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Home My WebLink AboutF2023-0145 - PermitsaEvc/a0? City of Newport Beach 0� @ Community Development Department- Building Division U100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 644-3288 e.� Inspection Requests Phone: (949) 644-3255 cqG/Fp RN�P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIICOMB Permit : F2023-0145 Plan Check No : PC2023-0723 Issued Date : 03/30/2023 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 : 4695 MACARTHUR CT, 1400 Legal Desc : P BK 196 PG 40 PAR 2 Description: COMM FIRE SPRINKLER TI: W/ (3) HEADS "WINGS CAPITAL" (X2021-3398) Owner: TRIO COMMUNITY ASSOCIATION Address: 4695 MACARTHUR CT NEWPORT BEACH, CA 92660 Phone: Applicant: FIRE PROT SPECIALISTS Address: 2810 E MIRALOMA AVE ANAHEIM, CA 92806 Phone: (714)635-6500 Owner/Builder : Address : Phone Contractor: FIRE PROT SPECIALISTS Address : 2810 E MIRALOMA AVE ANAHEIM, CA 92806 Phone : (714) 635-6500 Con State Lic : 464915 Lic Expire : 10/31/2024 Bus Lic: BT30042894 Bus Lic Expire : 05/31/2023 Workers' Compensation Insurance Carrier: COMPWEST INS CO Policy No: WCV5502952 W. C. Expire: 12/2/2023 Architect Address Phone: State Lic Engineer: Address Phone Designer: FIRE PROT SPECIALISTS Address: 2810 E MIRALOMA AVE ANAHEIM, CA 92806 Phone: (714)635-6500 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $1,156.vo" " Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 18 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks : Flood Zone : X Use Zone: PC - Koll Center PROCESSED BY: r, SPECIAL CONDITIONS: i hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable fteri 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 is 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 fieensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of at more than five hundred dollars ($500), 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for safe (Section 7044, rosiness 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). 3 I, 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' Slate License Law). 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 residence in which I must have resided for at least one year prior to completion of the improvements covered by this. permit, I cannot legalll oil 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 taw, Section 7044 of the Business and Irofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.govlcalaw.html. dgnature 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 Sectio 70. ) o Div' ion 3 of the Business and Professiorf,Dfade, - - In tic se is In full force nd effect. License Class License No Date 2� Contractor SignaU�_� 61 ( i PORKERS' COMPENSATION DECLARATION ��' EARNING: FAILURE TO SECURC WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANO DOLLARS IE100,000j, IN ADDITION TO THE OST OF COMPENSATION, uk"GES AS PROVIDED FOR IN SECTION 3700 OF THE LAROR CODE, INTEREST, AND ATTORNEYS FEES. maeby affirm umerner,alty of perjury one of the following declarations: vn and wilt maintain 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 errorn nnce of the work for which this permit is Issued. Policy No. _ and will ma:ntaf,I 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' carrier and policy number are'. Policy Number Expiration Date ;'Agent ]I cortily ,hat, in the perfnimance of the work for ich 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 agre Ta., if I should become say act t0 orkers' rAmoenqss/alion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. fg.lature cf Applicant 1 n vf/9 Date CCLARATiON R :3A4710 C W;I; UC E G AGENCY hereby 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). endei s Name Lender's Address y my signature below, I Certify to each of the following: I ant the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided incorrect. I agree to comply with all applicable city and co my ordinances anqla laws relating to building construction. I authorize representatives of this city or county r t e Shea property for inspection purposes.r tanature of Property Owner or Authorized Agent 7( _.. Print Property Owner's or Authorized Agent's Name L=A-3 AG DATE BY pECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AC1MD RULE PERMITCANCELLED rL.1EPPA ...._—...._._.�._._._... ____ IJ_ AOMD PERNiT EXTENDED PERMIT FIAtA1 ��ja�/,�O♦Lj21�� ASRE5TO5 NOTIFICATION 15 NOT APPLICABLE to CERITFICATE OF I PROPOSED DEMOLITION OCCUPANCYfSSUED 151GNATURE: