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Home My WebLink AboutF2024-0061 - Permits"�W"ORS, City of Newport Beach II II III II I I II IIII III III IIIII I I II COMB Permit: F2024-0061 D � Community Development Department -Building Division F 2 0 2 4 0 0 6 1 > y _ �' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0224 Permit Counter Phone: (949) 718-1888 Issued Date : 0210112024 newportbeachca.gov/civic Final Date: Cgt,ce RN�P Combination Type - Permit Status: Issued Work Class - Other 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: 5030 CAMPUS DR Legal Desc : N TR 9626 BILK LOT 10 Description: COMM FIRE ALARM 26 DEVICES "HOROWITZ" Owner: 5030 CAMPUS INVESTORS LLC Contractor: SIMPLIFIED TECHNOLOGIES INC Architect Address: 5030 CAMPUS DR STEA Address : 10740 KENNEY ST, STE 405 Address NEWPORT BEACH, CA 92660 SANTEE, CA 92071 Phone : Phone : (855) 574-6754 Phone Con State Lie : 1069775 State Lie Lie Expire : 10/31/2024 Applicant: SIMPLIFIED TECHNOLOGIES INC Bus Lie : BT30083530 Engineer Address : 10740 KENNEY ST, STE 405 Bus Lie Expire : 02/28/2025 Address SANTEE, CA 92071 Phone: (855) 574-6754 Workers' Compensation Insurance Phone: Carrier: FALLS LAKE FIRE AND CASUALTY Owner/Builder : Policy No: FLA01873801 Designer: SIMPLIFIED TECHNOLOGIES INC Address : W. C. Expire: 4/6/2024 Address : 10740 KENNEY ST, STE 405 SANTEE, CA 92071 Phone: Phone: (855) 574-6754 Code Edition : Fire Sprinklers : NO Construction Valuation : $2,000.00 Type of Construction : II -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : 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 : XZL �S Use Zone: PC - Kell Center PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION t hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicableitem(s) ;Section 7034.5, 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 :he 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 orofessions Code) or that he or she is exempt from lioensure 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 not more than five hundred dollars ($500). _I 1, as owner of the property, or my employees with wages as their sole Compensation, will do (_) all of or [_) 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). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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 licensors under the Contractors' State License Law for the following reason: By my signature below t 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 legallt sell a structure that I have built as an ownor-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law, Saction 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:ti"K ,a.leginfo.ca.govlcalaw.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(Commencing with Section 7000) of Division 3of the Business and Professions Code, and my license is in full force and effect. License Class License. No Date -i-- 1— Z Y Contractor Signature �7rWORKERS'COMPENSATION DECLARATION (YARNING: 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 (590,000)., IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 performance of the work for which this permit is issued. Policy No. have 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' ranee carrier and policy number are: Policy Number of Agent Date certify that. in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre , if I should become subject to th worldscompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wflh those provisions. Talure of Applicant �_ _ _ _ Date —L ;LARATION REGARDING CONSTRUCTION LENDING AGENCY 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 Code). aidei s Name Lender's Address y my signature below. I certify to each of the following: I am the property owner or authorized to act or; the property owner's behalf, I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to a ter the above -identified property for inspection purposes. ionamre of Prooery Owner or Authorized Agent �r� Print Property Owner's or Authorized Apart's Name CAFt-W S 7 ACTION DATE ' BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMTEXPIRED _ I SUBtlITTEDASOESTOS NOTIFICATION TO PERMIT C4NCELLEO PERMtT EXTENDED �E V,ry4MD PER;UIIT FINAL (p er LIASOESTOS NOTIFICATION 15 NOTAPPUCAOLE TO CERTLICATE OF �' v) PROPOSED DEMOLITION OCCUPANCYI55UE0 Date