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Home My WebLink AboutF2024-0265 - Permits�EwaDRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2024-0265 'r Community Development Department- Building Division F 2 0 2 4 0 2 6 5 O 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO : PC2024-1034 Permit Counter Phone: (949) 718-1888 Issued Date : 06/05/2024 newportbeachca.gov/civic w _ _ _ Final Date: Cg4�pppN�P Combination Type - Permit Status: Issued Work Class -Tenant Improvement' u - • 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: 520 NEWPORT CENTER DR, 1400 Legal Desc : P BK 387 PG 41 PAR 3 Description: COMM FIRE ALARM TI WITH (9) "EVOLUS" (XC2024-0095) Owner: 520 NEWPORT CENTER DRIVE LLC Contractor : H C I SYSTEMS INC Architect: Address : 550 NEWPORT CENTER DR Address : 1354 S PARKSIDE PL Address: NEWPORT BEACH, CA 92660 ONTARIO, CA 91761 Phone: Phone: (9D9)628-7773 Phone: Con State Lic : 905493 State Lic Lic Expire : 02/28/2026 Applicant : MIRIAM GOMEZ Bus Lic : BT30042287 Engineer Address : 1354 S PARKSIDE PL Bus Lic Expire : 02/28/2025 Address ONTARIO, CA 91761 Phone: (909) 957-5200 Workers' Compensation Insurance Phone: Carrier: FEDERAL INSURANCE COMPANY Owner/Builder : Policy No : 54309498 Designer: GARY RAMIREZ Address : W. C. Expire : 3/2/2025 Address : 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone: Phone: (909)957-5200 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $3,228.00 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 - North Newport Center BY: �� •�• PROCESSED ,, SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasen(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 is 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 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 of more than five hundred dollars ($500). 3 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, lusiness 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), 11, 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' State License Law). 3 1 am exempt from licensure under the Contractors' State License Law for the following reason:_-_____-_.__-___ Iy 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 legatl ca:' a structure that I have built as an owner -builder 4 it has not been constructed in its entirety try 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:htip:li' w .leglnfo.ca.gov/calaw.html. tiynalure of Property Owneror Authorized Agent_____ _ Date . ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Diw,��r'0qq 3 of the Business and Professiofgs Cade. n¢ Icen a is in Tull force nd effect. License Class License No Date G`I Contractor Signature A �. PORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,D031, IN AUDITION TO THE DST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3766 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following 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 'ormance 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' compensatiol Italics carrier and policy number are: rier Policy Number Expiration Date ne of Agent Phone fk 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 , if I should become subject to the workers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �( .� iature off Appllicant,___. _._.. DateC. .�6/-r-.w...__......._...._...._. hereby 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). ender's Name Lender's Address ry my signature below, I certify to each of the following: I am the property owner or authorized to act on the properly 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 ordinances and slate laws relating to building construction. I author za L�presentalives of this city or county tc ennt/pr the �/jbeve-idenf d property for inspection purposes. qI' //�f • /� M �l /', lionnlure n, r'r�.•ertv Owner or Arllhori]_ed ADalll / / / I � Print Proncirtv tw ner'S nr Anthnri]Rd Anent.S Nam? 01,I f v 1 t/I t r L(/ 1rTION DATE. BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY i REGULATIONS PART G] OFTITLF,40ANDAQMD RULE I RMIT EXPIRFO_ LJI SUBMITTED ASBESTOS NOTIFICATION TO F RVNTCAIJCEU E9 CPA C F RNVTEXTEN�EC _-0-ko_ .----__..— --_— PLRMITFIN9L ` ! ` v �fC.121 ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO _.RTIFICATE 0, ),rUPANCY 155UED PROPOSED DEMOLITION SIGNATURE: