HomeMy WebLinkAboutF2022-0611 - Permits4aEWaoRr City of Newport Beach
c4 Community Development Department- Building Division
> y 100 Civic Center Drive, Newport Beach, CA 92660
~ n Permit Counter Phone: (949) 644-3288
G Np T
� Inspection Requests Phone: (949) 644-3255
°gcrco�N`� newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
II �FIIIII�I 0�II I�I II� IIIIIIIII�I IIIIIII�� I�I1� II COMB Permit : F2022-061
Plan Check No : PC2022-3013
Issued Date :
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: 4041 MACARTHUR BLVD, 100
Description: COMM FIRE SPRINKLER TI - 60 HEADS
Owner:
AG REDSTONE OWNER L P C
Address :
2000 AVENUE OF THE STARS STE1020 `.. 'A
LOS ANGELES, CA 90067
Phone:
F
C
L
Applicant:
PERFORMANCE FIRE SPRINKLER E
Address :
360 E 1ST ST#297 E
TUSTIN, CA 92780
Phone:
(714)396-7548 V
C
Owner/Builder
: F
Address :
V
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone:
Use Zone:
Architect :
STIN. CA 92780
4) 396-7548
Phone:
1044673
State Lic :
)9/30/2024
BT30080171
Engineer:
12/31/2023
Address
:ers' Compensation Insurance .Phone
er: SIRIUSPOINT AMERICA INS CO
y No: WC6922301 Designer: PERFORMANCE FIRE SPRINKLER
Expire: 3/9/2023 Address: 360E 1ST ST#297
TUSTIN, CA 92780
Phone: (714)396-7548
2019 Fire Sprinklers : - .YES Construction Valuation : $9,800.00
I -A Fire Hazard Zone NO Added/New/Ti sq. ft. Bldg : 0
No of Units : 0 Alteration sq. ft. Bldg
No ofStories : Added/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
X
PC - Newport Place
PROCESSED BY:
SPECIAL CONDITIONS:
-114-39(o--75'fS
the rw
alter, it
Movements are not intended or offered for sole. If, however, the building or Improvement Is sold within one year of completion, the Owner-Suflder will have the burden ofproving that it was not built or
Moved for the purpose of sale},.
I, asowner of the property.:am exclusively contracting. with Iicensed Contractors to construct the project ($action 7044 Business and: Professions Code: The Contractors' Stale License Lawdoes not
)[yto 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 exemptfrom 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 musthave :resided for at least one year prior to completion of the improvements covered by this permit, I cannot, ief
COMPENSATION DECLARA"nON
license :isin full force:
CIM MES UP TO ONE HUNDRED THOUSAND DOLLARS l$100,000), tN ADDITION TO
hereby affirm u"nderpenalty of perjury one of the following declarations"
I have and wilt maintain a certificate of consent to self -insure for workers'. compensation, Issued by: the Director of Industrial Relations asprovided for by Section 3700 of the Labor Code, for th
e mane of the work for which this permit is issued, Policy No.
31 h ve and will maintain workers' oompensation insurance, as required by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers` componsatioi
Wrsnce Dar' nd i[cy number are:
.Policy Number Expiration Date
tame of ant Phone#
3 certify that. intheperformance of the work for which this permit is Issued, I shall not employ any person in any manner so: as to become subject to the workers' compensation laws of Califomia, and agra
ist, if Ishould become subject t0 warkers' coron• ation provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions.
4gnalureofApplicanf
rfwCLARATIQN REGARDINY�fi$N TRUCYf'ION NDRIC.AC�ENCY
hereby affirm under penaltyof perjury that there is a construction tending agency for the performance Of the work for which this permit Is issued (Section 30916 Ci l Codel,
nnNer'< IJsme - I:enAede 6Mdre«
I am the proper
i have read. this
I agree to corn:
ACTION I DATE
PERMIrFINAL
CEP PNC4TE Or
OCCUPANCY ISSUED
40
NOTAPPUCA8tE TO
FOR
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