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HomeMy WebLinkAboutF2024-0234 - Permits�E City of Newport Beach �poe> p ) Q Community Development Department -Building Division r'- r '�jv > 100 Civic Center Drive, Newport Beach, CA 92660 z Permit Counter Phone: (949) 718-1868 &L newportbeachca.gov/civic wgra r '�` Combination Type - Work Class - Tenant Improvement g iiiiiiii4 II COMB Permit : F2024-0234 Plan Check No : PC2024-0945 Issued Date : 05/15/2024 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 Job Address: 100 BAYVIEW CIR, 100 Legal Desc : N TR 1252B BLK LOT 2 Description: COMM FIRE ALARM TI WITH (24) DEVICES. "BEST CHOICE PRODUCTS" (XC2023-0491) Owner: GPI BAYVIEW LLC Address: 100 BAYVIEW CIR, 270 NEWPORT BEACH, CA 92660 Phone: (949)725-9900 Applicant: MIRIAMGOMEZ Address : 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone: (909)957-5200 Owner/Builder : Address : Phone Contractor: H C I SYSTEMS INC Address : 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone: (909)628-7773 Con State Lic : 905493 Lic Expire: 02/28/2026 Bus Lic : BT30042287 Bus Lic Expire : 02/28/2025 Workers' Compensation Insurance Carrier: FEDERAL INSURANCE COMPANY Policy No: 54309498 W. C. Expire : 3/2/2025 Architect Address Phone: State Lic Engineer: Address: Phone Designer: H C I SYSTEMS INC Address: 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone: (909)628-7773 Code Edition: 2022 Fire Sprinklers : YES Construction Valuation : $12,398.00 Type of Construction : I -A Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 , Occupancy Groups: B No of Units : 0 Alteration sq. ft. Bldg : 0 - - Bldg Height: No of Stories: 1 Add/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone: X Use Zone : PC - Bay[yvieeww)- BY: PROCESSED SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(*) indicated below by the checkmark(s) I have placed next to the applicable item(s) Seclion 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 a 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 rofessions 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 of more than five hundred dollars ($500). ] I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U potions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nprovements are not intended or offered for sale. IL 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 nproved for the purpose of sale), 11, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not pply 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). 3 1 am exempt from licensors under the Contractors' Slate License Law for the following reason: __'_.. -- y 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 legally ell 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 the applicable law, Section 7044 of the Business and Tofessions Code, is available upon request when this application is submitted or at the following Web site:http:ll%, .leginfo.ca.gov/caiaw.htmi. ignature of Property Owner or Authorized Agent Date .10ENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I ant licensed under provisions of Chapter 9 (commencing with Section 70 0 f [)jvi�� 3 of the Business and Profession • ode'aod nse is in full force nd effect. License Class License No Date �J Contractor Signature c VORKERS' COMPENSATION DECLARATION EARNING: FARURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,000L IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'* FEES. hereby affirm under penalty of perjury one of the fallowing declarations: I I have and will 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 IN 9e ormance of the work for which his 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 whichthis permit is Issued. My workers' compensator nsurance, carrier and policy number are: Policy Number Dale is of Agent 1 1-1. 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 agree if I should become subject to the_#e ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of �reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). nder's Nam. S Lender's Address rn - signature oeluw, I certify to each of the following: I Tm the +roi teny owner or authorized to act on the property owner's behalf. I have read the application and the Information I have provided is correct. I agree to ccmply with all applicable city and county ordinances and state laws relating to building construction. I authorize repre^eatatives of this city or county to Wier the above-identifie arty for inspection purposes. � n l/(% -\ � Print Property Owner's or Authorized Agent's Name 1" 1L � � Ln_> Dr PRION '�PE_RMIT EXPIRED ( ( PERMITCANC9 LeDv ( PERMIT EXTS°f/1F0 PERMIT FINAL CERTIFICATEOF 7I1S OCCUPANCY 155UED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE SUBMITTED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION