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HomeMy WebLinkAboutF2024-0226 - PermitsCity of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-188B newportbeachca.gov/civic '4Cg4FORN\F Combination Type - Work Class - Tenant Improvement F 2 0 2 4 0 2 2 6COMB Perml+ T 024hM26 Plan Check, No . PC,2024-0932 ; Issued Late : 03/13/2.24 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: 20401 BIRCH ST, 2ND FLOOR Legal Desc : N TR 706 ELK LOT 97 TR 706 FOR OF LOTS 64, 65, 66, Description: COMM FIRE ALARM TI FOR SECOND FLOOR 91 DEVICES. (XC2023-0312) Owner: FERRADO BAYVIEW LLC Address : 20411 SW BIRCH ST STE360 NEWPORT BEACH, CA 92660 Phone : (949) 479-9884 Applicant : KYNDALL TAYLOR Address : 2246 LINDSAY WAY GLENDORA, CA 91740 Phone: (909) 305-1600 Owner/Builder : Address : Phone Contractor: BUILDING ELECTRONIC CONTROLS Address : 2246 LINDSAY WAY GLENDORA, CA 91740 Phone: (909) 305-1600 Con State Lie : 729905 Lie Expire : 11/30/2024 Bus Lie: BT97025666 Bus Lie Expire : 10/31/2024 Workers' Compensation Insurance Carrier: ZURICH AMERICAN INS CO Policy No: WC302951004 W. C. Expire: 4/1/2025 Architect Address Phone: State Lie Engineer: Address : Phone Designer: BUILDING ELECTRONIC CONTROLS Address: 2246 LINDSAY WAY GLENDORA, CA 91740 Phone: (909) 305-1600 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $25,255.00 Type of Construction : II -A Fire Hazard Zone: NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 1 Alteration sq. ft. Bldg : 0 Bldg Height: No of Stories : 2 Add/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks Flood Zone : X Use Zone: SP-7 - Santa Ana Heights Specific Pan gg e�PROCESSED BY: E� SPECIAL CONDITIONS: OWNER -BUILDER DECLARATIO4 I - - I hereby affirm under penalty of pe"ury'Fal 1 art exarnpL from the Contractors' State 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 i:or,e: Viv 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 iG permit to file a signed statement .I �r sha is lisense6 pur.,Lant to the previsions 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). 1 1, as owner of the property, or my emphyees with weges as mwr sole compensation, will do (_) all of or t_) portions of the work, and the structure is not intended or offered for sale (Section 7044, rosiness and Professions Code: the Contrac�ors' State ..ice,.se Lew uoea 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 of offered for salt. I,, hoNever, he bu9dirg 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 Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 entirely 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:htip:llwww.leginfo.ca.govlcalaw.html. Ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 7000W Division 3 of the Business and Prollessions, qode, and. m ) e is in foil Once nd effect. License Class License. No Date 102 (12nd 9Ar Contractor Signatures VORKERS' COMPENSATION DECLARATION PANNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (3100,000), IN ADOPTION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I 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., forth man a of the work for which this permit is issued. Policy No. 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` carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agrE t, if I should become ��`su//ubbjyct,to,the work s' coJm, p`e`nss non provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant \fY: &D! N _ Dat 5�'�J�2 J Ct.ARATION REGA DINS7 ION L pING AGENCY =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 Code), ides s Name Lender's 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 ordinances and state laws relating to building construction. I authorize representatives of this City or County to t rfheabo,, a-irR1e ti m e for III purposes. nature of Property Owner or Authorized Agent �) (�A 1�K21, p Print Property Owner's or Authorized Agent's NamSK� tV V1 I tiJA�l�ti1 li W�� Vi Date ✓/ �� DATE By E DECLARATION OF COMPUANCE'WITH CODE OF FEDERAL I FOR OFFICE USE ONLY E REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE PERMIT EXPIRED PERMITCANCELLED NOTIFICATION IS NOT CERTIFICATE OF OCCUPANCY i5SUEd TO