HomeMy WebLinkAboutF2023-0130 - Permits��EwroRr City of Newport Beach
0 p Community Development Department- Building Division
m 100 Civic Center Drive, Newport Beach, CA 92660
r n Permit Counter Phone: (949) 644-3288
s Inspection Requests Phone: (949) 644-3255
c5(.rFORN�P newportbeachca.gov/inspections
Combination Type -
Wnrk Class - Tenant Improvement
COMB Permit: F2023-0130
F 2 e 2 3 9 1 3 0 Plan Check No: PC2023-0615
Issued Date : 03/21/2023
Inspection Area : FIRE
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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 : 817 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR AND FOR PA R 1 OF P.M.
Description: COMM FIRE SPRINKLER TI -RELOCATE 62 HEADSX(�2022-1993)
PACIFIC FIRE SUPPRESSION INC Architect
Owner:
Address
Phone
IRVINE CO Contractor .
111 INNOVATION Address : 249 E EMERSON #G Address
IRVINE, CA 92618
(949)720-3100
Applicant: CHUCK HAMILTON
Address : 249 E EMERSON AV, G
ORANGE, CA 92865
Phone : (714) 283-0211
Owner/Builder :
Address :
Phone
ORANGE, CA 92865
Phone : (714) 283-0211
Con State Lie :
423418
Lie Expire :
11/30/2023
Bus Lie:
BT03042109
Bus Lie Expire :
03/31/2023
Workers' Compensation Insurance
Carrier: EVEREST NATIONAL
Policy No : 5300004928211
W. C. Expire : 9/17/2023
Phone:
State Lie
Engineer
Address
Phone :
k' l c7- —q J 1 U
Designer:
CHUCK HAMILTON
Address :
249 E EMERSON AV, G
ORANGE, CA 92865
Phone:
(714)283-0211
2022
Fire Sprinklers :
YES
Construction Valuation :
Code Edition :
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg
Type of Construction :
III-B
0
Alteration sq. ft. Bldg :
Occupancy Groups :
B
No of Units :
No of Stories :
1
-- •Added/New sq. ft. Garage
Bldg Height :
TOTAL sq. ft.
Building Setbacks
Flood Zone :
X
Use Zone:
PC - North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS:
"
$25,000.00
0
0
0
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, 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
the 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 lieensure 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
not more than five hundred dollars ($50D).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or 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 ons year of completion, the Owner -Builder will have the burden of proving that it was not built or
Improved 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' Stale License Law does not
apply 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 licensure under the Contractors' State License Law for the following reason:
y my signature below I acknowledge that, except for my personal residence in which I must have resided fora; least one year prior l0 completion of the improvements Govered by this permit, Lcahhat legal],
sell a structure that I have built as an Owner-buildor 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 fallowing Web site:http:tlwww.leginfo.ca.gov/culaw,html, 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 700 'vr�: of the Business and JTUS!�,000),IN
e, and my license is In full force
and effect, License Class License No Data Contractor Signat
NORKERS' COMPENSATION DECLARATION
VARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP' TO ONE HUNADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES.
hereby affirm under penally of perjury one of the following declarations:
I have and wilt 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 tn(
�Yformance Of the work for which this permit is issued. Policy No. _
have and will maintain workers' compensation insurance, a$ required by Section 3700 of the Labor Code, for The performance of the work for which this permit is Issued. My workers` compensatiol
I s ranee carrier and policy number are:
rfor Policy Number Expiration Date
Name of Agent Phone #
❑I certify that, in the parlor nc of the wank 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 agree
that, if I should become sub' c he workers' co nsa0on provisions of Section 3700 of the Labor Code, shall forthwith comply with Those provisions.
Signature of ONApplicant D I jir I y3
DECLARATION REGAR 1 UCTION LENDING AGENCY // 6
I hereby affirm under penally o erjury 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 Lenders Address
By my signature below, I ceriff 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 applicants city and ity ordinance n) slate laws relating to building construction.
I authorize representatives of this city or Court above identified property for inspection purposes,��/� /
Signature of Property Owner or Authorized A eai Pnnt Pro e Owner's Or Aulhorizetl A ent's Name jyl,y I f�l �a�elL
ACTION DATE BY ECLARATLON OF COMPLIANCE W171i, CODE OF FEDERAL FOR OFFICE USE ONLY
EGULATIONS PART'61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXORED 11SUBM,TTLDASBFSTOSNOTIFiCATION TO
PERMIT CANCEllED ®EdA
PERMIT EXTENDED I ii----rr--'—
PER,bfIT FINAL a�%y �{2F ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYISSUED SICNATUAE: