HomeMy WebLinkAboutF2023-0225 - Permits�EWPORT City of Newport Beach III�I��I�II�IIIIIIIIII��IIIII�I�II II Community Development Department- Building Division F 2 9 2 3 0 2 2 5 COMB Permit: F2023-0225
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1117
U Yh S Permit Counter Phone: (949) 718-1888 Issued Date : 05/15/2023
newportheachca.gov/civic Inspection Area : FIRE
9L/FOft� Combination Type -
Work Class - Tenant Improvement
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 : 953 NEWPORT CENTER DR, A
Legal Desc : P BK 221 PG 30 PAR 6 P.M.
221-30 PAR 6 FOR OF PAR AND FOR PA R 1 OF P.M.
Description: COMM FIRE SPRINKLERS (8) HEADS CIZZOW-wZ-7)
Owner: IRVINE COMPANY
Contractor: D C FIRE PROTECTION
Architect
Address : 110 INNOVATION DRIVE
Address: 14772 HARPER ST
Address:
IRVINE, CA 92617
MIDWAY CITY, CA 92655
^ ^
Phone :
Phone : (714) 309-0144
Phone
Con State Lie : 584285
State Lie : ^
Lic Expire : 01/31/2024
Applicant: D C FIRE PROTECTION
Bus Lie : BT30046894
Engineer
Address : 14772 HARPER ST
Bus Lie Expire : 04/30/2024
Address : ^ `-
MIDWAY CITY, CA 92655
Phone: (714) 309-0144
Workers' Compensation Insurance
Phone:
Carrier: NO EMPLOYEES
Owner/Builder :
Policy No: EXEMPT
Designer: D C FIRE PROTECTION
Address :
W. C. Expire:
Address : 14772 HARPER ST
MIDWAY CITY, CA 92655
Phone:
Phone: (714) 309-0144
Code Edition : 2022
Fire Sprinklers : YES
Construction Valuation : $2,100.00
Type of Construction : III-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : M
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks
Flood Zone : X
Use Zone : PC - North Newport Center
PROCESSED BY: /
I , Sr"y CTOR
SPECIAL CONDITIONS
DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Item(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
tho 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 Business and
Professions Code) or that he or she is exempt from lieensure 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).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or 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 property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within aria year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
❑ 1. as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate 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),
❑ I am exempt from licensure under the Contractors' State License Law for the following reason .......... „... .....
By my signature below I acknowledge that, except for my personal rasidance in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot log all;
sell a structure that I have built as an ownevbuilder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, 11 a.,.liable upon request when this application is submitted or at the following Web site:htip:fiwwAv.leginfo.ce,govlcolaw,html.
Signature of Properry Oil mer or Authorized Agent _____ Date
Lh:5N8ED CONTRASTOR'S DECLARATION
I hereby alarm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 Of Divisiog 3 at the Business and Profs BID e, ffpdinyj!cause is in full force
and affect. License Class License No Date Contractor Signature S akz /- R
WURKERS' COMPENSATION DECLARATION Lle
WARNING: rAILURE To a,LUA� WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS J$100,000), IN ADDITION TO THE
COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
her i- y affirm under oenaity of perjury one of the following declarations:
❑ I LLv3 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 of the Labor Cade, for th
pwfnri,en^e 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 permit is issued, My workers'
carrier and policy number are:
Policy Number Expiration Date
Agent Phone #
y that, in the performance 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 California, and agree
hould become stumble thew ke s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
I of Appiican4 /��r ti `'lam Data- �/L S/ ` 3
u ocnw nrwrr_ nnwreronnTlnu eu nrwrr er_cwrr•v
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)
enche's Name Lenders 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.
1 agree to comply with all applicable city and county ordinances and slate laws relating to building construction.
I authorize representatives of this city or count to lh to d ntified property for inspection purposes. /
innalura of Pronartv Owner or Authorized AGenl ` %� /1�✓ Print Property Owner's or Authorized Agent's Name, ,.a r� (}'
ACTION DATE BY /� DECLARATION OF COMPLMNCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE AO AND AQMD RULE
PERMIT EXPIRED
PERMIT EXTEND
PERMti FINAL C� l" - jV��V�LJ As9EsTOs NOTIFICATION I5 NOTAPPUCAEIU TO
CERTIFICATE OF I_ PROPOSED DEMOLITION
OCCUPANCY 15SUED 51GNATURE:
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