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Home My WebLink AboutF2022-0513 - Permits,EW/o�T City of Newport Beach II COMB Permit: F2022-0513 o� 6 Community Development Department - Building Division F 2 0 2 2 - 0 5 1 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2466 Permit Counter Phone: (949) 718-1888 Issued Date : 0512512023 r S newportbeachca.gov/civic Inspection Area : 7 q</FOAM 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: 4675 MACARTHUR CT, 6 FLOOR Legal Desc : P BK 196 PG 40 PAR 3 Description: COMM FIRE SPRINKLER TI W/ (2) HEADS @ 6TH FLOOR CORRIDOR 1627 SF (XC2022-1983) Owner: IRVINE CO Contractor: FIRE PROT SPECIALISTS Architect Address : 111 INNOVATION Address : 2810 E MIRALOMA AVE Address IRVINE, CA 92618 ANAHEIM, CA 92806 Phone: (949)608-9659 Phone: (714)635-6500 Phone: Con State Lie : 464915 State Lie Lie Expire : 10/31/2024 Applicant : FIRE PROT SPECIALISTS Bus Lie: BT30042894 Engineer Address : 2810 E MIRALOMA AVE Bus Lie Expire : 05/31/2023 Address ANAHEIM, CA 92806 Phone: (714) 635-6500 Workers' Compensation Insurance Phone: " Carrier: COMPWEST INS CO Owner/Builder : Policy No : WCV5502952 Designer: FIRE PROT SPECIALISTS' ' Address : W. C. Expire : 12/2/2023 Address: 2810 E MIRALOMA AVE ' ANAHEIM, CA 92806 Phone: Phone: (714)635-6500 " Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $1,100.Od " 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 : 16 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 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 he 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 'roferssions 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 lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 mprovements are not Intended or offered for sale. It, 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 mproved 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' State License Law does not Ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stake License Law). I am exempt from licensure under the Contractors' State License Law for the following reason; 3y 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 legally loll a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and rrofessions Code., is available upon request when this application Is submitted or at the following Web siterhttp:llwww.leginfo.ca.gov/calaw.html. >ignature 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 Section 7 ) ivision 3 of the Business and Professici s de, a rd ry li en is in full force rnd effect. License Class License. No Date 2-3 Contractor Signature NORKERS' COMPENSATION DECLARATION EARNING: FAILURE,TO StCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML PINES UP TO ONE HUNDRED THOUSAND DOLLARS (St00,0001, IN ADDITION To THE ,PST OF COMPENSX7V`Y rAMAGES AS PROVIDED FOR IN SECTION JTae OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES, �iotaay ,Jffirm u�c'er p^naky of perjury one of the following declarations: i I hrve and will n,eintarn a cerGtfcale 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 IN rerjormance of the work for which this permit Is issued. Policy No. and wllmnfmain 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 end pulley number are: Policy Number Date Joni �t Agent Phone # :11 ce,tdy that in the performance of the "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 hat, if (should heccnre sub' ct to the wo at c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. >ignalu-e of Apo6cant. _ _ _ Date )ECLARATION REGA 1N�TRUCTION LENDING 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). -Ender's Name Lender's Address fy 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 1 have provitled is rrect. I agree to comply with all applicable city and county ordinances nd at laws relating to building . construction. I authorize representatives of this city or county t r the b ve-id 'ad property for Inspection purposes. ii nature of Pro ert Owner cr Authonzed A ant Print Pro erty Owner's or Authorized A ent's Name �%� /� D Date`r� 3 ACTION DATE BY I Cirri ARAvnN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGJL4TION5 PART S1 OF TITLE 40 AND AONI D RULE 1403 PERMiTEXPIRED 1 6 i LJISt1RMITTEDA5RESTOSNOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED PER,MiT FINAL /�J �,Z3 t�AOtZ12lS 4I�,I`ASBf5T05NOTIFICAHONI5NOT P CABLE TO CERTIFICATE Of II PROPOSED DEMOIIT OCCUPANCY ISSUED SIGNATURE(IVA�