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Home My WebLink AboutF2024-0017 - PermitsCU". PoCity of Newport Beach COMB Permit: F2024-0017 Community Development Department- Building Division _100 Civic Center Drive, New ort Beach, CA 92660 F 2 0 2 4 0 0 1 7 � p Plan Check No : PC2024-0050 ?'Permit Counter Phone: (949) 718-1B88 newportbeachca.gov/civic Final Date: Issued Date : 01/09/2024 " "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 : 320 SUPERIOR AVE, 200 Legal Desc : N TR 8737 BLK LOT 1 Description : COMM TI FIRE SPRINKLERS (23 HEADS) XC2023-0450 Owner: NEWPORT MEDICAL ARTS BUILDING Address : 23 CORPORATE PLAZA DR STE150 NEWPORT BEACH, CA 92660 Phone Applicant: E H B CONSTRUCTION Address : 1409 N. GLENARBOR ST SANTA ANA, CA 92706 Phone: (714)702-7111 Owner/Builder : Address : Phone: Contractor: E H B CONSTRUCTION Address : 1409 N. GLENARBOR ST SANTA ANA, CA 92706 Phone: (714)702-7111 Con State Lic : 514322 Lic Expire : 09/30/2025 Bus Lic: BT30083229 Bus Lic Expire : 12/31/2024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9230697 W. C. Expire : 5/1/2024 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : II -A Fire Hazard Zone : NO Occupancy Groups : No of Units : 1 Bldg Height: No of Stories : 1 Building Setbacks Flood Zone : X Use Zone : OM - Office --Medical PROCESSED BY: SPECIAL CONDITIONS: Architect: Address: Phone: State Lic Engineer Address Phone: Designer: E H B CONSTRUCTION Address : 1409 N. GLENARBOR ST SANTA ANA, CA 92706 Phone: (714)702-7111 Construction Valuation : $5,000.01) Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) Section 703t5, 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 professions Code) or that he or she is exempt from lieensure 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 lot more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or t_) 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 mprovements 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 buitt or improved for the purpose of sale). 1, 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 ownor-builder if it has not been constructed in its enliroty by licensed contractors. I understand that a copy of theapplicable law, Section 7044 Dili Business and Professions Code., is available upon request when this application is submitted or at the following Web site:httpalwww.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 (commencing with Sect 7 0) of (vision &of the Sul, and Prefes i, s Code, a my licensee' n full roe and effect. License Class License No Dal. Y Contra o ignature COMPENSATION DECLARATION TARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP :OST OF COMPENSATIJ.I, LAMAGES AS PROVIDED FOR IN SECTION ITOS OF THE LABOR CQOE, ENTEREST, AND ATTORNEY'S FEES. hereby affirm und.:I y.cnalty of perjury one of the following declarations: DOLLARS ill 00.000), IN ADDITION TO THE have and ev%I rt9imain a certificate of consent to self- insure for workers' Compensation. Issued by the Director of Industrial Relations as provided for by Section 370D of the Labor Code, for In ilirmal of the work .or which this permit is issued. Policy No. a w, 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' compensation a carrier ono policy number are: ter irT t)i L- "�--+�wJ Policy Number ��3cr� t� Expiration Date IS Y Agent Phone III 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 Califorri a, and agree f I s:Iould\ eco a subject to the worker compensaton provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / ))� Ialure of Ape-It. �;—, �..,., ,., , . �.,n, .,..., '—' r\ Data (�( Z Ll areuy affirm under'aenaltyof perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section fWCivil Code). Ides s Name Lenders Address my signature below, I Certify to each of file following: I am the property owner or authorized to act on the property owner's behalf. 1 have read this application and the Information I have provided is correct. I agree to comply with all applicable ci.ty and county ordinances and state laws relating to building construction. I authorize representatives of this city r county t enter the a ve-identified roparty for inspection purposes. nature of Property Owner or Authonzed. g Print Pro e erty Owner's or Authorized A ent's TION DATE. BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PENMrT CANCELLED EPA PEREXTENDED __�I-.-_ ___ ........_j.—f-t�—OMDIAI._. PER141TFINAL� I--u`1'�'( I t�LJASHEST05 NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DENACLITION OCCUPANCYISSUED SIGNATURE: