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HomeMy WebLinkAboutF2023-0493 - PermitsIoa�WPo�r,4 City of Newport Beach Community Development Department - Building Division -. �. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic C9��FO0.��P Combination Type - Work Class - Tenant Improvement a SII LECJ i—` COMB Permit: F2023-0493 Plan Check No : PC2023-2476 Issued Date: 10110/2023 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 /� I a—Vv,'�`I ` 1.•� Job Address : 849 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR Description: COMM FIRE SPRINKLER TI WITH 5 HEADS (X2022-0078) Owner: IRVINE COMPANY Contractor : D C FIRE PROTECTION Architect Address : 110 INNOVATION DRIVE Address : 14772 HARPER ST Address IRVINE, CA 92617 MIDWAY CITY, CA 92655 Phone: (949)720-2000 Phone: (714)309-0144 Phone: Con State Lie : 584285 State Lie: Lie Expire : 01/31/2024 Applicant : D C FIRE PROTECTION Bus Lie : BT30046894 Engineer Address : 14772 HARPER ST Bus Lie Expire : 04/30/2024 Address MIDWAY CITY, CA 92655 Phone: (714) 309-0144 Workers' Compensation Insurance Phone: Carrier: NATIONAL LIABILITY AND FIRE INSURANCE COMPANY Owner/Builder: Policy No : N9WC340866 Designer: D C FIRE PROTECTION Address : W. C. Expire: 6/7/2D24 Address : 14772 HARPER ST MIDWAY CITY, CA 92655 Phone:. Phone: (714)309-0144 Code Edition : 2023 - Fire Sprinklers : YES Construction Valuation : $1,250.00 Type of Construction : III-B Fire Hazard Zone : NO Added/NewITI sq. ft. Bldg : 0 Occupancy Groups : A3 No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone: X Use Zone : PC - North Newport Center �� • PROCESSED BY: , SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION [ hereby affirm under penallyof perjury that I am exempt from the Contractors' State License Law forthe reason(s) indicated below by the checenark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any 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 tire 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 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 rive hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, Wilt do L) ail of or L) portions of the work, and the structure Is not Intended or offered for sale (Section 7044. Business and Professions Code. The Contractors' Stale 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 wilt have the burden of proving that it was not built or improved for thepurpose 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 Ia-p�ply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant 10 the Contractors' State License Law). LJ I am exempt from licensure under the Contractor;; 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 -builder it 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:llwww,leginfo.ca.gov/calaw.html. 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) f Division 3 of the Business and Professions a Ic�s in full force and effect License Class License No Data Contractor Signature YF WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 13100,000), IN ADDITION TO THE COST OF cOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate or consent to self -ensure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, rot lh1 performance of the Work for which this permit is Issued- Policy No. DI 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 carder and policy number are: Carrier Policy Number Expiration Dale Name of Agent Phone a I ticertify 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 egret , if I should become subject to L workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. Signature Of Applicant _...._.._..,.. _.._ _____.._.�... _Date____ /O'�o DECLARATION REG a CO 'F l T ON LENDING AGENCY 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, Civ11 Coda).. Lender's Name _ —",_ Lenders Address By 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 en a ab ve-identified property for inspection purposes. Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name V. aPq Date ACTION DATE I BY DECLARATION OF COMPLIANCE Will CODE OF FEDERAL FOR OFFICE USE ONLY ? REGULATIONS PART at OF TITLE 40 AND AOMD RULE 140 t PERMIT E%PINEJ i I3SURMITTED ASBESTOS NOTIFICATION TO FRN,IT CANCEI( A LJEPA I PERMIT EXTENGEO i —IIAOMD L 'TRIYIl FINAL O i3 i 't 1 {ROPOSED D N OLITI A71C1N I5 NOT ApP4,ICAet,E TO CERTIFICATE Of @Ep i. PROPOSED DEMOLITION j OCCUvANCYISS'J-P SIGNATUREr