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Home My WebLink AboutF2022-0588 - PermitsCity of Newport Beach ��oRT 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 newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement F 2 0 2 2 0 5 8 8II COMB Permit : F2022-0588 Plan Check No : PC2022-2868 Issued Date : 03/02/2023 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, 14TH FLOOR Legal Desc : P BK 196 PG 40 PAR 2 Description : COMM FIRE SPRINKLER TI W/ (2) HEADS. (XC2022-2062) Owner: TRIO COMMUNITY ASSOCIATION Address : 4695 MACARTHUR CT NEWPORT BEACH, CA 92660 Phone Applicant: MARK YAM Address: 392 N LEMAY CT ORANGE, CA 92867 Phone: (626)757-2320 Owner/Builder : Address : Phone Contractor: FIRE PROTECTION SPECIALISTS Address : 2810 E MIRALOMA AV ANAHEIM, CA 92806 Phone: (714)625-6500 Con State Lic : 464915 Lie Expire : 10/31/2024 Bus Lie: BT30042894 Bus Lie Expire : 05/30/2023 Workers' Compensation Insurance Carrier: COMPWEST INS CO Policy No: WCV5502952 W. C. Expire: 12/2/2023 Architect Address Phone: State Lie Engineer: Address Phone Designer: FIRE PROTECTION SPECIALISTS Address: 2810 E MIRALOMA AV ANAHEIM, CA 92806 Phone: (714) 625-6500 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $55,180.00 Type of Construction : I -A Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 15 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone: PC - Koll Center PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION 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) 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 Iha permit to file a signed statement that lie 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 Susinoss and ?rofessions 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 not 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 cr offered for sale (Section 7044, Business 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 properly, provided that the improvements are not intended Or offered for sale. 11, 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 improved for the purpose of sale). I, Be owner of the property, ant exclusively contracting with licensed Contractors tG construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not apply 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). D I am exempt from licensors under the Contractors' State License Law for the following reason By my signature below I acknowledge that, except for my personal residence in which I mast have resided for at least one year prior to completion of the improvements covered by this permit, I. cannot legally sell 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 theapplicable law. Section 7044 of the ausinoss and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Data LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section) Df ision 3 of the Business and Pr fe s ode, nd y 11c ng is In full force and effect. License Class License. No Datg Contractor Signaler INORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS fS100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNIFY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 or the Labor Code, forth performance of the work for which this permit 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 permitis issued. My workers' compensatio Surance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the per ormaqr"the work for ch t s permit fs issued. shall not employ any parson m any manner so as to become subjectto the workers' ompensatinn laws of Caiifomia, and ogrethat, if I should becorr ubf workejrs' cc pens to provisions of Section 3700 of the Labor Code I shall forthwith comply with thoseprovisionsSignature of Applicant1 ti '7 ,t Datd 2 DECLARATION REG C8N5TRUC7IGN--LENDING AGENCY I hereby affirm under p no of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ci i Cc a). Lenders Name Lender's Address By 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 applicable city and county rdinancas and to I ws relating to building constmction. - I authorize representatives of this city or county on r abov =i entifl d p perty for inspection purposes. Si nature of Property Owner or Authorized A eitt Print Pro erty Owner's or Authorized Agent's Name^�� 1 U Dat ACTION DATE. BY 6ECtARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ` REGULATIONS PART 61 OF TITLE 40 AND A4NI0 RULE taDR PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED L-1i[PA PERMITEXTENDED PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERiFIRCAEE OF -1 PROPOSED DEMOLITION OCCOPANCYISSUED SIGNATURE: