HomeMy WebLinkAboutF2022-0339 - PermitsCity of Newport BeachCommunity
Development Department- Building Division
414111
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
"'
Inspection Requests Phone: (949) 644-3255 r - — m^ .� •-,< �.. .--
c9r
newportbeachca.gov/inspections
Combination Type -
Work Class - Other
IICOMB Permit : F2022-0339
Plan Check No : 1664-2022
Issued Date : 08/05/2022
Inspection Area :'W 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
l ,b- i s
Job Address: 4271 UPTOWN NEWPORT DR Legal Desc :
Description : COMM EMERGENCY RADIO RESPONDER SYSTEM
Owner: PARKHOUSE RESIDENCES LLC Contractor
Address : 2 PARK PLZ STE700 IRVINE, CA 92614 Address :
Phone
Applicant: DAY WIRELESS SYSTEMS
Address : 8300 JUNIPER CREEK LN, 100 SAN
CA 92116
Phone: (85B)518-4838
Owner/Builder :
Address
Phone:
Phone:
Con State Lic
Lic Expire
DIEGO, Bus Lic:
DAY WIRELESS SYSTEMS
83DD JUNIPER CREEK LN, 100 SAN
DIEGO, CA 92116
(858)518-4838
984020
05/31/2023
BT30058525
Bus Lic Expire : 01/31/2023
Workers' Compensation Insurance
Carrier: NEW HAMPSHIRE INSURANCE COMPANY
Policy No : WCO25893652
W. C. Expire : 4/1/2023
Architect
Address:
Phone:
State Lic
Engineer:
Address
Phone:
Designer: DAY WIRELESS SYSTEMS
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 : B;R2;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:
I hereby aMann under penally of perjury that I am exempt from the ContractorsState License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
Section 7031.5. Business and Professions Code: Any city or county Thal requires a permit to construct, alter, improve. demolish. or repair any SWcture, prior to Its issuance, also requires the applicant for
10 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 D€€vision 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 i) 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 property, provided that the
nprovements 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
nproved 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
poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Lew).
I I 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 (Gast one year prior to completion of the improvements covered by this permit. I cannot legall;
all 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)oof Division 3 of the Business and Professions Cod y,y li, m I force
nd effect. License Class License No Date x o S - Z' oMontractor Signature
PORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION 'OVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIEB AND CIVIL FINES UP TO ONE HUNDRED THOUSAND COLLARS ($100,0001, IN ADDRION TO THE
DST DP COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
hereby affirm under penalty of perjury one of the fallowing declarations:
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
erformance 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'
I carrier and policy number are:
Policy Number Expiratic
of Agent Phone M
certify that, in the performance of the
if I should become subject to the w
nuure of ADulicent x
Date
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
compensation gagsions of Section 3700 of the Labor Code, I shall forthwlh comply with those provisions.
Date 0" S — zo ZZ
hereby affirm under peri of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097.
enders Name Lender's Address
y my signature UeInW, I certify to each of the following:
I am the properly owner or authorized to acton the property owner's behalf.
have read lw, application and the information I have provided is correct.
I agree to co.nply withall applicable city and County ordinances and state laws relating to building construction.
: authorize-epresentatives of this city or Counts, two enter the a ve-identified property for inspection purposes.
icnature of Pi r-tv Owner or Aufhnrbnd Annnt ^ Print Prnnarty Owner's or AathorizaH Annoys Names
Civil Code),
p
AC1,ON DATE
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
1
REGULATIONS PART RS OF TITLE 40 ANDAQMD RULE
' 14a9
i PtRIVITEXPIREP
f SUBMITTED ASBESTOS NOTIFICATION TO
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 & he maintained for the
_ _
A PEPr,VTCANCFUED
CPA
_
�PERMiTEXT£AIf1E'o
--
I i �A,gMD
--- /�1 �►(�^,i`
PCPMUT FIMAt
��n�q�� 12ASBE:DOLMONOTIFICATION IS NOT ' APPLICABLE TO
IWJFC,Y
II#e of the pool.
jj l� L`
/"�!
`
OCCUPANCY ISSUED
SIGNATURE:
Fee Name
Transaction Date Payment Method
Building
Drawing Fee
Fire Permit Fee - Public Radio
Fire Plan Check fee - Public Radio
PERMIT FEE DETAILS FOR PERMIT F2022-0339
Fee Amount Fee Paid Amount
Trans. Paid Amount Paid By
$100.00 $0.00
$162.00 $0.00
$427.00 $0.00
GRAND TOTAL: $689.00
N .r
m C
y a v o
O m
a m
Oa N m
O O o
N �
'u a
`y
N o OO1
c n
v o
0
'Qv
ma E
O
v U 0
�
c
O =
o
Ci
O
N O K T
apl
V
x0 V LL `m
y
y
v> Q V C
�
= N
A
i
�p V =O
C
aCi y
V
4nr
A
R
N
O a O N a
Ei
C
C - N
.�
7 >
N
<
C
N
C IO -O C
N Z
u
s E
m `
N
i
O1 V1 m �
O O v
Y
z C
G
v
� C
U = N O A
C
C
LL O u
v
t V E a =
c m °
3>�m_
e
L V
`o
A 'o m
a U
O N W ' O V
p0 O
m m c a
C =
0 N OV N
2
C
S
d
W O
rL
�
E
m �
`m
v
w
m
«
o
m
m
LL
"
ry
a
a
ax
p'I
m
p 0
W
NN
Of
ti
OU
w
H
D]
n
z'
w o
m
Z
O
N
Y C
c
3
0
a
7
.O
2
O
y
0
v o
z°
m
u+
in a O u°
Q
h
n
C N
el ti
II N
vmi N
N N
N N
"
N
U
u
~
M1
N
^ N
N
yy
N
N N
N N
N
N
N
N N
N
�ry
Np N
N
b N N
N
so
1§'m
D.i
ei c3m
m"ei
ism
s
E
V
x
6
C
C
z
GF
4 r
�
1
�
2
xm�Mog�� j
m
m
m
m
m
7
i
C
ry
SJ
m
6