HomeMy WebLinkAboutF2023-0082 - Permits�aEwaoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2U23'UU82
D Community Development Department - Building Division
F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0339
Permit Counter Phone: (949) 718-1888 Issued Date : 12/11/2023
u Wa.S newportbeachca.gov/civic Final Date:
cq�/FDAN�p Combination Type - Permit Status: Issued
Work Class - New 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: 901 OCEAN FRONT E Legal Desc : S TWP 7 RGE 10 SEC 2 SEC 2 T 7 R 10 FOR OF SEC AND FOR OF BE CS 34 & 35
Description: COMM FIRE SPRINKLER SYSTEM (105 HEADS) (X2022-1009) CITY PROJECT
Owner: CITY OF NEWPORT BEACH
Address : 100 CIVIC CENTER
NEWPORT BEACH, CA 92660
Phone
Applicant: SO CAL FIRE PROTECTION
Address : 14102 HOLT AVENUE
SANTA ANA, CA 92705
Phone: (714)368-0230
Owner/Builder :
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups
Bldg Height:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
Contractor: SO CAL FIRE PROTECTION
Address : 14102 HOLT AVENUE
SANTA ANA, CA 92705
Phone : (714) 368-0230
Con State Lic :
898658
Lic Expire :
05/31/2024
Bus Lic:
BT30080493
Bus Lic Expire
: 01/31/2024
Workers' Compensation Insurance
Carrier: SIRIUSPOINT AMERICA INSURANCE
COMPANY
Policy No: WC9414701
W. C. Expire : 4/1/2024
2022 Fire Sprinklers : YES
V-B Fire Hazard Zone : NO
A2 No of Units : 1
No of Stories :
Architect
Address
Phone:
State Lic:
Engineer:
Address
Phone
Designer: SO CAL FIRE PROTECTION
Address : 14102 HOLT AVENUE
SANTA ANA, CA 92705
Phone: (714)368-0230
Construction Valuation : $29,750.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
VE, 21 FT; X, X, VE, 21 FT; VE, 18 FT; X, X, VE, 21 FT; X, VE, 21 FT
PF - Public Facilities, PR - Parks and Recreation, PR - Parks and Recreation, PF - Public Facilities, PF - Public Facilities, -
SPECIAL CONDITIONS:
OWNER -BUILDER
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 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 Businass and
Professions Code) or that he or she is exempt from licensors 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, as owner of the property, or my employees with wages as their sole compensation, will do C_) 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).
❑ 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
El I am exempt from licensure under the Contractors' Slate 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 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 or at the following Web site:http:llwww.leginfo.ca.goNdcalaw.htmi.
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) Dfv sign 3 of the Business and Profs ssi ode, cense is In full force
and effect. License Class License. No Date Z Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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 (6f00,D00), IN AOOffION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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, forth
performance 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 Cede,. for the performance of the work for which this permit is issued. My workers'
and policy number are:
17, ti'� 1 j
Y" �� Al S � Policy Number Expiration Date
of Agent
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 Agra
, if I should become subject to �h 'wrkers' corn entsaattllcr provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. 1
taiure of Applicant\„L�-"-"—�'!'�..� i.!^'v`ti,,. Date
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 (Section3097, Civil Cade).
enders Name Lender's Address
y my signature [)slow, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application andthe 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 egl0he above,409nVigjiliftIoperty for inspection purposes.
ACTION
DATE
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART lit OF TITLE 40 AND AQMD RULE
1403
FOR OFFICE USE ONLY
PERMIT EXPfRED
-Mt SUBMIT-€D ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
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PERMIT EXTENDED
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PERMliNA FIL
CERTIFICATE OF
OCCUPANCYISSUED
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