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HomeMy WebLinkAboutX2022-1736 - Permits�tjtiWPORT City of Newport Beach D 1 Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 J r Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C9C/Fp0.0.�P newportbeachca.gov/inspections Combination Type - ELEC Work Class - Alteration v lr COMB Permit : X2022-1736 Plan Check No : 1587-2022 Issued Date : 09/27/2022 Inspection Area : 7 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: 2545 EASTBLUFF DR �CS� Description : CELL SITE "VERIZON" Owner: IRVINE CO Address: SSG=wpori' Ce.t fpP G� NEWPORT BEACH, CA 92658 Phone: Applicant: FULSANG ARCHITECTURE Address : 3471 VIA LIDO STE 202 NEWPORT BEACH, CA 92663 Phone : (949) 838-4139 Owner/Builder Address : Phone Legal Desc : P BK 49 PG 22 PAR 2 PM 49-22 PARS 2,3 & POR PAR 1. Contractor: MOTIVE ENERGY TELECOMM GROUP Architect INC Address : 755 TRADEMARK CIRCLE Address: CORONA, CA 92879 Phone: (909)915-9880 Phone: Con State Lic : 1021440 State Lic Lic Expire : 12/31/2022 Bus Lic: BT30073387 Engineer: Bus Lic Expire : 11/30/2022 Address Workers' Compensation Insurance Phone: Carrier: ZURICH AMERICAN INSURANCE COMPANY Policy No : WC348720014 Designer W. C. Expire : 4/1/2023 Address 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 : X Use Zone: CN - Commercial Neighborhood PROCESSED BY: SPECIAL CONDITIONS: Phone: FULSANG ARCHITECTURE 3471 VIA LIDO STE 202 NEWPORT BEACH, CA 92663 (949)838-4139 C030715 NO Construction Valuation : $13,000.00 NO Added/New/TI sq. ft. Bldg : 0 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasen(s) indicated below by the checkmerk(s) I have placed next to the applicable itemfs) (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' Stato 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). ❑ 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 employeesor 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 ffly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors Stale License Law). LJ 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 legally 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, isavailable upon request when this application is submitted or at the following Web site:htlp:il"w.leginfo.ca..govlcalaw.html. Signature of Property Owner or Authorized Agent _ _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I ant licensed under provisions of Chapter 9 (commencing with Section 70 of Div iI n 3 of the Business and Prof e n e, and my license is In full force and effect. License Class License No Date Z G Z 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 WNIMO01.IN ADDITION TO THE: COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEE$. 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' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work. for which this permit is issued. Policy No. F31 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for whichthis permit is Issued. My Workers compensador insurance carrier and policy number are: e of Agent Policy Number Expiration Date Phone # 11 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 agre, tat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iignalure of Applicant .. Date,q�z �ZZ I ECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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). .Sneers Name Lender's Address ty my signature below, i certify to each of the following: I am the property owner or authorized to act on the properly owner's behalf. I have rearl.rhir application and the information 1 have provided is correct, I agree to nnmply with all applicable city and count ordinances and state laws relating to building construction. {1' I' authorize representatives of this city or county to�gter tt—�aboye-identified property for inspection purposes. or Owner's or Authorized Anent s Name AC', ION I DATE BY € DECLARATION OF 5eM P LIAINCE W ITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 'P>=PM17 EXFIRED ocp,WITCANCF- t--D TO 7CF%'ITFINAL I� I WASB€S"f05 NU IFICATION 15 NOT APPLICABLE TO CERT'9CATE CF �� PROPOSED DEM17-fITI ITI'ON OCCUPANCY 155Ut0 SIGNATUR€: .'UiL� � �