HomeMy WebLinkAboutF2022-0302 - Permits�EWPORr City of Newport Beach II II I I II I II I II IIII II I I II
Community Development Department- Building Division COMB Permit :F2U22-U3U2
> y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1530-2022
z Permit Counter Phone: (949) 644-3288
2612022
Inspection Requests Phone: (949) 644-3255 Issued Date :
cq</FonH�P newportbeachca.gov/inspections Inspection Areeaa :IRE
: FIRE
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: 1301 DOVE ST, 970 Legal Desc
: P BK 120 PG 27 PAR 1
Description: COMM FIRE SPRINKLER TI (X2022-0594) 6 HEADS
,
Owner: 1301 DOVE OWNER LLC Contractor:
FIRE PROT SPECIALISTS Architect
Address : 2101 ROSECRANS AVE STE3270 Address:
2810E
MIRALOMA AVE Address
EL SEGUNDO, CA 90245
ANAHEIM,
CA 92806
Phone:
Applicant:
FIRE PROT SPECIALISTS
Address:
2810 E MIRALOMA AVE
ANAHEIM, CA 92806
Phone:
(714)635-6500
Owner/Builder:
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone:
2019
V-B
b
X
PC - Newport Place
PROCESSED BY: 55
SPECIAL CONDITIONS:
Phone:. (714)'635-6500
Phone:
Con State Lie:
464915
State Lie
' Lie Expire:
10/31/2022
Bus Lie:.
BT30042894 '
Engineer:
Bus Lie Expire :
05/31/2023
Address :
Workers' Compensation Insurance
Carrier: COMPWEST INS CO
Policy No: WCV5502952
W. C. Expire: 12/2/2022
Fire Sprinklers : YES
Fire Hazard Zone : NO
No of Units : -_- 0
No of Stories ; 12
Phone.
Designer: FIRE PROT SPECIALISTS
Address: 2810 E MIRALOMA AVE
ANAHEIM, CA 92806
Phone: (714)635-6500
Construction Valuation: $1,300.Ut1°°°
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg:
Added/New sq. ft. Garage: 0
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z -
3 ,340
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M44141'l��U 4.I�LULI�.UY:Y •.A[�F11,V14
I hereby affirm under penalty of perjury that f. am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) Ihave placed next to theapplicable items)
ctlon 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
permit to file a signed statement that heor 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
fessrons Code) or that he or she 15 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
more than fwe hundred dollars ($500).
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,
;iness and Professions Code; The Contractors' State:License Law does not apply to an owner of property who, through employees :or personal. effort, builds or'vmproves the property, Provided that the
rovements 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 itwas not built or
roved for the purpose of sale).
I, as owner of the property,am exclusively contractingwith licensed Contractors to construct the project (Section 7044, Business and Professions Code; The Contractors' State License Law does not:
ty 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 am exempt from licensors under the Contractors' State .License Law for the following reason:
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 legal
a structure that I have built as an owner-builider ff it has not been constructed in its entirety by licensed' contractors, I understand that: a copy of the: applicable. taw, Section 7044 of the. Business and
fessrons; Code,. is available upon request when this application is: submitted or at the following Web site:http://www.leginfo.ca.gov/cafaw.htmi.
To under penalty of perjury that I am licensed underprovisions of Chapter 9 (commencing with
License Class License No
P COMPENSATION DECLARATION
No SHALL SUBJECT AN EMPLOYER T,
CODE, INTEREST, AND ATTORNEY'3 Fts>_
hereby affirm under penalty of perjury one of the following. declarations:
I 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 Sedflorr 3700 of the Labor Code, forth
ormance of the work for which this permit: is issued. Policy No.
I va 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' compensatioi
lsurance carrier and policy number. are;
:artier Policy Number Explraffon Date
lame of Agent Phone tF
It certify that, inch p rformance of the wor which this perm t is issued; I shall not employ any person in any manner so as to become subject to the workers' rimpensallon laws of California. and agre
Iat, If I should beco ANthe work s' m ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Apptican Dat2_2�,1ECILARATION RFC WS RUC DN L NDI. G AGENCYherebyaffirmurlde rpejury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, CI Code).
andar's 4lame.. .... Lender's Address
•1 arq the propeM tfiner or authorized to sot on
I'ftayd read. this 2pplication: and the information'
•1 aglee to cot: ply YMM all applicable city and cdl
I -a thbrize repPosen;Uves of this city or county
ACIIPN• _ _ ..
PFAf,MT FYPiRFn
CERTIFICAYf OF
OCCUPANCY ISSUED
DATE I BY
behalf.
relating to building construction.
operty for inspection purposes.
CODE OF
ID AOtno
NOTIFICATIONJS NOT APPLICABLE TO