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Home My WebLink AboutF2022-0572 - Permitsae�PoRT City of Newport Beach pF @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 2 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C9C/FORN�P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement �� II COMB Permit : F2022-0572 Plan Check No : PC2022-2771 Issued Date : 11/09/2022 Inspection Area : FIRE PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE i 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 200 Description: COMM FIRE SPRINKLER TI (XC2022-1861) Owner: 1301 DOVE OWNER LLC Address: 2101 ROSECRANS AVE STE3270 EL SEGUNDO, CA 90245 Phone Applicant: FIRE PROTECTION SPECIALISTS Address: 2810 E MIRALOMA AV ANAHEIM, CA 92806 Phone: (714)625-6500 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone : 2019 V-B X PC - Newport Place PROCESSED BY: ... ....3 -- A oc ° SPECIAL CONDis IONS:- m o o �o o a Legal Desc : P BK120 PG 27'PAR 1 38 HEADS Bus Worl Carr Polk rr : FIRE`PROT SPECIALISTS Architect 2810.E MIRALOMA AVE Address: ANAHEIM, CA 92806 (714)635-6500 Phone: Lie : 464915 State Lie 10/31/2024 BT30042894 Engineer: xpire : 0513112023 Address Compensation Insurance Phone: COMPWEST INS CO WCV5502952 Designer: FIRE PROTECTION SPECIALISTS .ire : 12/2/2022 Address: 2810 E MIRALOMA AV ANAHEIM, CA 92806 Phone: (714)625-6500 Fire Sprinklers : YES Construction Valuation : $16,300.00 Fire Hazard Zone NO Added/New/TI sq. ft. Bldg : 0 No of Units : 0 Alteration sq. ft. Bldg : No,of'Stories : 8 Added/New sq. ft. Garage: 0 TOTAL sq. ft. I hereby affirm under penalty of perjury that I am exempt from the Contractors -.State License Law for the reason(s) indicated below by the cheickmark(s) I have placed next to the applicableftem(s) :ption 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 he of 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 �fessions 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 more than five hundred dollars 1$500). I, as owner of the property, or my employees with wages as their sole compensation, will do ( 1 all of or U porttons of the work, and the structure is not intended or offered for safe (Secifon:7044, ;iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees ar personal Effort, builds or improves the: property,provided that the Irovements are not intended or offered for sale. If; however, the building or improvement Is sold within one year of completion, the Owner -Builder wig have the burden ofprov ng that it not built or iroved for the purposeof sale).. I, as owner ofthe property,. am exclusively contracting with licensed Contractors to construct the project (Section 70",. Business and Professions Code: The Contractors' State License Law does not Ay to an owner of property who builds or ire proves thereon, and who contracts for: the projects with a licensed Contractor pursuant to the Contractors' State License Law)... I am exempt fmm licensure-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 -builder if it ties not been Constructed in: its entirely by licensed contractors. I understand that;a copy of the applicable law, Section 7044 of the Business arid of Li under penalty of perjury that l am licensed under provisions of Chaptar8 {commencing with Section 7000 I Ivision 3 of the Business and Professions y foil force: Xi ns am dd ice m License Class License No Dote / Contactor Signaturel i 11� e il COMPENSATION DECLARATION .URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL SUISIECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS ($100A00); IN ADDITION TO THE 'ENSATION„OAMAOES. AS PROVIDED FOR IN SeCTtON 370f OF THE IAaOR CODE, INTEREST, AND ATTORNEY'$FEES hereby affirm under penalty of perjury one: of the following. declarations: ] 1 have and will maintain a certificote of consent to seltansure for workers' Compensation, issued by the Director of Industrial Relations as provided for Section 3700 of the Labor Code, for DiVimance of the work for which this permit is issued_ Policy No. Eve 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 lsur nce carder and policy number are: er. Policy Number.. Expiration Date t, if certify that, pin the e sum t of ft wor work f whf this permit � issued, i shall not employ any person in any manner so as to become subject to the workers' compensation Paws of California, and agro fy p mp sa n provisions of Section 3700 of the tabor Code; I -shall forthwith comply with those provisions. nature of A li Daf CLARATION RCW Rt7I G CONSTRUGTIO ENDING AGENCY ;reby affirm under penalty of perjury thatthere is a construction landing agency for the performance of the work for which this permit is issued (Section 3097,. C Code). ider's Name. - Lenders 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 I have provided Is C t. 1 agree to comply with all applicable city and coo dinancE d s e awe (elating to building construction. I authorize representatives of this city or county t�tte a vE-id i evd property for Inspecfion Purposes. ��-2 �� ;7 ACTION I 0) PERMITCAMCELLED ANAL I& •• •• • • • • •• •• ••• • • • ••• ••