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Home My WebLink AboutF2023-0139 - PermitsEW oRr City of Newport Beach o� "I Community Development Department- Building Division > 100 Civic Center Drive, Newport Beach, CA 92660 U S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections " Combination Type - Work Class - Tenant Improvement F 2 0 2 3 0 1 3 9COMB Permit : F2023-0139 Plan Check No: PC2023-0676 Issued Date : 03127/2023 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: 1201 DOVE ST, 350 Legal Desc : P BK57 PG 27 PAR 1 Description: COMM FIRE SPRINKLER TI (11) HEADS -X-eavZ.&3Z Owner: AG DOVE OWNER L P Address : 2000 AVENUE OF THE STARS STE1020 LOS ANGELES, CA 90067 Phone Applicant: ADVANCE FIRE PROTECTION CO Address: 1451 W LAMBERT ROAD LA HABRA, CA 90631 Phone: (562)691-0918 Owner/Builder : Address: Phone Contractor: ADVANCE FIRE PROTECTION CO Address : 1451 W LAMBERT ROAD LA HABRA, CA 90631 Phone: (562)691-0918 Can State Lic : 259936 Lic Expire : 04/30/2025 Bus Lic: BT30043739 Bus Lic Expire: 06/30/2023 Workers' Compensation Insurance Carrier: HARTFORD ACCIDENT & INDEMNITY CO Policy No: 72WEAAP1R2C W. C. Expire : 12/1/2023 Architect Address Phone: State Lic Engineer: Address : Phone Designer: ADVANCE FIRE PROTECTICN CO - Address: 1451 W LAMBERT ROAD LA HABRA, CA 90631 Phone: (562)691-0918 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : Type of Construction : Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: Occupancy Groups: B No of Units: 1 Alteration sq. ft. Bldg: Bldg Height : No of Stories : (r Added/New sq. ft. Garage: TOTAL sq. ft. : Building Setbacks Flood Zone : X Use Zone : PC - Newport Place PROCESSED BY : SPECIAL CONDITIONS: f , c . .j � � a $7,000.00 0 0 0 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 checkmark(s) I have placed next to the applicable ftem(s) c{(on 7031.5, Business and Professions Code: Any city or county that requires a Darnall 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 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 fossions 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 ($500). 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 sale (Section 7044, ;mess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds of improves 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 it was not built or roved for the purpose of sale). I, as owner of Ilia property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code; The Contractors' State License Law does not ly 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), L,.I i am exempt from licensure-under the Contractors' State License Law for the following reason: By my signature below ( acknowledge that, except for my personal residence In which I must have resided for at least one year prior to completion of the improvements Coven sell a structure that I have built as an ownero-builder if it has not been constructod in its entirety by licensed contractors. I understand that a copy of the applicable law, Section Professions Code, is available upon request when this application is submitted or at the following Web site:hitp:liwww.leginfo.ca..govlcalaw.html. Signature of Property Owner or Authorized Agent Date. LICENSED CONTRACTOR'S DECLARATION I hereby affirm unCa' )r r alty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0Q O),Sf Watch 3 of the Business and P essions CDd and effect. Licence C'hrss License No Date '% 27_2C23contractor Signature mail, I cannot Business and is In full force VORKI FRS' COMPENSATION DECLARATION T� U(1__f EARNING. PAILURE'C 9E7IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE OST OF ^OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 'Fltureby affirm under penalty of perjury one of the following declarations: . 1-hsve and wNl maimain 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 R a-fnce of the work for which this permit Is issued. Policy Nm 7orn.pand 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' compensatio a.• P see carrier andpolicynumber are: arl,er_ Policy Number Expiration Date lame of Agent Phone N I certify :hat, fn ,he performance o e work for which this pormil 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 tat, it I should beccmL ' ubje, to keys' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Dai -7 y j " 2 7 - ,ECLARATION REG ROING C N RU O LENDING AGENCY hereby affirm under enaRy of p at ther is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address y 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 correct. I agree to comply with all applicablecity and county ordinance and at a laws relating to building construction. I authorize representatives of this city or county to e r i e ve-ide ified property for inspection purposes. 23 ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam / Da ICTION ( DATE BY k DECLARN60N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY -' t REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITCANCEttp LJEPA ..__ _._ PERMITEXTENDED .._._.... .._.. ___--___ r Q PERMIT NNA{ �/ ASIa4M t�r L-_IBESITJS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION DCCUPANCYISSUED SIGNATURE: