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Home My WebLink AboutF2023-0158 - PermitsCity of Newport Beach O��EWPORT p Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone:(949) 644-3288 . .a. Inspection Requests Phone: (949) 644-3255 �gt�repN�P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement 11111111111111111111111111111111111111111111111111111111111111Jil COMB Permit: F2023-0158 Plan Check No : PC2023-0804 Issued Date : 04/1012023 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 ALARMS 11 DEVICES (XC2022-1909) PY4o- COMA Owner: WATERFRONT NEWPORT BEACH LLC Contractor: SAM AMICAY Address : 2895 ROYSTON PL Address : 15531 Container Lane BEVERLY HILLS, CA 90210 Huntington Beach, CA 92649 Phone Applicant: SAM AMICAY Address : 15531 Container Lane Huntington Beach, CA 92649 Phone: (714)902-8000 Owner/Builder : Address : Phone Phone: (714)902-8000 Con State Lie : 612153 Lie Expire : 02/28/2025 Bus Lie: BT30066217 Bus Lie Expire : 02/28/2021 Workers' Compensation Insurance Carrier: INSURANCE+COMPANY+OF+THE+WEST Policy No: WSD500658012 W. C. Expire : 7/1/2023 Architect Address Phone: State Lie Engineer: Address Phone Designer: SAMAMICAY Address : 15531 Container Lane Huntington Beach, CA 92649 Phone: (714)902-8000 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $8,000.00 Type of Construction : I-A,III-A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : 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 : AE, 8 FT; X; X Use Zone : MU-W1 - Mixed -Use Water a+, PROCESSED BY: SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I 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 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 Irofessions Code) or that he or she is exempt from Ileensure 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 Tot more than five hundred dollars (S50D). I, as owner of the property, or my employees with %Vegas as their sole compensation, will do U all of or L) portions of the work, and the structure Is not intended proffered 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 mprovemants 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 mproved for the purpose of sale). 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 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 for at 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 -builder if It has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 704A of the Business and P, ofessions Code, ;z _. ailable upon request when this application is submitted or at the following Web site:hltp:liwww.leginfo.ca.gov(calavahtml. &gnalute of Pror-E''7 Owner or Authorized Agent Date LICENSED CONYRACTOR'S DECLARATION I net aby ,affirm under penalty of perjury that lam licensed under provisions of Chapter 9 (commencing with Section 0 iv q3 of the Business and Prof , e is In full force and effect. License Class License No Date 7 Contractor Signatur 4CRKERS' CL:IMPEASATION DECLARATION NARNING: 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 (1100,0001, IN ADDITION TO THE CUSr Jf COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hcruLy affirm under penalty of perjury one of the following declarations: :1 1 have and will maintain a certificate of consent to sett -insure for workers' compensation. Issued by the Director of Industrial Relations as provided for try Section 3700 of the Labor Code, for th �eGformance of the -vorx for which this permit is issued. Policy No. ,hare 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' compensaiior .ir*aWce carridr Und Policy number are: Tier Policy Number Expiration Date Tie of Agent Phone If certify that, in the p rfor ce of th rk for whic permit is issued. I shall not employ any person in any manner so as to become subject to the workers' o pensation laws of California, and agte� 1, if I should become workers' co atlon provisions of Section 3700 of the Labor Code, I shall forthwith comply win !hose provisions. nature of Applicant CLARATION REGA UCTION LENDING AGENCY ?reby 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). Anes Name Lender's Address my signature below, I Certify to each of the following: I am the property owner or authorized to eat on the owner's behalf. I have read this application and the fnFormatio eve provi tl {s come I agree to comply with all applicable city and my or ' car, laws relating ro building construction. (/ I authorize representatives of this city or cou _ b eniffied property for inspection purposes. ACTION DATE TOONS. OF COMPLIANCE MPLFTNTE ADANDDE OF RULE FOR OFFICE USE ONLY REGULATIONS PERMIT EXPIRED i R i L.I I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAL pop-5 4p[ lE �ROPT CAIOSNOT CCARIf NO "P 0DCERTlfICATE Of OCCUPANCY ISSUED 1 SIGNA