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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: °°°.• fl 000°• °0000• • • ° • 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 /y q c3 / (/ l/ ASBESTOS NOTIFICATIIIDDDNNN IS NOT APPLICABLE TO PROPOSED�MOLITION` %% life of the pool. OCCUPANCYI55UED l( SIGNATUR /`