HomeMy WebLinkAboutF2023-0522 - PermitsQ ��WPORT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2U23-�522
Community Development Department- Building Division F 2 9 2 3 9 5 2 2
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2582
G x Permit Counter Phone: (949) 718-1888 Issued Date : 02/07/2024
.a.. newportbeachce.gov/civlc Final Date:
cgC,�ppN�P Combination Type - Permit Status: Issued
Work Class - Tenant Improvement 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
Job Address : 849 NEWPORT CENTER DR
Legal Desc : P BK 221 PG 30 PAR 6 P.M.
221-30 PAR 6 POR OF PAR
Description: COMM FIRE HOOD SUPPRESSION SYSTEM
"MENDOCINO FARMS" *XC2023-0297*
Owner: IRVINE COMPANY
Contractor : EDISON FIRE
Architect
Address : 110 INNOVATION DRIVE
Address : 3621 EAGLE ROCK BLVD
Address
IRVINE, CA 92617
LOS ANGELES, CA 90065
Phone: (949)720-2000
Phone: (323)259-9999
Phone:
Con State Lie : 569185
State Lie
Lie Expire : 05/31/2025
Applicant: EDISON FIRE
Bus Lie : BT30069740
Engineer
Address : 3621 EAGLE ROCK BLVD
Bus Lie Expire : 11/30/2024
Address
LOS ANGELES, CA 90065
Phone: (323) 259-9999
Workers' Compensation Insurance
Phone: ,
Carrier: STATE FUND
Owner/Builder :
Policy No : 9066898
Designer: EDISON FIRE
Address :
W. C. Expire : 8/1/2024
Address : 3621 EAGLE ROCK BLVD
LOS ANGELES, CA 90065
Phone:
Phone: (323)259-9999
Code Edition : 2022
Fire Sprinklers : YES
Construction Valuation : $2,500.0
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : A2
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
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 items)
(Section 7031,5. Business and Professions Cade: 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 licensure and the basis for the alleged exemption. Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
11 1, as owner of the property, or my employees with wages as their sole compensation, will do L),. all of or t_) 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 properly, 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 will have the burden of proving that it was not built or
Improved for the purpose of sale).
❑ 1, 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
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),
0 I am exempt from licensure under the Contractors' 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 legall;
sell a structure that I have built as an owner -builder if it has not hoen constructed in its entirety by licensed contractors. I understand that a copyof theapplicable 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:llwyvwleginfo.ca,govicalaw.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 5 11ion 7000) f D'visOrk 3 of the as and Profes o ad andmy license is In full force
and effect. License Class License No to Iq Contra Signature
WORKERS' COMPENSATION DECLARATION
NARNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CR MIN L PENALTIES AND CIVIL FINES TO ON HUNDRED THOUSAND DOLLARS ($100A001, IN ADDITION TO THE
COST OF COMPENSA r:3,1, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm unicr penalty of perjury one of the following declarations:
7 nave and YTI 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
p ante of the work for which this permit is issued. Policy No.
ii '•e 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 workars' compensatioi
i nce carrier ono pelricynu er are: -7 7 [� '7
C-ar11Pr '��',n.i-C� ,A.Vw Policy Number G 2 ,� 7 J - Zy Z-_5 Expiration Date O
Nome of Agent Phone # � 1
Q::,rJfy tha 'n 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 ork rs' compensation laws of California, and agre
thrt, I` I ehouid Gild ome sub" c t e orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �7
Signature of Appyi ri _ a
G EGLAn A19FiRARDING STRl1CTIGN LENDING AGENCY
I hjivJ, affirm unde�'Penalty of nary that there is a construction lending agency for the performance of the work for which this permit is issued (Section 097, 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 the. property owner's behalf.
I have read this application an the information I have provided is correct.
I agree to comply with all appllc to city a .county �orrdi�janf as and state laws relating to building. construction.
authorize representatives of this r county to rr(hivaj5ove�ldenlified property for inspection purposes.
of Property Owner or Auth^ad Agent �Ul L_ — Print Property Owner's or Authorizhd Ageri Name ulA 1 Date
ACTION
DAnyY
BY
DECLJA`nON OFCOMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE'O I y
��
REGULATION5 PART 61 OF TITLE 40 AND AQr ID RULE
I
1
I
403
PERMIT EXPIRED
I
I
I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
PERMIT FINAL it 4Lu rLCUL, LJ ASBESTOS NOTIFICA NON IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: