HomeMy WebLinkAboutF2022-0337 - PermitsrEwaoRr City of Newport Beach
Community Development Department- Building Division
O (� b" 100 Civic Center Drive, Newport Beach, CA 9266D
S Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type -
Other
COMB Permit: F2022-0337
Plan Check No : 1664-2022
Issued Date : 08/05/2022
., Inspection Area:FIRE INSPECTOR
Work Class -
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
wibcl . -J
Job Address: 4251 UPTOWN NEWPORT DR Legal Desc :
Description: COMM EMERGENCY RADIO RESPONDER SYSTEM
DAY WIRELESS SYSTEMS
Owner: PARKHOUSE RESIDENCES LLC Contractor:
Address :
JUNIPEC6REEK LN, 100 SAN
8300
Address : 2 PARK PLZ STE700 IRVINE, CA 92614
DIEGO, CA 9R
Phone :
Applicant: DAY WIRELESS SYSTEMS
Address: 8300JUNIPER CREEK LN,
CA 92116
Phone: (858)518-4838
Owner/Builder
Address
Phone:
Code Edition : 2019
Type of Construction : I-A,V-A
Occupancy Groups: R2;B;S2
Bldg Height :
Phone: (858)518-4838
Con State Lie : 984020
Lie Expire : 05/31/2023
100 SAN DIEGO, Bus Lic : BT30058525
Bus Lie Expire: 01/31/2023
Workers' Compensation Insurance
Carrier: NEW HAMPSHIRE INSURANCE COMPANY
Policy No : WCO25893652
W. C. Expire: 4/1/2023
Fire Sprinklers :
YES
Fire Hazard Zone :
NO
No of Units :
5
No of Stories :
5
Architect
Address
Phone:
State Lie
Engineer:
Address
Phone:
Designer: DAY WIRELESS SYSTEMS 100 SAN
Address: 8300JUNIPER CREEK LN,
DIEGO, CA 92116
Phone: (858)518-4838
Construction Valuation : $22,448.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg : , .
Added/New sq. ft. Garage: 0
Building Setbacks
Flood Zone : NO '
Use Zone:
PROCESSED BY:
SPECIAL CONDITIONS: "
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the mason(s) indicated below by the checkmark(s) I have placed next to the applica. ble items)
(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' 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 Ilcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by a
not more than five hundred dollars ($500). ny applicant for a Permit subjects the applicant to a civil penalty of
13 1, 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 property who,. through employees' or personal effort, holds 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, improved for the purpose of sale) -
the Owner -Builder will have the burden of proving that it was not built or
❑ 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 witha licensed Contractor pursuant to the Contractors' Slate License Law).
am exempt from Rcensure Under the Contractors' Slate License Law for the following reason:
By my signature below I acknowledge that, except form -----
p y personal residence in which I must have resldod for at toast one year prior to completion of the improvem=
sell a structure that I have bull[ 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 Sectionts n 704Atof the Businessnandlagall
Professions Code, is available upon requestwhen this application Is submitted or at the following Web sfte:hhp:/Iwww.legimO.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent __
LICENSED CONTRACTOR'S DECLARATION_ .__._.-___..-_.._ Date
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Profes ions Co d my license is in full force
end effect License Class License No Date
IJDRICERS COMPENSATION DECLARATION - Y-22 Contractor Signature i^6
VARNING: FAILURE TO SECURE IVOR KERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU$AND DOLLARS (`E100,000), IN ADOR'ION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OFTHE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm Under penalty of perjury one of the fallowing declarations:
-1I have and will maintain a cerlilicate of consent to seirinsure, for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ihi
Ierformanue of the work for which this permit is issued. Polley No.
51 have 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
isurance carrier and policy number are:
Policy Number
of Agent � _ Expiration Date
Ll rnone 4
that, if I should become 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 agm
Signature
of Applicant
R Uject to t STRUCTION he war 'Omp sell ENv of Section 3700 of the Labor Code: i shall forthwith comply with those provisions. Date
ON REG
hereby affirm under penaltyj rythere
per a that 'is a construction lending agency for the performance of the work for which this permit Is Issued (Section 3097, Civil Code).
ILender's Name
By my signature bs,pw, 1 certify to each of Lender's Address
the following:
I am the Prt,pa, ly owner or authorized to act On the property owner's behalf.
i have read tl.i., application and the Information I have provided is correct.
I agree to Xrl* with all applicable city and county ordinances and state laws relating to building construction.
' authorize •epresentatives of this city or county to enter the ab ve-Identified property for inspection purposes.
SDcII nature of Pm er Owner or Authorized A ant
Print Pro or
ACOwner's or Authorized A ant's Name
DATE iC Date a '
P:ON i By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMDRUIF fOR OFFICE USE ONLY
1403
✓fRMIi EXP1ftEa __ �__ v_ 15UBMITTED ASBESTOS NOTIFICATION TO
OCCtJPANty 15SUEa i uern _—�__--__ All required alarms, latches gates and fences which serve as part of a Pool/spa barrier, shall
__--
--- _ _ _ �AQMD be in place priorto approval to fill pool/spa & shall remain in lace & he maintained for the
CtIRTI iFINAd l �_r -I - ----- P
� 31 M�ii2(1 LI ASBESTOS NOTIFICATION IS NOTAPPI. CABLE 70 pool.
Na I)
life of the
OCCUPfCA7E OF PROPOSED DEMOLITION
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