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HomeMy WebLinkAboutF2024-0022 - Permits�EwaoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIII�IIII��II�IIIIIII� COMB Permit : F2024-0022 IIIII D4 ? p Community Development Department- Building Division F 2 0 2 4 0 0 2 2plan Check NO: PC2024-0087 ,. too Civic Center Drive, Newport Beach, CA 92660 Issued Date: 01/16/2024 Permit Counter Phone: (949) 718-1888 tl �. +'�^. *� �4 r-a Final Date: newportbeachce.9ov/civic y y; w i ic_.4i3 b +� Permit Status: Issued °gc�co aN�P Combination Type - Inspection Area : FIRE t Work Class - Tenant Improvement 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 N TR 323 BLK W LOT 3 TR 323 LOT 3 BILK W ALL -EX HW Job Address: 3700 COAST HWY E FIRE SERVICE Legal Desc : LINE (F2023-0588) Description : COMM (N) UNDERGROUND Contractor: J B FIRE PROTECTION Architect Owner: TJJ COX PROP LLC Address : 1229 E ASH AVE Address Address : 1434 SEACOAST DR FULLERTON, CA 92B31 IMPERIAL BEACH, CA 91932 Phone : (714) 8-0900 Phone: Phone : Con State Lic : 647282 State Lic Lic Expire : 03/31/2025 BT30083239 Engineer Applicant: JOE BLEDSOE A Bus Lic: Bus Lic Expire : 12/31/2024 Address Address : 1229 E ASH AV FULLERTON, CA 92831 Workers' Compensation Insurance Phone: Phone: Carrier: INSURANCE COMPANY OF THE WEST J B FIRE PROTECTION Policy No : WPL506452901 Designer: Address : 1229 E ASH AVE Owner/Builder : W.C. Expire : 3/1/2024 FULLERTON, CA 92831 Address Phone: (714) 578-0900 Phone: Construction Valuation : $5,000.00 2022 Fire Sprinklers: YES Added/New/Tl sq. ft. Bldg : 0 Code Edition : V-B Fire Hazard Zone : Alteration sq. ft. Bldg Type of Construction : B 0 No of Units : 0 Added/New sq. ft. Garage : 0 Occupancy Groups : No of Stories : 1 TOTAL sq. ft. 0 Bldg Height: Building Setbacks Flood Zone : X CC - Commercial Corridor Use Zone. PROCESSED BY: ...,., SPECIAL CONDITIONS: LDER I hereby affirm under penalty of perjury that t 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(s) (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 tine permit to file a signed statement that he or she is licensed pursuant 10 the provisions of the Contractors' Slate 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). 11 I, es owner of the property, or my employees with wages as their sole compensation„ will do U 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, builds or improves the properly, 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 or 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 aft exempt from lieansure under tile COnthsetors' Stale 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 l0 completion of the improvements covered b this 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 th0 applicable law, Section 7tl4A of the Business not legall, Professions Code, is available upon request when this application is submitted or at the following Web site:htlp:/hwnv.leglnfo.ca.gov/calf a rop i. Signature Of Property Owner or Authorized Agenrt.� LICENSED CONTRACTOR'S DECLARATION D e I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70pq or qvisign 3 of the Business and ProIND Code, a ra�{e rise ' in full force and effect. License Class License No Date 2 NORKERS' COMPENSATION DECLARATION Contractor Signature YARNING: FAILURE TI SECURE wES AS R' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL RSUBJECT AND EMPLOYER TO CRININAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDOLLARS 1$100,000), fN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ST08 OF THE LABOR CODE, INTEREST, ANO ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a cerliflcate 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 for 'err(elrrmance of the work for which this permit is issued, Policy No. &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 lsurance carrier and policy number are: Policy Number of Agent __.. Expiration Date certify that, In the performance of if I should become subject tom of Applicant for which Ibis permit is issued I shai# not employ any person in any manner so as to become subject to the workers' compensation taws of CAITOmla, and agre compens ,ion pro ' o s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. IN�LENDING AGEN Y------- ..._ Date.— ( �� q1 wy amrrn unoer penar y qx perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). Lenders Name (/ Lender's Address By my simtaiure below, certify to each of the roiloweg; I am the pranerry owner or authorized to act. on the property owner's behalf. I have read this application and the information I have provi d is correct,. aorue to comply with all applicable city and county crd' lees and state law lating to building construction. I authorize represen:atives of this city or county to e r a. Bove- 'fi pr perty for inspection purposes. S nalurL of Pro e. Otmer or Authorized A ant l�Vt Print Proper! Owner's or Authorized A ant's Name C- I_X.Cr f ACTIDN 1J5oC/ Date ( �G Zi,� DATE BY D LARATI ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND. AC MD RULE 1403 ffR.'A! r LXPfREO 50BMITTED ASBESTOS NOTIFICATIONTO PERNrIi CANCf!!°i--I�___ _ EPA PERMIT thTFNDE✓ I—-�qMp-- PERMI7FlNAL fL,�r i]%U ASBESTOS NOTIFICATIDN IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED ...... _._.-. 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