HomeMy WebLinkAboutF2024-0305 - Permits�EwvoR City of Newport Beach
Community Development Department- Building Division II IIIIIIIIIIIIIIIIII F 2 0 2 4 IIIIIIIIIIIIIIIIIIII 0 3 II COMB Permit:F2024-0305
- 0 5
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-1154
Permit Counter Phone: (949) 718-1888 Issued Date : 0710112024
yr newportbeachca.gov/civic Final Date:
°9<iFpnN`" 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: 3700 COAST HWY E Legal Desc : N TR 323 BLK W LOT 3 TR 323 LOT 3 BLK W ALL -EX HW
Description: COMM - FIRE ALARM SYSTEM 6 DEVICES *ALTMAN BROTHERS* (XC2023-0394)
Owner: TJJ COX PROP LLC
Address : 1434 SEACOAST DR
IMPERIAL BEACH, CA 91932
Phone:
Applicant: FIRST ALARM ELECTRIC INC
Address : 175 PASADENA AVE
TUSTIN, CA 92780
Phone : (866) 757-8378
Owner/Builder :
Address :
Phone
Contractor: FIRST ALARM ELECTRIC INC
Address : 175 PASADENA AVE
TUSTIN, CA 92780
Phone:
(866)757-8378
Con State Lic
: 1021942
Lic Expire :
12/31/2024
Bus Lic:
BT30084659
Bus Lic Expire : 07/31/2025
Workers' Compensation Insurance
Carrier: FALLS LAKE FIRE
Policy No: FLA014756
W. C. Expire : 7/29/2024
Code Edition : 2022 Fire Sprinklers : YES
Type of Construction : V-B Fire Hazard Zone : NO
Occupancy Groups : $ No of Units : 1
Bldg Height: No of Stories : 1
Building Setbacks :
Flood Zone : X
Use Zone : CC - Commercial Corridor
PROCESSED BY:
y
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer:
Address :
Phone
Designer: FIRST ALARM ELECTRIC INC
Address: 175 PASADENA AVE
TUSTIN, CA 92780
Phone: (866)757-8378
Construction Valuation : $0.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg : 0
Add/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt 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 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
to 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
Irofessions 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).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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).
I, 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).
1 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 legal[
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
Irofessions Code, is available upon request when this application is submitted or at the following Web site:htipJ/www.leginfo.ca.gov/ca[aw.html.
Iignalure of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 Ivl I f the Business an rote e s n full force
nd effect. License Class License No Date �t�� 1 Contractor Signal
VORKERS' 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 ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 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 if
erformance of the work for which this permit is issued. Policy No.
thave 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' compensatio
Isurance carrier and policy number are:
:arrier Policy Number Expiration Date
lame of Agent Phone ff
J certify that, in NkQerformance 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
lal, if I should beco L recttothewQdjgrs' corn t>ection 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant _ Date
IECLARATION REGAR CTION LENDING AGENCY
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 Code).
enders Name Lender's Address
y 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 an ounly ordinances and state laws relating to building construction.
I authorize representatives of this city or coup nter the above-identifi arty for inspection purposes. �.
(`y`1 1
ionature of Property Owner or Authorized Agent Print Property Owner s or Authorized Agll, ( Nwe�.. Date
ACTION I DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITCANCELLED
PERM/TEXTENOEO
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
LU f'ZM3 I L-I ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
_ _ LSIGNATUkk:
PERMIT FEE DETAILS FOR PERMIT F2024-0305
Fee Name Fee Amount Fee Paid Amount
Transaction Date Payment Method Trans. Paid Amount Paid By
Building
Inspection - Fire Alarm Systems Base
$248.00
$0.00
Inspection - Fire Alarm Systems Per Device
$21.00
$0.00
Plan Review - Fire Alarm Systems Base
$209.00
$0.00
Plan Review - Fire Alarm Systems Per Device
$18.00
$0.00
GRAND TOTAL: $496.00