HomeMy WebLinkAboutF2023-0588 - Permits�`,Ev�rvoRT City of Newport Beach - lllllllllllllllllllllllillllllllllllllllllllllllllllll COMB Permit : F2O23-0588
Community Development Department- Building Division plan Check No : PC2023-2944
100 Civic Center Drive, Newport Beach, CA 92660
' = Permit Counter Phone: (949) 718-1888 Issued Date : 12/20/2023
newportbeachca.gov/civic Final Date:
CqG/F00.N�P Combination Type - Permit Status: Issued
Work Class - Tenant Improvement 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
Vt�OT�ILi!
Job Address : 3700 COAST HWY E 04%4 Legal Desc : N TR 323 BLK W LOT 3 TR 323 LOT 3 BLK W ALL -EX HW
Description: COMM FIRE SPRINKLER)(-
57 HEADS (XC2023-0394)
Owner: TJJ COX PROP LLC
Address : 1434 SEACOAST DR
IMPERIAL BEACH, CA 91932
Phone:
Applicant: JOE BLEDSOE
Address : 1229 E ASH AV
FULLERTON, CA 92831
Phone :
Owner/Builder :
Address :
Contractor: J B FIRE PROTECTION
Address : 1229 E ASH AVE
FULLERTON. CA 92831
Phone : (714) 578-0900
Con State Lic :
647282
Lic Expire :
03/31/2025
Bus Lic:
BT30083239
Bus Lic Expire :
12/31/2024
Workers' Compensation Insurance
Carrier: INSURANCE COMPANY OF THE WEST
Policy No: WPL506452901
W. C. Expire: 3/1/2024
Architect
Address
Phone:
State Lic
Engineer
Address
Phone :
Designer: JOE BLEDSOE
Address : 1229 E ASH AV
FULLERTON, CA 92831
Phone
Phone
2022
Fire Sprinklers :
P
YES
Construction Valuation : $7,000.00
Code Edition :
V-B
Fire Hazard Zone :
NO
:
Added/New/TI sq. ft. Bldg 0
Type of Construction :
No of Units :
0
Alteration sq. ft. Bldg :
Occupancy Groups :
B
No of Stories :
1
Added/New sq. ft. Garage : 0
Bldg Height:
TOTAL sq. ft. : 0
Building Setbacks
X
Flood Zone :
Use Zone :
CC - Commercial Corridor
I 7 f t
PROCESSED BY:
-
SPECIAL CONDITIONS:
ilk "l%,4.1
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I ant exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable itemis)
(Section 7031.5, Business and Professions Code: Any city or county Thal 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 Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from )!censure 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 1$500).
El 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 oroffered 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, Kurds 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
5€y 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).
1 am exempt from licensure under the Contractors' State 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 Iegall7
sell a structure that I have built as an ownor-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, is available upon request when this application is submitted or at the following Web site:http:iiwww.leginfo.ca.gov)calaw.htmL
Signature of Property Owner or Authorized Agent D
LICENSED CONTRACTOR'S DECLARATION
Hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 o Divi on 3 of the Business and Prefes s nda, and�Iwlle
infullforceand effect. License Class License No Date Contractor Signatur
NORKERS' COMPENSATION DECLARATION
VARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE NUNORED T USAND DOLLARS 15100,000), IN ADDITION TO THE
JOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
-1 I have and will maintain a certificate or 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 IN
ter Thence of the work for which this permit is issued. Policy No.
I 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' compensatiol
Drones carrier and policy number are:
Tler Policy Number
me of Agent Expiration Date
Phone #
I certify that in the performance work for which this permit' sued, I shall not employ any persdnin any manner so as to become subject to the workers' compensation laws of California, and agre,
t, if I should become suble the orkers' comp Ilion p Isle s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
____ , 2
mature of Applicant Dala
CLARA710N REGARA]NG C he"; ON LANDING AGENCY
areby affirm under penalty of erjury that there is a construction lending agencyfor the erforman f thek f
p ce o. wor or vrhich this permit is issued (Section 3097, Civil Code).
tder's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf,
I have read this application and the information I have pro ' is correct.
I agree to comply with all applicable cilllty and county or na es and state laws relating to building construction.
I authorize representatives of this coy or county to a ter t bove-i ntifl roperty for inspection purposes.
nature of Property Owner or Authorized AGent ,t Z Print Property Owner's or Authorized ADent's Name
ACTION OAT By
PERMIT EXPIRED
PERMIT CANOE EED
1403
OF COMPLIANCE WITH CODE OF PEON
PART 51 OF TITLE 40 AND AQMD RULE
ASBESTOS NOTIFICATION TO
rtrtrvrrl rINHL I1151 �-`I, tlUl�tt/t� ; UASBESTO5 NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF € PROPOSED DEMOLITION
OCCUPANCYIS5UEp I SIGNATURE:
FOR OFFICE USE ONLY
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