 Bus Lie: BT30048335 Bus Lie Expire : 08/30/2023 Workers' Compensation Insurance Carrier: AFH INS CO Policy No: 2EA5WC900091801 W. C. Expire : 2/11/2024 Code Edition : 2022 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : No of Units : Bldg Height : No of Stories Building Setbacks : Flood Zone: AE, 8 FT; X; X Use Zone : MU-W1 - Mixed -Use Water PROCESSED BY: i\312- SPECIAL CONDITIONS: (y9 r Architect : Address Phone ie State Lie Engineer: Address Phone: Designer: CRAIG FIRE PREVENTION INC Address: 122 122 W POMONA AVENUE MONROVIA, CA 91016 Phone : (626) 357-4045 YES Construction Valuation : $9,250.00 NO Added/New/TI sq. ft. Bldg : 0 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 than am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s) (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 statomcnt 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 facensure 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 not more than five hundred dollars ($500). 0 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 H was not bulltor improved for the purpose of sale). El I, 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 am exempt from hcensure under the Contractors' State License Law for the following reason: ___ By my signature below 1 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, 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 law, Section 7044 of the Business and Professions Code., is available upon request when this application is submitted orat the following Web site:htip://www,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 (commending with Section 7- }�Qf the Business and. fe ins Cp a my ice a is fall force and effect. License Class License. No Date " J Contractor Signatl/7by\ WORKERS' COMPENSATION DECLARATION MARNING: FAILURE TO SECURE WORRER5' COMPENSATION COVERAGE IS UNLAWFUL: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (Si DD,0001, IN ADDITION To THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR COPE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificateof consent to saiNnsure for workers' compensation, Issued by the Director of Industrial Relations a$ provided for by Section 3700 of the Labor Code, for ormance 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` carder and policy number are: Policy Number of Agent Date I certify that, in the parformance he wank for which t p rmit is issued: I shall not. employ any person in any manner so as to become subject to the worke ' compensation of Califom+a, and agre that, if I should bec a bject to h worker/$/' loom/penaat provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �{ Signature of Applies 't% OR l 7 �G DECLARATION RECONSTRUCTION LENDING A ENCY I 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 ode). Landpes Name Lenders Address By my signature below, i Certify to each of the following: I am the property owner or authorized to acton the property owner's behalf. I have read this application and the information I have provided is correct. agree to comply with all applicable city and com ordinan sand slate laws cola ing to building construction. I authorize representatives of this city or cou o rite - ve-id ratified r for inspection purposes. 7 Y P P P 1� Signature of PropertyOwner or Authorzed Agan � Print Property Owner's Or Authorized Agent's Nama ""0 r��� �I'T LI (- Date 5-� ACTION DATE BY DECLARATION OF COMPLIANCE CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED - i 1 SUBMITTED ASBESTOS NOT] FICATION TO PERMITCANCELLED CIEPA PERYFiT EXTENDED - -'�Ll QMD PERMIT FINAL �-3. 2ASBE5TOS NO r1FICAi'ION 15 NOT APPLICABLE 1'0 CER17FICA7E OF PROPOSED DEMOLITION OCCUPANCYISSUED - SIGNATIIREr