HomeMy WebLinkAboutF2023-0388 - Permits�EWPORT City of Newport Beach II II IIII II IIIII I I II III II II I IIIII II COMB Permit : F2023-0388
D4 R Community Development Department- Building Division F 2 0 2 3 0 3 8 8
H �" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1992
u M ? Permit Counter Phone: (949) 718-1888 Issued Date : 10/10/2023
.�, newportbeachca.gov/civic Final Date:
,4", 0.N\P Combination Type - Permit Status: Issued Work Class - Other Inspection AreaX NrQrf
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 : 4680 MACARTHUR CT Legal Desc : P BK 196 PG 40 PAR 4
Description: COMM REPLACE (2) STANDBY GENERATORS @ THE PARKING STRUCTURE IN THE CENTRAL PLANT *XC2� 4*
Owner: IRVINE COMPANY Contractor: GAMMILL ELECTRIC INC Architect
Address: 110 INNOVATION DRIVE Address : 16224 ARROW HIGHWAY Address
IRVINE, CA 92617
Phone: (949)720-2000
Applicant: PAUL RASMUSSSEN
Address: 16224 ARROW HWY
IRWNDALE, CA 91706
Phone: (562)244-9743
Owner/Builder :
Address :
Phone
Code Edition :
Type of Construction : V-B
Occupancy Groups:
Bldg Height:
Building Setbacks :
Flood Zone : X
Use Zone : PC - Koll Center
PROCESSED BY:
SPECIAL CONDITIONS:
BALDWIN PARK, CA 91706
Phone:
(562)698-5851
Con State Lic
: 250076
Lic Expire :
08/31/2025
Bus Lic:
BT30071935
Bus Lic Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: INSURANCE COMPANY OF THE WEST
Policy No: WVE503722706
W. C. Expire : 7/1/2024
Fire Sprinklers :
Fire Hazard Zone
No of Units :
No of Stories
Phone:
State Lic :
° " .
Engineer:
YOUSSEF NABIH F. ,
Address :
550 S HOPE ST #1700
LOS ANGELES, CA 90071 ,
Phone:
(213)362-0707
Designer:
Address
Phone:
NO Construction Valuation :
NO Added/New/TI sq. ft. Bldg : 0
0 Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
I hereby affirm under penally 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 7031-5, Business and Professions Code: Arty city or county that requires a permit to construct, alter, improve, dernolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to file a signed statement that lie or she is licensed pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with Section TODD) of Division 3 of the Business and
Professions Code,) or that he or she is exempt from ileensure and the basis for the alleged exemption. Any violation of Section 7031,E by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ 1,, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 bulb 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' State License Law doe's not
a ply 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).
EI am exempt from ],censure under the Contractors' State License Law tar 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 la completion of the Improvements covered by this permit, I cannot legal],
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent __.__�_�.._,-.�. ._. _ _________� Date
LICENSED CONTRACTOR'S DECLARATION
I herby =Ifirm uri penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seclio 7 00 Division 3 of th u Iness and Professions C my license is In full force
and effect License Claw License No DatJ-/U—Z3 Can ctor Signature
WOPKERS' COMDEN.SATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE FI O THOUSAND DOLLARS 14100,0001, IN ADDITION TO THE
COST OF ^CMPENSAT'7'i, CCMAGES AS PROVIDED FOR IN SECTION 3T0S OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I h2ret7 affirm under penalty of perjury one of the following declarations:
G I nave and wilt main,ain 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, forth
pEr;o,r„-nee of the work for which this permit is issued. Policy No.
.and will mainre;n workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permitis issued, My workers"
carrier and policy number are:
Policy Number Expiration Date
ne or Agent _ _ _ _ rnona F
certify that in the performance 0`104workJo5orch 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 sub act to w ompensation provisions of Section 3700of the Labor Code, I shall forthwith comply With those provisions.
nature of cant _ __ __ ,_,,�___
CLARAIGAR —N LENDING AGENCY
II eby affirm and alty of perjury that there is a construction tending agency for the 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:' / %✓� �S5 %
I am the property owner or authorized to act pn it te property ovine' s behalf, l GN
I have read this application and the information I have provide correct.
I agree to comply with all applicable city and county ordin and state laws rr ng to building construction.
I authorize representatives of this city ayoounty to ant above -I fi�property for inspection purposes. --// la—lo-
,.�r„ro=.„t Print Property Owner's or Authorized Ag6rij.Name a a
ACTION DATE.` i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
// ? REGULATIONS PART 61 OF TITLE 40 AND AQMD RLA E
PERM17' EXPIRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED � ; LIEPA
PERMiTFINAL ,,I,pp.. 4 L...IASBES'TOS NOTIFICATION 15 NOl"APPLIICABLE TO
CERTIFICATE OF qy `` PROPOSED DEMOLITION
OCCUPANCY ISSUED Il SIGNATURE: