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HomeMy WebLinkAboutF2023-0509 - Permits4EWPoRr City of Newport Beach ���1111111111111111p11111111111111�111111111111111111111111 jjCOMB Permit: F2023-0509 p4 A Community Development Department- Building Division F 2 0 2 3 0 5 0 9 1 DO Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2547 n Permit Counter Phone: 949 718-1888 t Issued Date : 10/1712023 newportbeachca.gov/civic Final Date: C94iFOPN�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: 265 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 POR OF PAR Description: COMM FIRE SPRINKLERS - 10 HEADS (XC2023-0302) G Owner: IRVINE COMPANY Address : 110 INNOVATION DRIVE IRVINE, CA 92617 Phone: (949)720-2000 Applicant: D C FIRE PROTECTION Address : 14772 HARPER ST MIDWAY CITY, CA 92655 Phone: (714)309-0144 Owner/Builder : Address : Phone: Code Edition : Type of Construction Occupancy Groups Bldg Height : Building Setbacks Flood Zone Use Zone: PROCESSED BY: Contractor: D C FIRE PROTECTION Address : 14772 HARPER ST MIDWAY CITY, CA 92655 Phone: (714)309-0144 Con State Lic : 584285 Lic Expire : 01/31/2024 Bus Lic: BT30046894 Bus Lic Expire : 04/30/2024 Workers' Compensation Insurance Carrier: NATIONAL LIABILITY AND FIRE INSURANCE COMPANY Policy No : N9WC340866 W. C. Expire : 6/7/2024 2022 Fire Sprinklers : YES V-B Fire Hazard Zone : NO B No of Units : 1 No of Stories : 2 X PC - North Newport Center SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer Address Phone Designer: D C FIRE PROTECTION Address : 14772 HARPER ST MIDWAY CITY, CA 92655 Phone: (714)309-0144 Construction Valuation : $4,500.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm muter 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 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 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 7031.5 by any applicant for a 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 t_) all of or (_) 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 doe% 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 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law). I arm exerhpi 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 legally sell In structure that I have built as an ownor-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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginto.ca.gov/calayi.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 700o)of Division 3 of the Business and Profession Cdod , and my license is In full force and effect. License Class License No Date --,.3 Contractor Signatlrrva WORKERS' COMPENSATION DECLARATION ✓x� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PEN TIES AND CIVIL FINER UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST', AND ATTORNEYe FEES. I hereby affirm under penalty of perjury one of the following declarations: 1 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 4arformance 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 Code, for the performance of the work for which This permit is issued. My workers' carrier and policy number are: Policy Number Date me of Agent Phone # certify that, in the performance of the work for which this permit'19 issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California and t, if I should become subject to the wo ers co pensalion provisions of Suction 3700 of the Labor Code. I shall forthwith comply with those provisions. nature of Applicant _ __—"Z- CLARATIGN REGARDt T 1"ION LENDING AGENCY =reby affirm under penalty of perjury that there Is a construction tending agency for the performance of the work for which this permit is issued' (Section 3097, 'Civil Cads). lder's Name _ Lenders Address — illy 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 cHv and county ordinances and state laws relating to building construction. \/ / Iaauthorize or Prnnattv Owner or Authorized sentativof this toAaecounty ant he identified property for inspection Print Property Owner's or Authorized Agent's/' Nam //" S7arrC f'0,_._ Date PERMIT EXPIRED PERMIT CAMGEtLEO PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE i By / /�'. DEC�ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY (� �r RFGULATIONS PART 51 OF TITLE 40 AND AONID RULE. TED ASBFS-05 NPTI FICATI ON TO .......�90M9 I'Ll5 LJASBESI OS NOT ]FICA I[ONIS N01ARPUCAeLE TO I PROPOSED' DEMOLITION