HomeMy WebLinkAboutf2022-0051 - Permits1/�VPORTF City of Newport Beach II II I I II I II I �I II III I p I II
Community Development Department- Building Division COMB Permit:F2022-0051
ox 1 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 0268-2022
Permit Counter Phone: 949 6443288
Inspection Requests Phone:)(949) 644-3255 Issued Date: a : Z,202
cq` r Inspection Area : yi -Wd-
"�<iFon�`,,, newportbeachca.gov/inspections
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 : 610 NEWPORT CENTER DR, 750 Legal Desc : P BK 295 PG 33 PAR 4
Description: COMM TI FIRE SPRINKLERS (25) X2022-0298 SPEC SUITE
Owner: THE IRVINE COMPANY LLC
Contractor: FIRE PROT SPECIALISTS
Architect:
Address : 550 NEWPORT CENTER DR NEWPORT
Address : 2810 E MIRALOMA AVE ANAHEIM, CA
Address
BEACH, CA 92660
92806
Phone:
Phone: (714)635-6500
Phone:
Con State Lic : 464915
State Lie
Applicant: FIRE PROT SPECIALISTS
Lie Expire : 10/31/2022
......
Address : 2810 E MIRALOMAAVE ANAHEIM, CA 92806
Bus Lie: BT30042894
Engineer:
•°° °
Phone: (714) 635-6500
Bus Lie Expire: 05/31/2023
Address :
° • °
Workers' Compensation Insurance
Phone:
°
Owner/Builder:
Carrier:
Address:
Policy No:
Designer:
• ° ° °
Phone:
W. C. Expire:
Address:
Phone:
Code Edition: 2019
Fire Sprinklers : NO
Construction Valuation :
Y
$2,ZU(f
Type of Construction :
Fire Hazard Zone : Y
Added/New/Ti sq. ft. Bldg :
0
Occupancy Groups: B
No of Units : 0
Alteration sq. ft. Bldg :
° • °
•'
Bldg Height:
No of Stories :
Added/New sq. ft. Garage:
°
0
Building Setbacks :
Flood Zone: X
Use Zone: PC - North Newport Center
PROCESSED BY: ���-r
oR
SPECIAL CONDITIONS:
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OWNER -BUILDER DECLARATION `
1 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 items)
3ectton 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior torts issuance, also requires the applicant for
re 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
'rofessions Code) or that he or she is exempt from lieensure 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).
1, as owner of the property, or my employees with wages as their sole compensation, wilt do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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).
11, 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
pply 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 for at least one year prior to completion of the improvements covered by this permit, I cannot legall,
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:/h w .leginfo.ca.govlcalaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section�00) If the Business and P�pt6as' Ong Code. nd y li ense "s in full force
nd effect. License Class License No Dat '� Contractor Signatu/(� Mtn
WORKERS' COMPENSATION DECLARATION
FARMING: FAILURE TO WYRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 45100,000L IN ADDITION TO THE
OST OF COMPENSAPION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Trep.y affirm under penalty of perjury one of the following declarations:
I ve• and vjl fhaintain 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
agce of the work for which this permit is issued. Policy No.
5have and will ulairplyn 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 compensatio
w rence.carrier2tldUoitcy number are,
Policy Number
Date
ne of Agent ' I'none s
•
G•�7.ifY that. in the performance of the work for w ' 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 ogre
L•if I should become su�bi ct to worke co a a/tZn rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
naluro Of Appli6$nt • 7� G`'LT p `/ A a p DaK Y k,
QLARATION•REGkRDI G ONSTRU TIO END G AGENCY
ueby 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. Civil Code).
Ider 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 and the information 1 have provided is correct.
I agree to comply with all applicable city and county ordinances and sta ws relating to building construction.
I authorize representatives of this city or coun to an /��bwvajld tiff r}e for ins inspectionpurposes.
4'Gvl'j P// rh' Pe '%� %
nature Of Properly Owner or Authorized Agent �A ^^t Property Owner's or Authorized Agent's Namt� J 0/�✓ JAMkLCOL1 OR
ACTION
DATE
BY r
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY r r
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
0 1 SUBMITTED ASBESTOS NOTIFICATION TO
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PERMITCANCELLED
EPA
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
OAQMO
PERMIT EXTENDED
PERMIT FINAL
CERTIRCATE OF
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ASBESTOS NOTIFICATIIIDDDNNN IS NOT APPLICABLE TO
PROPOSED�MOLITION` %%
life of the pool.
OCCUPANCYI55UED
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SIGNATUR /`