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Home My WebLink AboutX2021-1832 - PermitsCity of Newport Beach ��EWPoRr Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U Permit Counter Phone: (949) 644-3288 « Inspection Requests Phone: (949) 644-3255 c4C/pnpN�P newportbeachca.gov/inspections Combination Type - ELEC Work Class - Alteration IIIXI0II��II��I�I�IIII�IIIIII II COMB Permit : X2O21 -1832 Plan Check No : 1581-2021 Issued Date : 02/07/2023 Inspection Area : 7 PERMITS EXPIRE 18D 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 : 5700 E COAST HWY Legal Desc : Description: COMM CELL SITE'T-MOBILE'. R/R 3 ANTENNAS, INSTL 3 RRUS, INSTL 3 HCS CABLES Owner: PH FINANCE LLC Address: PO BOX 2450 NEWPORT BEACH, CA 92658 Phone Applicant: ALAMON INC Address: 315 W IDAHO KALISPELL. MT 59901 Phone: (406)752-8838 Owner/Builder : Address : Phone Contractor: ALAMON INC Address : 315 W IDAHO KALISPELL, MT 59901 Phone : (406) 752-8838 Con State Lic : 652774 Lic Expire: 08/31/2024 Bus Lic : BT30043049 Bus Lic Expire : 04/30/2023 Workers' Compensation Insurance Carrier: ZURICH AMERICAN INSURANCE COMPANY Policy No : GLA0230053 W. C. Expire: 12/31/2023 Code Edition : 2019 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height : No of Stories Building Setbacks Flood Zone Use Zone : PROCESSED BY: SPECIAL CONDITIONS: Architect Address: Phone: State Lic Engineer: PINA PAUL C Address: 1983 W 190TH ST #200 TORRANCE, CA 90504 Phone: (310)464-8404 Designer: Address Phone: NO Construction Valuation : $20,000.00 NO Added/NewITI sq. ft. Bldg : 0 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION € 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 placednext to the applicableitem(s) ction 7031.5, Business and Professions Code: Arty 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 permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commanding with Section 7000) of Division 3 of the Business and fessons Code) or that he or she is exempt from licensureand the basis for the alleged exemption. Any violat€on of Section 7031,5 by any applicant fora permit subjects the applicant to a civil penalty of more than five hundred dollars ($500), 1, as owner of the property, or my employees with Wages as their sole compensation, will do U all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044, tress 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 rovemene 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 roved 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' Stale License Law does not fly to an owner of property who builds or improvesthereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law), LI I am exempt from Ncensum 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 sell aastructure that I have built as an owner-buildar if it has not been constructed in its entirety by licensed contractors. I understand that a copyof the. applicable law, Section 71 Professions Code, is available upon request when this application is submitted orat the following INeo site;hYtp;/ivnnnr.leginlo.ca.gov/calaw.html. Signature of Property Owneror 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 0) of Division 3 of the Business and Or a ions , t and effect. License Class License No Date D 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 HUNDREDTH SAND DOLL/ 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: his permit, I.cannot of the Business and my license is In full force ($100,D00), IN ADDITION TO THE 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 the ice of the Work for which this permit is issued. Policy No. live 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 ice carderlioWl'1n#policy number are: �d • n / •� I �' iv'r 'lrt, ,tiwr.w(� Policy Number 'Vc.�C% � xiV, S � Expiration Date cf Agent KV3xr yc*. — Phone # 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 workelycompensalion laws of California, and agree L if I should becom s fact to the rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dat(I—I16C 2- 07 2, CLARATION REGA. pt CTI 0)N LENDING AGENCY areby affirm under penalty Ury that than is a construction lending agency for the performance of the work for which this permit is issued (Section 30 , Goda). idar s Name Lender's Address. my signature below, 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 LIT y ordinances and slate laws relating to building construction. I authorize representatives of this city or cou o ante BID e-Identified property for inspection purposes, nature of PrODenV Owner or Authorized Aoen Chi/ Jr Print Prooertv Owner y C"%0r ACTION DATE I BY V UMARATlON OF COMPLIANCE WITH CODE OF FEDERAL R EG'ULA'TIONS PART 61 0E TITLE 40 AND AOMD RULE 1 1403 _ CJ I S01,MI ,TEd ASBESTOS NM I FI,.ATION TO FOR OFFICE USE ONLY / —/' / 1 PERMIT EXPIRED PERMIT CANCELLED �, CIA_._. PERMIT EXTENDED __..._ ONID PfRMIFFfNAL /� 7_...�A '� ASHESIOS NOfIFICATION 15 NOT APPLICABLE TO C CERTIFICATE OF ( OROnOSFD DEMO' ITION OCCUPANCY ISSUED SIE NA r UHE 13