HomeMy WebLinkAboutF2022-0333 - Permitsgrvao City of Newport Beach III I II
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D 11 Community Development Department -Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288 -
u<.Inspection Requests Phone (949) 644-3255
newportbeachca.gov/inspections
Combination Type -
Work Class - Other
COMB Permit: F2022-0333
Plan Check No : 1664-2022
Issued Date : 08/1
5/2022
Inspection Area :`FIRE INSPECTOR
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
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Job Address : 4281 UPTOWN NEWPORT DR Legal Desc :
Description : COMM EMERGENCY RADIO RESPONDER SYSTEM
Owner: PARKHOUSE RESIDENCES LLC Contractor: DAY WIRELESS SYSTEMS Architect
Address : 2 PARK PLZ STE700 IRVINE, CA 92614 Address..; 8300 JUNIPER CREEK LN, 100 SAN Address
DIEGO, CA 92116
Phone :
Phone : (858) 51&4838
Phone :
Con State Lie : 984020
State Lie:
Applicant: DAY WIRELESS SYSTEMS
Lie Expire : 05/31/2023
Address : 8300 JUNIPER CREEK LN, 100 SAN
DIEGO, Bus Lie: BT30058525
Engineer
CA 92116
Phone: (858) 518-4838
Bus Lie Expire: 01/31/2023
Address
- Workers' Compensation Insurance
Phone:
Owner/Builder :
Carrier: NEW HAMPSHIRE INSURANCE COMPANY
Address :
Policy No : WCO25893652 -
Designer: DAY WIRELESS SYSTEMS
Phone:
W. C. Expire : 4/1/2023
Address : 8300 JUNIPER CREEK LN, 100 SAN
...._ -
DIEGO, CA 92116
Phone: (858) 518-4838
Code Edition : 2019
Fire Sprinklers : YES -
Construction Valuation : $22,448.00
Type of Construction : I-A,V-A
Fire Hazard Zone : , NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : R2;B;S2
No of Units : 6
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 5
Added/New sq. ft. Garage : 0
Building Setbacks
Flood Zone : X
"
Use Zone
PROCESSED BY:
_ • ,�
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that € am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
(Section 7031.6, 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
ilia permit to file a signed statement that ho or she Is licensed pursuant to the provisions of the Contractors' Slale License Low (Chapter 9 (commoncing with $action 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from Iloensure 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
trot more than five hundred dollars ($500f
0 I, as owner or the property, or my employees with wages as their sole compensation, will do (—) all of or (_) portions of the work, and the structure Is not Intended oroffered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Lave does not apply to an owner of properly, who, through employees' or personal effort, builds or improves the property, provided dial line
improvements are not Intended or offered for sale. Ir, 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` Stale License Law does not
apply to an owner of property who bullds or improves thereon, and who contracts for the projects with a. licensed Contractor pursuant to the Contractors' Stale License Law).
I am exempt from licensers 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 purmlL I cannot legall;
sell a structure Ihat, 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, $action 7044 or the Business and
Professions Code, Is available upon request when this application Is submitted or at the following Web site:htlp:(lwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally or perjury that I am licensed under provisions of Chapter 9 (connmencingwllh Section 7 0 f Division 3 �crtr.he Business slid Prof es Ions Co�jjlaaa'', an y I�pa in full foroa
and effect. License Class License No Date - Zo2[Contractor Signature
WORKERS COMPENSATION'. DECLARATION
NARKING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINES UP TO ONE HUNDRED THOUSAND OOLLARS ($100,000), IN AUDITION TO THE
COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION Tab OF THE LABOR CDOE, INTEREST. AND ATfORNEY'S FEES.
hereby affirm under penally of perjury one of the following declarations:
._.l 1 have and will maintain a certificate of consent to selNnaure for Workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 or the Labor Code, for Ih
performance of the work for which this permit Is issued. Polley NO,,
have and wilt maintain workers' compensationinsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My workers'
ranee carrier and policy number are:
Policy Number Expiration Date
of Agent
carlify 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
if I should become subject to therk' eompzfrsslJ�lign Rcayislons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
oath 3•� — z-zz .
Ireby affirm under penalty of pequry that there Is a construction lending agencyfor the performance of the work forwhlch this permit is Issued (Section 3097, Civil Code).
order's Name Lenders Address
try 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 ,ipplicallon and the Information I have provided I..5 tarred.
agree to comply with all applicable city and county ordinances and stale laws relating to building construction.
' authorl-e •epresentalives of this city or county to enter th Ubove-Identifled properlyfor Inspection purposes.
x
!A
CTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART bl OF TITLE, 40 AND AQM D RULE
1a03
FOR OFFICE USE ONLY `
PFRMITEXPAI,
l A55ESTOS NOTIFICATION TO
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�5rLIBMITIFF,D
1_IEPA
All required alarms, latches gates 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
I GRArnT EXTEN(.EO
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❑ASaE5TO5 N0'rI F1CA1'ION IS NOT APPLICABLE TD
life of the pool
I CFRTIFICATC (
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PROiP05ED DEMOLITION
OCUPANEYTiSUF1
SIGNATUREI
PERMIT FEE DETAILS FOR PERMIT F2022-0333
Fee Name Fee Amount Fee Paid Amount
Transaction Date Payment Method Trans. Paid Amount Paid By
Building
Fire Permit Fee - Public Radio $162.00 $0.00
Fire Plan Check Fee (Legacy) $396.00 $396.00
06/30/2022 CC EPL $396.00 EnerGov Solutions
GRAND TOTAL: $558.00 $396.00
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