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Home My WebLink AboutF2023-0309 - Permits�EwPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : F2023-0309 D� @ Community Development Department- Building Division F 2 0 2 3 0 3 0 9 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1497 u i Permit Counter Phone: (949) 718-1888 Issued Date : 0612112023 « newportbeachca.gov/civic Inspection Area : FIRE °94conN`" 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 Job Address : 4321 BIRCH ST (O f e) Legal Desc : N TR 5169 BLK LOT 5 Description: FIRE SPRINKLER TI (2ND FLR) "KIND BODY" (XC2022-1855) 13 HEADS Owner: 4321 BIRCH PARTNERS LTD Address : 668 N COAST HWY #1370 LAGUNA BEACH, CA 92651 Phone Applicant: TOP LINE FIRE PROTRCTION INC Address : 13844 ALTON PKWY #133 IRVINE, CA 92618 Phone: (949)299-7949 Owner/Builder Address : Phone Contractor: TOP LINE FIRE PROTRCTION INC Address : 13844 ALTON PKWY #133 IRVINE, CA 92618 Phone: (949)299-7949 Con State Lie : 944213 Lie Expire : 09/30/2024 Bus Lie: BT30081354 Bus Lie Expire : 04/30/2024 Workers' Compensation Insurance Carrier: PALOMAR SPECIALTY INSURANCE COMPANY Policy No: PSIC1110803 W. C. Expire : 4/1/2024 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : B No of Units : 0 Bldg Height: No of Stories : 2 Building Setbacks Flood Zone : X Use Zone: OA - Office --Airport PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: Address: •>>> Phone Designer: TOP LINE FIRE PROTRCT:OPI iNC Address: 13844 ALTON PKWY #133 IRVINE, CA 92618 Phone : (949) 299-7949 Construction Valuation : Added/New/TI sq. ft. Bldg: Alteration sq. ft. Bldg : Added/New sq. ft. Garage: TOTAL sq. ft. : CA \,K,\ 151-9G. - 1�3Q $2,000.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penally 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 tennis) 'action 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after. improva, demolish,. or repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Caw (Chapter 9 (commencing with Section 70001 Division 3 of the Business and rofessions Code) or that he or she is exempt from licensure and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all 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 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 nprovements 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 nproved 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' State License Law does not ply 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 the following reason: — Iy 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 ell 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 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:(iwww.leginfo.ca.gov(calaw.htmi. ilgnature of Property Owner or Authorized Agent Date .ICEII CONTRACTOR'S DECLARATION hereby affir.n under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) of Division f the Business a ro �aior,)s Code, and Is ly icense is In full force nd effect. Li f nsR Class License. No D Contractor Sign ++{{llllJJ '�`�l VORKERE' COMPENSATION DECLARATION IAkNING: FAILUR. TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMM L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDrrION TO THE AST OF COMPERSAT-5.1, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and MIT 1"Intaln a certificate of consent to selfinsure for wo(kers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, vrrmance 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 Cade, for the performance of the work for which this permit is issued. My workers' carries and policy number are: Policy Number or Agent Date ;edify that, in the performance of the work for which this permit is issued, I shelf not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r- 7 ature ofAppV • nt amby affirM-Un—der penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is tder's Name Lender's Address 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 andthe information I have provided is correct. I agree to comply with all appl a city and county ordinances and state laws relating to building construction. I authorize representatives of this ci or court ft a�ry,er the above-i¢ernified property for inspection purposes. 'inaOlre of Prnnnrt4 OwnaY nr Auth rued AOP_nt UI k( I✓' ir-c-) Print Prooertv Owner's Or Authorized Aoenl ACTION I DATE. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT r4NCEU ED OEPA PERMIT EXTENDED D PERIVI FINAL a- IQ a.?) j�\S AgiI;Tp5 NOTI FICA IION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: id n 3197, Civil Code). Date