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Home My WebLink AboutF2023-0487 - Permitsr W or City of Newport Beach II II I IIII IIIIII II IIIIIIII III IIIIIIII II II COMB Permit: F2023-0487 O� e Community Development Department - Building Division F 2 g 2 3 9 4 8 7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No :.��oZ� Permit Counter Phone: 949 718-1888 p � r ( ) Issued Date : 10/09/2023 , newportbeachca.gov/civic Final Date: Combination Type - Permit Status: Issued Work Class - Other 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: 1501 SUPERIOR AVE Legal Desc : P BK 124 PG 24 PAR 2 Description: COMM FIRE ALARM - 5 DEVICES (ELEVATOR) Owner: UNIVERSAL PROPERTIES SEVEN LLC Address : 129 W WILSON ST STE101 COSTA MESA, CA 92627 Phone Applicant: STEVEN DRISCOLL Address : 3151 AIRWAY COSTA MESA, CA 92626 Phone: (949)279-5640 Owner/Builder : Address : Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups : B Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: X OM - Office --Medical SPECIAL CONDITIONS: Contractor BOYD AND ASSOCIATES Address : 2191 E THOMPSON BLVD VENTURA, CA 93001 Phone: (949) 279-5640 Con State Lic : 782794 Lic Expire : 08/31/2024 Bus Lic : BT95001855 Bus Lic Expire : 10/31/2023 Workers' Compensation Insurance Carrier: EMPLOYEE SERVICE GROUP Policy No: WLRC52200167 W. C. Expire: 7/1/2024 Fire Sprinklers; YES Fire Hazard Zone: NO No of Units : 1 No of Stories : 3 Architect Address Phone: State Lic Engineer: Address Phone Designer: ISMAEL MENDOZA Address: 451 D E LA PALMA AV ANAHEIM, CA 92807 Phone: Construction Valuation : $4,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) Indicated below by the checktnark(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 raguires 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 (rommencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that ITS 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 L) portions 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. 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). 3 1, 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 poly to an owner of propertywho builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I I am exempt from licensors under the Contractors' State License Law for the following reason Iy my signature belovr 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 'rofessions Code„ is available upon request when this application is submitted or at the following Web site:http:llwwnv.leginfo.ca.gov/calaw,html, signature of Property Owner or Authorized AgentData .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3of the Business and Prof ssfons odey�nd my II In Tull force no effect. License Class License No Date /D' Contractor Signa t l O VORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUMORED THOUSAND DOLLARS 1E100,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, tNTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: J I have and wilt 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( er ormance of the work for which this permit is issued. Policy No. QVIQI have and will maintain workers' compensation insurance, as required by Section 3700 of We Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior 1 ranee carrier and policy number are: Policy Number is of Agent Date 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 agre, t, if I should become subs ct toAlloks' coin anon provisions of Section 3700 of the Labor Code, shall forthwith comply vdlh Ihose provisions.nature of ApplicanE . __._._ __CL-ARAT€ON REGAR��fff.N G��"`444 10N LE bING AGENCY areby affirm under Penalty of per}ury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, C it Code). ider's Name _ _ Lenders 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 provided is correct. I agree to comply with all applicable city and county ordi rites and Sa r W12 elating to building construction. I authorize representatives of this city or countylo ent �i�� Inspection purposes. zignalure of Property Owner or Authorized Age16t - C/ J -`- Print Property Owner's or Authorized Ag ACTION ! DATE BY LARATION. Or COMPLIANCE WITH CODE Or FEDERAL I FOR OFFICE USE ONLY j REGULATIONS PART 61 OF TITLE 40 AND AQMD RLILF PERMIT EXPIRED 1 I LJ I SUBMITTED ASBESTOS NOTIFICATION TO _._...... PERMIT CANCECLEO 1� ..__. ...... _.. _..... - .. PfRiNiF EXTENDED _ .J.._..._�u-1CPA LJAQMD PCA�417FFINAL }ter .....__ _. .... _. _. .. _._..._ ......_- Ma� LJ ASBESTOS NOT IFILAIION IS NOT APPLICABLE TO 1�7I'1U- CERT71CArE OF �� 11 PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE _.