HomeMy WebLinkAboutF2023-0455 - PermitsCity of Newport Beach
D p Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civ[c
oq<" Combination Type -
Work Class - Other
COMB Permit: F2023-0455
Plan Check No : PC2023-2308
Issued Date : 1012712023
Final Date:
Permit Status: Issued
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
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Job Address : 20401 BIRCH ST 31��'uo(� Legal Desc : N TR 706 BLK LOT 97 TR 706 FOR OF LOTS 64, 65, 66,
Description: COMM FIRE SPRINKLER SYSTEM 119 HEADS �2023-0328)
C
Owner : FERRADO BAYVIEW LLC Contractor: COSCO FIRE PROTECTION INC Architect
Address : 20411 SW BIRCH ST STE360 Address : 1075 LAMBERT RD, BLDG D Address
NEWPORT BEACH, CA 92660
Phone: (949)479-9884
Applicant: COSCO FIRE PROTECTION INC
Address: 1075 LAMBERT RD, BLDG D
BREA, CA 92821
Phone: (714)974-8770
Owner/Builder
Address :
Phone:
Code Edition:
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone:
Use Zone :
BREA, CA 92821
Phone: (714)974--8770
Con State Lic :
577621
Lic Expire :
09/30/2025
Bus Lic:
BT00022773
Bus Lic Expire:
07/31/2024
Workers' Compensation Insurance
Carrier: ACE AMERICAN INSURANCE COMPANY
Policy No : WLRC52021376
W. C. Expire : 1/l/2024
Phone:
State Lic
Engineer:
Address
Phone:
Designer: COSCO FIRE PROTECTION INC
Address : 1075 LAMBERT RD, BLDG D
BREA, CA 92821
Phone: (714)974-8770
2022
Fire Sprinklers : YES
Construction Valuation :
$55,000.00
II-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
No of Units : 1
Alteration sq. ft. Bldg :
I .
No of Stories :
Added/New sq. ft. Garage :
0
TOTAL sq. ft.
0
X
SP-7 -
Santa Ana Heights Specific Plan
PROCESSED BY: 07
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm underpenally, of perjury flat 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 Item(sT
(Sector) 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 pormlt to filea signed statement that he or she is iiconsed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of tho 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 fire hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all ''l of or L) portions of the work, and the structure Is not intendedoroffered 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 yearof Completion, Ilse Owner -Builder will have the burden of proving that If was not built or
Improved for the purpose of salet.
El I, 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 doe's 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),
❑ I am exempt from leensure under the Contractors' State License Law for the following reason: _
By my sic na lure 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 pariiiit, I cannot legally
sell a structure that I have built as an ewner-budlder If It has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, Is available upon requestwhen this application is submitted prat the following Web site: hmp:li aww.legtnfo.ce.gov/calaw. html.
Signature of Property Owner or Authorized Agent _. _ �_ Date _
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I ann licensed under provisions of Chaplar 9 (commencing with Section 7000 of DI ision 3 of the Business and Professl he CgQe my license is In full force
and effect. License Class License No Date D Z Z Contractor Signaturo (/
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURETO SECURE WORKERS' COMPENSATION COVERAGES UNLAWFUL, AMC 'SNALL SUBJeCT'AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FMES UP TO ONE HUNOREO THOUSAND DOLLARS (i1u0,nbv7,IN ADDITION TO THE
COST OF COMPENSATION, OAMiAGESAS PROVIDED FOR IN SECTION 17060E THE LABOR CGOE, INTEREST'. ANa ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent In self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih
brmance of the work for which this permit Is issued. Policy NIT
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which thl permit is issued. My workers' Compensator
Trance carrier and policy number are:
her Ill NL.mx�C _yp Iu Policy Number x„/) (LG `S2.0 - i� -7 (_ Expiration Date l
no of Again Phone #
certify that, in the performance of the work for which this permit Is issuod, I shall not employ any person in any mahnerso as to berorne subject to the workers' compensation taws of California, and ogre
III should become sub' of to I:haVthrc,
ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant CLARATION REGARDING CONSNDING AGENCY
reby affirm under penalty of perjryconstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
,ders Nana _ Lender's Address
my signaure uel',w, I certify to each of the following:
I am the F'rFe`ty owner or authorized to acton the property owner's behalf.
I have read thi-, application and the Information i have provided is correct,.
I agree to comply with all applicable city and county ordinances an •tale laws relating to building construction.
I authorize representatives of this city or county t e 'er the ov /rf�entified ppropedy for inspection purposes. l�
nature of ?rooerh, Owner or Authorized Aaenl ''� l Print Property Owner's or Authorized Agent's Name � Date (Q)Z�l
1 A,IION
DATE
BY DECLARATION OF COMPLIANCE ViIITH CODE CF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OFTITLE 40 AND AQA4D RULE
'
1403
"1 FS'l�r EXPIRED
'.I SUBMITTED ASBESTOS NOTIFICATION TO
CPA
PERN, CANCcII°o
, EA,MT EXTENDED
DAQMD _
'rtRdITFINAL
1 JL l
JOj LIM4 '', ASBESTOSNOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
,.IJ
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE:
______._.—._...__....._..._