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Home My WebLink AboutF2024-0258 - PermitsWnok City of Newport Beach g11111111111111111111111111111111111111111111111111111111111111COMB Permit: F2024-0258 '-,,,,nity Development Department- Building Di,,ision V- u ! a - 0 2 5 8 ivic Center Drive, Newport Beach, CA 9266J Plan Check No: PC2024-1009 \ ? Permit Counter Phone: (949) 718-1888 Issued Date : 06/20/2024 newportbeachca.gov/civic Final Date: Combination Type - Permit Status: Issued Work Class - Tenant Improvement Inspection Area : FIRE PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID 114SPECI ION. BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SA FURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 3801 COAST HWY E Legal Desc : P BK 108 PG 29 PAR 1 TR 673 LOT 1 BLK A ALL -INC P Description: COMM R/R (E) FIRE SAFETY MONITORING ALARM SYSTEM W/ (6) DEVICES TO ALLOW FOR CELLULAR COMMUNICATION ""FIVE CROWNS RESTAURANT" Owner: FPV II PARTNERSHIP Contractor: BAY ALARM CO Architect Address : 225 S LAKE AVE STE1150 Address : 5130 COMMERICAL CIRCLE Address PASADENA, CA 91101 CONCORD CA 94520, CA 94520 Phone: Phone: (925)808-4305 Phone: Con State Lic : 880138 State Lic Lic Expire : 06/30/2026 Applicant: NICHOLAS MOSS Bus Lic : BT02120456 Engineer : )NSrECTM Address : 1590 S LEWIS ST Bus Lic Expire : 10/31/2024 Address ANAHEIM, CA 92805 Phone: (714) 300-8639 Workers' Compensation Insurance Phone: Carrier: NAT'L UNION FIRE INS CO OF PITTSBURGH, PA Owner/Builder: Policy No: 012016091 Designer: BAY ALARM CO Address : W. C. Expire : 3/1/2025 Address : 5130 COMMERICAL CIRCLE CONCORD CA 94520, CA 94520 Phone: Phone: (925)808-4305 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $2,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : A2/U No of Units : 0 Alteration sq. ft. Bldg : 0 Bldg Height: No of Stories : 1 Add/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : CC - Commercial Corridor NO CONSTRUCTION tjv cjSN) PROCESSED BY: SPECIAL CONDITIONS: ON SATURDAYS OWNER -BUILDER DECLARATION I hereby afinn under penalty of perjury that I am exempt from the Contractors' State License Law for ti:e Iaason,$) .nd caled belov, by toe checkmark(s) I have placed next to the appL.:__ _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 1e permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' &tat= Odense Law 1Chan:ar 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). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions c5 the work, and +he structure is not intended or offered for sale (Section 70", Iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of propert/ who, th•ou3h cImoloyees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. 11, however, the building or improvement is sold within one year of c n-I detion. the Owl.er 3u.!der will have the burden of proving that 4 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 pply 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). I am exempt from licensure under the Contractors' Slate 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 legall) 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 Tofessions Code, is available upon request when this application is submitted or at the following Web site:httpJlwww.leginfo.ca.govlcalaw.html. signature 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 70 ) of.Divi on 3 of the Business and Profegs_sions Code, and my license is in full force nd effect. License Class License No Date F Contractor Signature T.. ,7� VORKERS'CONIPENSATION 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 1$100,000), IN ADDmON TO THE UST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37DE OF THE LABOR COOS 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 th giigrmance 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 JI 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 ial, if I should becomesubjectto the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'signature of Applicant Date IECLARATION RE G IN G CONSTRUCTION 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). Ender's Name Lenders Address Iy my signature below. I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. 1 agree to comply with all applicable city and county ordinances and state laws relating to building construction. A C r7 /yl dr C 1 authorize representatives of this city or county to enter the above -identified property for inspection purposes. lionature of Pronertv Owner or Authorized ADent�/�Y �� Print Prooertv Owner's or Authorized Aaenfs Name ACTION DATE BY l_ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMITEXTENDED 13AQMD PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED ASBESTOS NOTIFICATION 15 NOTAPPUCABLE TO PROP05ED DEMOLITION SIGNATURE: