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HomeMy WebLinkAboutF2024-0101 - Permitsa,. �WPoCity of Newport Beach Community Development Department - Building Division '100 Civic Center Drive, Newport Beach, CA 92660 SPermit Counter Phone: (949) 718-1888 newportbeachca.gov/civic /0R0Combination Type - Work Class - Tenant Improvement COMB Permit: F2024-0101 F 2 0����������������������������������������������� II Plan Check No : PC2024-0374 Issued Date : 0212612024 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: 101 15TH ST Legal Desc : A TR NEWPORT BEACH SEC B BLK 15 LOT 1 NEWPORT BEAC Description: COMM FIRE ALARM SYSTEM 5 DEVICES "STUFT SURFER" (X2019-0654) Owner: ANGELO JOSEPH TR Address: 610 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone Applicant: INTEC NETWORK SOLUTIONS INC Address : 15131 TRITON LANE, STE 111 HUNTINGTON BEACH, CA 92649 Phone: (714)5BO-6980 Owner/Builder : Address : Phone : Code Edition : Type of Construction : III-B Occupancy Groups: Bldg Height: Building Setbacks Contractor: INTEC NETWORK SOLUTIONS INC Address : 15131 TRITON LANE, STE 111 HUNTINGTON BEACH, CA 92649 Phone: (714)580-6980 Con State Lie : 916986 Lie Expire : 08/31/2024 Bus Lie : BT30063485 Bus Lie Expire : 06/30/2024 Workers' Compensation Insurance Carrier: SECURITY NATIONAL INSURANCE COMPANY Policy No: SWC1454655 W. C. Expire: 9/18/2024 Fire Sprinklers : YES Fire Hazard Zone : NO No of Units : 1 No of Stories : 1 Architect Address Phone: State Lie Engineer: Address Phone: Designer: INTEC NETWORK SOLUTIONS INC Address : 15131 TRITON LANE, STE 111 HUNTINGTON BEACH, CA 92649 Phone: (714)580-6980 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 Flood Zone : X Use Zone : MU-CV/15TH ST - Mixed -Use Cannery Village and 15th Street PROCESSED BY SPECIAL CONDITIONS: I hereby atfinn 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 item(s) I(Secaior) 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, irn prove, demolish, or repair any structure, prior tolls issuance, also requires the applicant for the 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 Professions 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 fora permit subjects the applicant to a civil penalty of .not more than five hundred dollars ($500), 0 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 'Business 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 improvements 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 improved for the purpose of sale). ❑ 1„ as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does noL apply to an owner of properly 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' State License Law for the following reason: By 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 '..sell a structure that I have built as an owner-buildor if ithas not been constructed in its entiroty by licensed contractors. I Understand that a copyof the applicable law, Section 7044 of the Business and :Professions Code., is available upon request when this application is submitted prat the following web site.http:/lwww.leginfo.ca,gov/calaw,html. Signature of Property Owner or Authorized Agent. __.._. Date '.LICENSED CONTRACTOR'S DECLARATION II hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with s lion 71cti f ivi 'on3 of the Business and Professions C my Iiganse�sin full force 1, and effect. License Class License No R G Contractor Signature .r .�� WORKERS' COMPENSATION DECLARATION WARNING: 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 I11100,0006 iN ADDITION TO THE 'i. COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AN➢ATTORNEY'S FEES. II hereby affirm under penalty Of perjury one of the following declarations: !Q I have and will maintain a certificate or consent to self -insure for workers' compenselion, Issued by the Director of Industrial Relations as provided for by Seclion 3700 of the Labor Code, for th liparfcrmance of the work for which this parent 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 permitis issued. My workers' Race carrier and policy number are: Policy Number of Agent Date I cedify 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 subject to the Workers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (nature of Applicant Date CLARATIDN REGARDING CONSTRt1CTiON LIEN DI�N'G AGENCY�T sreby 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). Tdar s Name Lenders Address my signature below, I certify to each of the following: I am the property Owner or i mthonzed 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 enter the ve-Identifded property for inspection purposes. FrC utaiure of PronenV Owner cr Authorized Adant ��— Print Procertv Owner's or Authorized ADerif Name L, � �-S�GL Date ACTION i DATE BY DECLARATION OF REGULATONS PART0MPLIANCE 6.1 OF ITLE-0OTH CODE OF ANO AQMD RUI ERutt FOR OFFICE USE ONLY PERMT EXPfREC i LJI SIJBMI17FD ASBESTOS P.=BM.. CANCEt(EC ....... j.. ._®CPA PIRIMITFINAL CERTIFICATE OF J•✓_�� "Q�5ROASbE IDS NOlFI CA t ON ION 15 N01' APPLICABLE TO SED OCCUPAMCYf55UED ' SIGNATURE: