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HomeMy WebLinkAboutF2023-0356 - Permits�EvvaoRT City of Newport Beach II II IIII II IIIIII IIIIII II II II IIIIII II COMB Permit : F2023-0356 0 Community Development Department- Building Division _ n art Beach, CA 92660 F 2 9 2 3 6 3 5 6 100 Civic Center Drive, Newport Plan Check No : PC2023-1809 u Z Permit Counter Phone: (949) 718-1888 }+7 Issued Date : 11/06/2923 +► newportbeachca.gov/civic C9�IFp0.N�P Combination Type - Final Date: Work Class - New 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: 1101 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 7 Description: COMM FIRE ALARM - 256 DEVICES (XC2022-1892) Owner: IRVINE COMPANY Address : 110 INNOVATION DRIVE IRVINE, CA 92617 Phone: (949)720-2000 Applicant: AVCOM SYSTEMS INC Address: 141 EARROW HWY SAN DIMAS, CA 91773 Phone: (626)310-7433 Owner/Builder : Address : Contractor: AVCOM SYSTEMS INC Address : 141 E ARROW HWY SAN DIMAS, CA 91773 Phone: (626)310-7433 Con State Lic : 961901 Lic Expire : 06/30/2025 Bus Lic: BT30081641 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: INS CO OF THE WEST Policy No : WSD5055710 W. C. Expire: 6/8/2024 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : B No of Units : 1 Bldg Height: No of Stories: 4 Building Setbacks : Flood Zone: X Use Zone : PC - North Newport Center PROCESSED BY: SPECIAL CONDITIO S: Architect Address Phone: State Lic Engineer Address Phone: gt-gi /'';.-... Designer: JOHNSALONGA Address: 141 E ARROW HWY SAN DIMAS, CA 91773 Phone: (818)523-7666 Construction Valuation : $70,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/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' Slate License Law for the reason(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 (hat requires a permil to construct, alter, improve, demolish, or repair any structure, prior to its 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 BUSIBOSS and Professions 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 not more than five hundred dollars ($500). 0 L. 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, 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). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not apply 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 [lie 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 ownor-builder if It has not been constructed in !is entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Alob site:http:/Aw ,/.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent ________ �, Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 pf D' 'sion 3 of the Business and Professions ode, and my Iic Be is In full force and effect. License Class License No Date 1 � '23 Contractor Signature V WORKERS' COMPENSATION DECLARATION 4 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 13700,000). IN ADDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES - IIhhereby affirm under penalty of perjury one of the following declarations: 0 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 A mance of the work for which this permit is issued. Policy No.... _ tp�ra, a 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' compensatia �ce carrier and policy number are: C Policy Number Expiration Date J�ame of Agent rnonn n 1 11 codify 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 hat, if I should become subject t the workers' co nsalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,ignature of Applican�^q/�. Dal�y`Q/- )ECLARATIGN REGYSRN NG CONBTRUCWON 6lDING AGENCY 1 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). .endpes Name Lender s Address 3y 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 ant r t e bove--' e i®d property for in.1_ 1 inspection purposes. O� signature of PropertyOwner or Aulhonzed Auent Print Pro e Owner's or Authorized Agent's Name Data ACTION DATE By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 0E TITLE 40 AND ACIMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMRCAACELLED ..w _. ®EPA ...._ _ __... 77----1I PERMIT €XTENpED LJAQMD PERMIT F1NAt v� �a�s NADi2(%LI ❑ASBESTOS NOTIFICAI ION IS NOT APPLICABLE TO CERTIFICATEOF EDDEMOLITION — OCCUPANCYt55U€A SIGNATURE: