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Home My WebLink AboutF2022-0620 - Permits, City of Newport Beach Q""WPo O @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 s Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cg41 F0 RK�P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement . COMB Permit : F2022-0620 Plan Check No : PC2022-3051 Issued Date : 1210812022 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: 1301 DOVE ST, STE 820 Description: COMM FIRE SPRINKLER TI W/ (2) HEADS. Owner: 1301 DOVE OWNER LLC Address: 2101 ROSECRANS AVE STE3270 EL SEGUNDO, CA 90245 Phone : Applicant: FIRE PROT SPECIALISTS Bu Building Setbacks Flood Zone: X Use Zone : PC - Newport Place PROCESSED BY'. o7 45 SPECIAL CONDITIONS: al. Desc : P BK:120 PG 27PAR.1 22-1995) _. s s (tractor: FIRE': PROTSPECIALISTS # - Architect: Iress : 2810'E MIRALOMA AVE Address: ANAHEIM,. CA 92806 ine : (714):635-6500 r Phone I State Lie : 464915 State Lie: Expire: 1.0/31/2024 Lie: BT30042894 Engineer: Lie Expire :'05/3112023 Address: rkers' Compensation Insurance , Phone: Her: COMPWEST INS CO cy,No : WCV5502952 ( Designer: FIRE PROT SPECIALISTS C. Expire: 12/2/2023 " Address : 2810 E MIRALOMA AVE ANAHEIM, CA 92806 Phone: (714)635-6500 e e Sprinklers : - YES Construction Valuation Hazard Zone NO Added/New/TI sq. ft. Bldg of Units : 0 ` Alteration sq. ft. Bldg : of Stories : 10 Added/New sq. ft. Garage - TOTAL sq. ft. $1,100.00 0 o®m o . o. oeooco a a cy,No : WCV5502952 ( Designer: FIRE PROT SPECIALISTS C. Expire: 12/2/2023 " Address : 2810 E MIRALOMA AVE ANAHEIM, CA 92806 Phone: (714)635-6500 e e Sprinklers : - YES Construction Valuation Hazard Zone NO Added/New/TI sq. ft. Bldg of Units : 0 ` Alteration sq. ft. Bldg : of Stories : 10 Added/New sq. ft. Garage - TOTAL sq. ft. $1,100.00 0 o®m o . o. oeooco a a $1,100.00 0 o®m o . o. oeooco a a OWNER -BUILDER DECLARATION I hereby affirmunder 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 To permit to flip 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 Irofessions 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 civic penalty of of more than five hundred'. dollars ($500). 7 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of he work, and the structure is not intended or offered for sale (Section 7044, lusiness 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, howevar, 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). 1 L 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 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). 1 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal rasidenDe in which I must have resided for at least one year prior to completion of the improvements covered by his permit, I cannot legally oil a stmclum that I have built as an owner-bu idor if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rafessions Code, is available upon request when this application is submitted or at the following Web. site:http:l(www.leginfo.ce.govlcalaw.htmi. {Ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of pe" that I am licensed under provisions of Chapter 9 (commencing with Section T000) of Division 3 of the Business and Profes��O/p's Code,. an y I'Ice se is in full force :nd effect. License Class License No Date / Z Contractor Signature /UA I PORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1000,000}, IN ADDITION TO THE OST OFCONMERSATIDN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LADOR CODE,. INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations, I have and will maintain a certificate of consent to sell4nsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for prance of the work for which this peril Is issued. Policy No, have 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' compensa Trance carrier and policy number are: ne of Agent certify that, in the performance of the , if I should become subject to the wo tature of Applicant Policy Number Expiration Date which this permit is issued, I shall not employ any parson in any manner so as to become subject to the workers' componsatlon. laws of California, and npensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date /Z/�/22 hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work forwhich this permit is issued (Section 3097, Civil Code). enders Name Lenders Address y my signature below, € certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have rVJ INs•1)ptkation and the information I have providedis correct. me to compirwith all city and to building • I 9 horize.re mioantadves of this city or court ounty ordinances heaboy65t stntieed property for inspection purposes, , P_ Y tY�t, }`� .J P P dY P P P� • DATE BY I I DECLARATION OF COMPLIANCE WITH CODE OF FEDEI ••.• 3I3 REGULATIONS PART 61 OF TITLE 40ANO AOMD RULE �•..•• 11403 I ISUBMITTEDASSESTOSNOTiFICA'rION TO • • • ' 1� µ L�, SE5TOS NOTIFICATION f5 NO APPLICABLE TO E•• (� ROPOSEDDc'OR,TION)