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Home My WebLink AboutX2022-0205 - Permits04'. City of Newport Beach Community Development Department- Building DivisionCOMB Permit:XZO22'02�5 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0187-2022 Permit Counter Phone: (949) 644-3288 Issued Date : 07/19/2022 Inspection Requests Phone: (949) 644-3255 Inspection Area newportbeachca.gov/inspections l Combination Type - ELEC Work Class - Alteration 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: 2043 WESTCLIFF DR Legal Desc :{' S Description: COMM CELL SITE -AT&T. RJR ANTENNAS, R.R.U.S, M.D.T. BRACKETS. X3 MANAGEMENT SERVICES INC Architect Owner: HANKEY INVESTMENT COMPANY Address : 4751 WILSHIRE BLVD STE110 LOS Contractor : Address : 2128 AUTO PARK WAY ESCONDIDO, Address ANGELES, CA 90010 CA 92029 Phone: Phone: (760) 658-6455 Phone: Con State Lic : 933263 State Lic Applicant: X3 MANAGEMENT SERVICES INC Lic Expire : 06/30/2023 - Address : 2128 AUTO PARK WAY ESCONDIDO, CA Bus Lic : BT30064591 Engineer: PINA PAUL 92029 Phone: (760)658-6455 Bus Lic Expire : 04/20/2023 Address: 2204TORRANCE RI_�/D 105A TORRANCE, CA 90501 Workers' Compensation Insurance Phone: • • - - Carrier: �� • "- Policy No : Designer: W. C. Expire: Address Phone: -• Code Edition : Fire Sprinklers : NO Construction Valuation : $75,000:00 " Type of Construction : Fire Hazard Zone : N Occupancy Groups : U No of Units : 0 Added/New/Ti sq. ft. Bldg : 0 Bldg Height: No of Stories : Added/New sq. ft. Garage : 0 Building Setbacks Flood Zone Use Zone: r� PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION'S I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placednext to the applicable items) (Section 7031.5. Business and Professions Code! Any city or county that requires a permit to construct, alter, improve, demolish, of 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 licensors 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), El I, as owner of the property, or my employees with wages as their sole 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 properly who, through employees' or personal effort, halide or improves the property, provided that the improvements arenot 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). ❑ 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 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). ❑ I am q exempt born licensors under the Contractors' State License Law for the following reason _ ___ p By my signature oe9ovr I acknowledge that, except For my personal residence in. which I must have resided for at toast one year poor to completion of the improvements covered by this permit., I cannot legally sell n structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is avallable upon request when this application Is submitted or at the following Web site: httpJNAw,•w. leginfo.ca.gov/calaw.html. Signature of Property Owner or 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 7000) o hvislon 3 of the Business and Profession e. and ly license is in full force and effect. License Class License No Date Contractor Signature WORKERS' CCfd?ENSATION DECLARATION WARNING: fArLURL C eECORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN DOLLARS tS O,000). IN ADDITION TO THE -IFT di' COMPENSATION: DAMAGES AS PROVIOED FOR IN SECTION 31 OF THE LABOR CODE, INTEREST. AND ATTORNEY'S FEES, hereby affirm Ilr,dar penalty of perjury one of the following declarations: I have and v If 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 th• ance of the work for which this permit is issued. Policy No. e and will ms,ntain 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' compensatior arc jc arr' .'r and policy number are: t rlef Cl4L LC.vc„LrP. df�/ _„ Policy Number X`TH% C%/� 3r> Expiration Date OII I 1-1-1 I crrtity that in the performance of the work for which this permit Is Issued, I shall not employ any person in any manner so a$ to become subject to the workers' compensation taws of California, and agre Ft it I Should tecorae suW mpensatfan provisions ofSection 3700 of the LaborCode, ishallforthwith comply with those provisions.yoature of wpG.:ar.t_ DaCeECLARA?ION REG DLENDING AGENCYTeredy affrm under pan ais a construction landing agency for the performance orthe work for which this permit is issued (Section 3097, Civil Code). 3nder's Name Lentler's Address y nay signature below, I certify to each or the following: T I am the property owner or authorized to acton 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 stale lawsrelating to building construction. I authorize representatives of this city or county to W-dst'1tre_9�e-identified property for Inspection purposes. iI nature of Property Owner or Authorized Agent Print Pro ert ACTION DATE BY DECLAR TION OF CO IPLIANCE WITH CODE OF FEDERAL. REGUI. = S P Bl OF TITLE. 40 AND AQMD RULE 1403 PERMIT EXPIRED SUBMITTED ASBESTOS NOTIFICATION TO PERMiTCANCELLED tt—r EPA PERMtTEXTEfVOED_ L,�AQMD PERMITFINAL. • J?_ Z 3 f ( till ASBESI DS NOTIFICATION 15 NOTAPPLICABLE TO CERTIFICATE OF I MLLWEEEntrMOLITION OCCUPANCYf55UED SIGNATURE: FOR OFFICE USE ONLY All required alarms, latchesgates and fences which serve as part of a pool/spa barrier, shall be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.