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HomeMy WebLinkAboutXC2024-0076 - Permits�eWroRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2024-0076 0 A - Community Development Department- Building Division X C 2 0 2 4 0 0 7 6 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2369-2021 N'a ? Permit Counter Phone: (949) 718-1B88 Issued Date : 02/2712024 <,.. newportBeachca.gov/civic Final Date: Combination Type - Permit Status: Issued Work Class - Other Inspection Area : 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 : 3140 E COAST HWY Legal Desc : Description: COMM CELL SITE MOD "SPRINT" TO "TMOBILE" (CHANGE OF CONTRACTOR) Owner: COX FAMILY TRUST Address : 10590 W OCEAN AIR DR. EL CAJON, CA Phone Applicant: CLAY GALLAGHER Address: 10590 OCEAN AIR DR W, 250 SAN DIEGO, CA 92130 Phone: (858)964-7430 Owner/Builder: Address : Phone Code Edition: Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: Contractor: MASTEC NETWORK SOLUTIONS Architect Address : 1858 PONCE DE LEON BLVD #543 Address CORAL GABLES FL 33134, CA Phone: (818)602-9473 Phone: Con State Lie : 984138 State Lie Lie Expire : 06/30/2025 Bus Lie: BT30083681 Engineer: Bus Lie Expire : 02/28/2025 Address Workers' Compensation Insurance Phone: Carrier: INDEMNITY INS CO OF NORTH AMERICA Policy No: WLRC54508979 Designer W. C. Expire : 9/15/2024 Address Phone: 2022 Fire Sprinklers : V-B Fire Hazard Zone: U No of Units : No of Stories SPECIAL CONDITIONS: 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 OWNER -BUILDER DECLARATION 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; Any city or county that requires a pernill to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ;ha permit to file a signed statement that lie or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Codal or that he or she is exempt from lieepsure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 13 1, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or U 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). 0 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 �am exe mpt from 11 ensure under the Contractors' ' stele License Law for the r the projects with a licensed Contractor pursuant to the Contractors' State License Law). appt !o an ownerof property who builds or Improves and who contracts fo ©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, 1 cannot legaly sell a structure that 1 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Businoss and Professions Code, is available upon request when this application is submitted or at the following Web siteihttp:lluvrw.leginfo.ca.govlcalaw.htmi, Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION T I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 )f Div' , 3 of the Business and Profess' s Cod , d my license is In full force and effect. License Class License. No Date i Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IEW0,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ]TOS OF THE LABOR CODE, INTEREST', AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' oompenaation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th performance of the work for which this permit is issued. Policy Nc. and will maintain workers' compensation insurance, as required by Section 3700 of the Later Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are ne of Agent certify that, in the performance of . if I should become suble7o the Policy Number Date 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 agree compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. — — Date ' ,, [ y 2 7 Lf" !J/ Heby 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). w er's Name Lenders Address my signature below, I certify to each of the following: I am the property owner or authorized to Hot on the pr enyowneD behalf, I have read this application and the information I hav provided I rrect. th all clt� building agree .e .rio representatives esof his city yrelating 8nnln purposes.. I authorize rep elsenllatives of this Ddyor cou ly tot rdr the ad a etnllfied property for oinspe lion purposes. y ..-.r Property Owner's orAuthorized Agent's Name kVIV-94A ACTION DATE. BY jllibECLARATIM OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE. 1403 FOR OFFICE USE ONLY PERN T EXPIRED = I SUBMITTED ASBESTOS NOTIFICATION TO R FEMITCANCELLED' r I_IEFA PER;vfiT EXTENDED f I IegMD ASBESTOS NOTIFICATION I5NOTAPPLiCABLE TO CERTfEICATE OF OCCUPANCY ISSUED / L L(.� PROPOSED DEMOLITION SIGNATURE: