HomeMy WebLinkAboutF2023-0133 - Permits4�EWPoRT City of Newport Beach IIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2U23-0133
0 Community Development Department- Building Division F 2 0 2 3 8 1 3 3
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0629
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Permit Counter Phone: (949) 718-1888 Issued Date :
newportbeachca.gov/civic Inspection Area : FIRE
Cq[/FppN�P Combination Type -
Work Class - Tenant Improvement
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: 601 NEWPORT CENTER DR 3n 9,1 Legal Desc : P BK 67 PG 2 PAR 1 P.M. 67-2 PAR 1 AND P.M. 221-30 PAR 5 POR OF PAR
Description : COMM FIRE SPRINKLER TI 1 HEAD (XC2023-0075)
Owner: IRVINE COMPANY LLC
Address : 111 INNOVATION DR
IRVINE, CA 92617
Phone: (949)720-3100
Applicant: MARC READ
Address: 2961 MACARTHUR BLVD, STE 118
SANTA ANA, CA 92704
Phone : (949) 337-9679
Owner/Builder :
Address :
Phone
Contractor: APEX FIRE SYSTEMS INC
Address : 2961 W MACARTHUR BLVD, 118
SANTA ANA, CA 92704
Phone:
(949)337-9679
Con State Lie
: 732396
Lie Expire :
09/30/2023
Bus Lie:
BT30006908
Bus Lie Expire : 01/31/2024
Workers' Compensation Insurance
Carrier: ACE AMERICAN INS CO
Policy No: C69981185
W. C. Expire : 11/1/2023
Architect
Address
Phone:
State Lie
Engineer:
Address :
Phone
Designer: MARC READ
Address: 2961 MACARTHUR BLVD, STE 118
SANTA ANA, CA 92704
Phone: (949)337-9679
Code Edition :
2022
Fire Sprinklers :
YES
Construction Valuation :
$1,500.09>>
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups:
B
No of Units :
0
Alteration sq. ft. Bldg
0
Bldg Height:
No of Stories :
3
Added/New sq. ft. Garage:
TOTAL sq. ft.:
0
Building Setbacks
Flood Zone :
X
Use Zone:
PC - North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 applicableitem(s)
Section 7031.5. Business and Professions Code: Arty 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
he 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
4rofessions 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 fora permit subjects the applicant to a civil penalty of
tot more than five hundred dollars (Y500)..
1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) potions of the work, and the structure is not intended or offered for sale (Section 7044,
iusiness 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
mprovements 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 bullt or
Inproved for the purpose of sale),
1 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
I ply 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 licensors under the Contractors' State License Law for the following reason:
ty 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,
all 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 or the Business and
)rofessions Code., is available upon request when this application is submitted or at the following Web site:htV://www.Wginfo.ca.gov/calaw.html.
idgnature of Property Owner or Authorized Agent Date
-ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Sectio 0) D Division 3 of the Business and Pr Selo n, ode, d my license is In full force
Ind effect. License Class License No Dais YS 2 Contractor Signatur
VORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PRIES UP TO ONE HUNDRED THOUSAND DOLLARS (81D0,000), IN ADDITION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR COOP, INTEREST, AND ATTORNEV'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
erformance of the work for which this permit is issued. Policy No.
yiave 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
❑ranee carder and policy number are:
Tier Policy Number Expiration Date
me of Agent Phone #
certify that in the performance of the work for which this permit is issued, shall not employ any person any manner so as to become subject to the workers', ogmpensation laws of California, and agree
t, If I should beco a bjebt the workers' Compensation provisions or Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7i/,t/T/
nature of Appili —� G Data/
CLARATIGN REGAIFOING'-CONSTRUCTION L DING AGENCY
Ireby affirm unoer'p6nalty 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
' ), TiCnature bnlo,v I certify to each of the following:
I am the pro^erty cwner or authorized to act on the property owner's behalf.
' havn read this, application and the information I have provided Is correct.
I agree to comply with all applicable city and c on ordinances and state laws relating to building construction.
I authorize rtprosen,atives of this city or county o nter the ova -identified property for inspection purposes.
nature of Pronerl - Owner or Authorized A ant ^- 7 Print PropertyOwner's or Authorized A enCs Name �'1 l/`r2- �. ate C�i2
TION I DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I
REGULATIONS PART fit OF TITLE 40 AND AQMD RULE / `•.
1403
TMIJ tAVIRtu I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT FINAL LQIpE{llotIL+If.J Yu u ASBESTOS NOTI FICA IION 15 NOT APPLICABLE TO
CERTIFICATE OF I( PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNAT1tRFn