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Home My WebLink AboutF2023-0506 - Permits�EWPOQT City of Newport Beach p�' @ Community Development Department- Building Division COMB Permit: F2023-0506 F 2 0 2 3 0 5 0 6 y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2540 U T Permit Counter Phone: (949) 718-1888 >� Issued Date : 11/O6/2023 e. newportbeachca.gov/civic Final Date: 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: 1101 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 7 Description: COMM - TWO-WAY COMMUNICATION SYSTEM (ELEVATOR TO LOBBY) Owner: IRVINE COMPANY Address : 110 INNOVATION DRIVE IRVINE, CA 92617 Phone: (949)720-2000 Applicant: GENE KNUST-GRAICHEN Address: 141 E ARROW HWY SAN DIMAS, CA 91773 Phone: (626)310-7433 OwneriBuilder : Address : P one 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 : 3 Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer Address 1&]iP Designer: GENE KNUST-GRAICHEN Address: 141E ARROW HWY SAN DIMAS, CA 91773 Phone: (626)310-7433 Construction Valuation : $16,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason (a) indicated below by the checkrnark(s) I have placed next to the applicable Item(S) ,Section 7031.5, Business and Professions Code: Arty city or county that requires a permit to construct, alter, improve, demolish, or repair any struoture, prior to its issuance, also requires the applicant for '.he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business 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 rot more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of of 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 'reproved for the purpose of sale) 1, 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 apply 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 am exempt from licensure under the Contractors' State License Law for [tie following reason _.___—_...-..-...— By my signature below I acknowledge that, except for my personal residence in which I nrust 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 -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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:/!",W.leginfo.ca.gov/calaw.html. Signature of Property Owner of Authorized Agent _,_,,, Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7060) D�'y/'s1 r3 of the Business and Proles 'onsjC�o�m tic nse is In full force and effect. License Class License No Date Eh "G�i Contractor Signet ra dd WORKERS'COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED HOUSAND DOLLARS (E700,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND AT'rORNEY's FEES. I hereby affirm under penalty of perjury one of the following declarations: I,have and will maintain a certificate of consent td self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thI Darf'ormance 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 Date fie of Agent rnvne er 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 if I should become subject 3\o the yorkers' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, lalure of Applicant Ireby 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). . Ider's Name Lender's Address my signature below, I certify to each or the following: I am the properly owner or authorized to act on the property owner's behalf. I have read this application and the inlet mation 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 count to ente t� a eve -Id tifled property for inspection purposes. �/ nature of ProDertV Owner or Authorized Agent -� __<� Print Property Owner's Or Authorized Agent's Nayr>tg p_,.-_ ACTION DATE BY ,/ \', DECLARATION OF CbMPLIANCE WITH CODE OF FEDERAL E REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE 1403 FOR OFFICE USE ONLY r PERMIT EXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO PEAMLTCANCELLEDEPI -..---.__-- —1 A ...__.... .. __._. ._ PER,bfIT FXTENPEP I IeOMD PERMIT NNAt t t� yv� ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION _ OCCUPANCY ISSUED SIGNATURE: _ _