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HomeMy WebLinkAboutF2023-0454 - PermitsaEwPovR City of Newport Beach II COMB Permit: F2023-0454 A Community Development Department - Building Division F 2 0 2 3 0 4 5 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2307 Permit Counter Phone: (949) 718-1888 Issued Date : 10/17/2023 ��s.. newportbeachca.gov/civic Final Date: c9G�FORN�P Combination Type - Permit Status: Issued Work Class - Addition 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 : 3459 VIA LIDO Legal Desc : P BK 85 PG 1 PAR 1 Description: COMM FIRE ALARM TI WITH 80 DEVICES FOR "LIDO THEATRE" (X2022-0844) Owner: LIDO PARTNERS Address : 3425 VIA LIDO #250 NEWPORT BEACH, CA 92663 Phone: (949)723-7100 Applicant : MORGAN COLE Address : 2500 CORPORATE PLACE MONTEREY PARK, CA 91754 Phone: (323)840-5999 Owner/Builder : Address : Phone Contractor: D & S ELECTRONIC PROTECTION Architect: SYSTEMSINC Address: 2500 CORPORATE PLACE MONTEREY PARK„ CA 91754 Phone: (323)224-6700 Con State Lic : 1018244 Lic Expire : 09/30/2024 Bus Lic: BT30081972 Bus Lic Expire : 06/30/2024 Workers' Compensation Insurance Carrier: WESTCHESTER FIRE INS. Policy No : 71827765 W. C. Expire: 2/12/2024 Address Phone : State Lic Engineer: Address Phone : Designer: D & S ELECTRONIC PROTECTION SYSTEMSINC Address : 2500 CORPORATE PLACE MONTEREY PARK„ CA 91754 Phone: (323) 224-6700 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $41,000.00 Type of Construction : II-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : Al/B 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 : X Use Zone: CG - Commercial General 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 reasons) 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 Business and Professions Code) or that he or she is exempt from licensure 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). Q 1, as owner of the property, or my employees with wages as their sole compensation, will do i_) 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 built or Improved for the purpose of sale). Ell, 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). Q I 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 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:htlp:JJwww.leginfo.ca.gov/calaw.fitml. Signature of Property Owner or Authorized Agent _._ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) f Div'sian 3 0f the Business and Professions Code, an tense Is In full force and effect. License Class License No Date O Contractor Signature is 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 ($100,000), IN ADDITION 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: Q i have and will maintain a certificate of consent to self -insure for workers' Compensation, issued by the Uimclor of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN 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 Code,. for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number of Agent certify that, in the performance of the work for which this permit is if I should become subject to the workers' compensation pcQvijE of Applicant Date not employ any person in any manner so as to become subject to the workers' compensation laws of California, and 3700 of the Labor Code, I shall forthwith comply with those provisions. Date _ I-Q/ a I I ;t 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). ender's Name _ Lenders Address y my signature below, II certify to cacti of the following: I are 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 enter the above-identifF� erty for inspection purposes. Owner or Authorized ACTION DATE BY I DECLARAILOWOF COMPLIANCE WITH COD€OF FEDERAL I REGULATIONS PART t OF TITLE 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRFD I SUBMITTED ASBFRTOS NOTIFICATION TO PERMIT CANCEtLE.7 P j PERMIT EXTENDED P _ 7--IEPA I QMD U PCAMYT FYNA! CERTIFICATE OF 1F" (� ter[ l L,- l ALSBESTOSNOTIFICALION ISN01' APPLICABLE TO [Y`l I PROPOSED DEMOLITION OCCUPAN[Y ISSUED �_I I SIGNATURE: