HomeMy WebLinkAboutF2022-0434 - Permitse �wvoRT City of Newport Beach
Community Development Department- Building Division
H 100 Civic Center Drive, Newport Beach, CA 92660
> ? Permit Counter Phone: (949) 644-3288
. Inspection Requests Phone: (949) 644-3255
cq<�rnpN�P newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
COMB Permit : F2022-0434
Plan Check No: PC2022-2043
Issued Date : 08/17/2022
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
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Job Address: 545 NEWPORT CENTER DR
Legal Desc : P BK 221 PG 30 PAR 1
Description: COMM FIRE SPRINKLER TI -RELOCATE 30
HEADS, ADD 4 (X2022-1438),
Owner: IRVINE COMPANY LLC THE
Contractor : D C'FIRE PROTECTION
Architect
Address : PO BOX 2450 NEWPORT BEACH, CA 92658
Address.: 14772'`HARPER ST MIDWAY CITY, CA
',. Address
92655
Phone:
Phone: (714)309-0144
Phone:
Con State Lie: 584285
'State Lie:
Applicant: DANIEL CORPUZ
Lie Expire: 01/31/2024
Address : 14772 HARPER ST MIDWAY CITY, CA 92656
Bus Lie: BT30046894
Engineer:
Phone: (714) 309-0144
Bus Lie Expire : 04/30/2023
Address : tV\\ L I; k,A-k
Workers'. Compensation Insurance
Phone: -` ��1 _ 3 z,S - i.) ('C U
Owner/Builder:
" Carrier:
Address :
Policy No: EXEMPT
Designer: DANIEL CORPUZ
Phone:
W. C. Expire:
Address : 14772 HARPER ST MIDWAY CITY, CA
92656
Phone: (714)309-0144
Code Edition : 2019
Fire Sprinklers : YES
Construction Valuation : $5,500.00
Type of Construction : IV
Fire Hazard Zone : , No
Added/New/Ti sq. ft. Bldg: 0
Occupancy Groups : B
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories 1
Added/New sq. ft. Garage: 0
Building Setbacks
Flood Zone : X
Use Zone : PC -North Newport Center
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PROCESSED BY: OO!
SPECIAL CONDITIONS:
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 Item(s)
(Section 7031:5,13us ness and Professions Code: Any city or county that requires a permitto construct, alter, improved demolish, or repair any structure, poor to its Issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the p€ovisions of the Contractors' State License Law (Chapter g (commencing with Section 7000) of Division 3,of the Business and
Professions Code) or that he or she is exempt from l cansure and the oasis for the alleged exemption, Any violation of Section 7031.5by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
111, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 employee or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. IL however. the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was notbuilt or
improved for the purpose of safe).
I, as owner of the property. am exclusivelycontracting 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 improves thereon, and whe contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law).,
[� I am exempt :from Iicensure under the Contractors' -State License Law for the following reason:
By my signature helm I acknowledge that; except: for my personal residence in which I must have residedfor at least one: year prior to completionof the, improvements cove€ed by this permit,. I. cannot legally
sell a structure that I have built as an ownervbui{der 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
Professions Code, is available upon request when this application is submitted or at the following Web site.http.11www."into.ca.gov/calaw.htmi.
Signature of Property Owner or 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 7000) of Division 3 of the Business and Professi de, and y license is in fulifor e.
and. effect. License Class License No D/� Contractor Signa�rreJ!
WORKERS' COMPENSATION DECLARATION �
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE R UNLAWFUL, AND. SMALL SUBJECT AN EMPLOYER TO CRIMINAL AL7MS AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000). IN ADDITION TO THE
COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, ANO ATTORNEYS FEES.
I hereby affirm. under penalty of perjury one, of the following declarations:
M 1 have and will maintain a certificate of consent to self -insure for workers' Compensation. Issued by: the DirectorofIndustrial Relations as provided for by Section 3700 of the Labor Code, for PH
performance of the work for which this permit is issued. Policy No.
III 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. permit is issued.. My workers' compensatior
insurance carver and policy number are:
Carrier Policy Number Expiration Date
N e of Agent Phone 9
co fy 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(
Ihat.. l I should become subject to the work compprtsation provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions.
Signature of Applicant Da
DECLARATION REGARLIING C S RUCTION LENDING 6ENC
I 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):
Lender's Name Lender's Address
By my signature. below, I certify to each of the following:
I am the property owner or authorized to act on itteproperty owner's 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 budding construction.
I authorize representatives of this city or county �io�Jnt tha Bove-id�atniifiad propetti for inspection purposes. //(���/// �,/ L p
Signature of Property Owner or Authorized Ag it /5�1 � i �/ Print Property Owner's or Authorized Agents N /"/ t;."44 . CPriOUZ Dates-7 /I
ACTION ®� DATE SYV \1 DECLARATION DF ITTOMPLIANCP WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PERMIT CANCELLED - - t�FA; All required alarms; latches gates and fences: which serve as part of a pool/spa barrier,. shall
PERMir EXTENDEDnQNo' .: �. . : . : be in place prior to approval to fill pool/spa& shall remain in place& be maintained for the
PERMIT FINAL ..ASBESTOS NOTTHCATION IS NOTAPPLICABLE TO fife of-thepool
CERTIFICATE OF RRr?POSED DEMOLITION.
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