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Home My WebLink AboutF2022-0512 - Permits��WPoRT City of Newport Beach e @ Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 0 s Permit Counter Phone: (949) 644-3288 .r. Inspection Requests Phone: (949) 644-3255 Cg4Fp F�\P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement F 2 0 2 2 0 5 1 2II COMB Permit : F2022-0512 Plan Check No : PC2022-2466 Issued Date : 03120/2023 Inspection Area :Xflvzrr 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 ALARM TI @ 6TH FLOOR CORRIDOR 1627 SF Owner: IRVINE CO Contractor: SURGENER CONSTRUCTION Architect Address : 111 INNOVATION Address : 3401 W FORDHAM AVE. Address IRVINE, CA 92618 SANTA ANA, CA 92704 Phone : (949) 608-9659 Phone : (949) 387-3526 Phone Con State Lic: 531139 State Lic Lic Expire : 05/31/2024 Applicant: MARK YAM Bus Lic: BT30071767 Engineer Address : 392 N LEMAY CT Bus Lic Expire : 05/31/2023 Address ORANGE, CA 92867 Phone: (626) 757-2320 Workers' Compensation Insurance Phone: Carrier: CAROL[ NA+CASUALTY+INS URAN CE+COMP ANY Owner/Builder: Policy No: BNUWC0155914 Designer: BUILDING ELECTRONIC CONTROLS Address : W. C. Expire : 1/30/2024 Address: 2246 LINDSAY WAY GLENDORA, CA 91740 Phone: Phone: (909) 305-1600 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $8,930.00 i. 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 `0{{ Irb "JP� SPECIAL CONDITIONS: o. l.. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items Section 7031-5, Business and Professions Code: Any city or cournty, that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for to permit to file a signed statement that lie or she is licensed pursuant to the provisions of the Contractors` State LiccnsG Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Irofessions Code) or that he or she is exempt from flcensure 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 of more than five hundred dollars ($500). 7 L, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, rusines , 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' State License Law does not ppl y to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 I am exempt from licensure under the Contractors' Stale License Law for the following reason: Iy my signalure 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, 1 cannot legally ell 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 law, Section 7044 of the Business and 'rofessions Code„ is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.gov/celaw.html. signature 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 of_Vvisfon 3 of the Business and Prcf io s e, y license is In full force no effect. License Class License No Dat 7-F)-2 Contractor Signatur VORKERS' COMPENSATION DECLARATION 'ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG T OU NCKOLURS I,E700,0003, IN AODRION TO THE GST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION STOS OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. hereby Virm under penalty of perjury one of the following declarations: 7 1 awe 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 Code, forth( ormance 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` compensation trance carrier and policy number are: Tier Policy Number Expiration Date Tie of Agent Phone al certify that, in the performance of e for hick 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 agie I, if I should become ub'ect tot ors' mpensatlon provisions of Secliber3700 of theQLabor Code, I shall forthwith comply with those provisions. � 1 � nature of Applicant Dat G% 2-0 � CLARATf'7N REr,A IN T C NDING AGENCY ^ - --- rreby affirm under penal of rjury th is a construction lending agency for the performance ofthe workfor which this permit is issued (Section 3097, Civil Code). rd.x`s Nnme _ Lender's Address my signati:'e t'e.ow, I c '.y to each of the following: I am the property owner or authorized to act on the property owner's behalf. 1 have read 4hit application and the information (have prowl is rrect. I egree to ompl_, with all applicable city and cou y ordi n n slate laws relating to building construction. I authorize r nresematives of this city or count o enter Ified property for inspection purposes. nature of E on^y Owner or Authorized Agent Print PropertypOwner's or Authorized Agent's Name ��iak JCi ate 24^ / TION DATE BY I DE T IPLIANCEWITH CODEOF FEDERAL FOR OFFICE USE ONLY R ULA ONE PART 61 OF TITLE 40 AND AQMD RULE. r+eRMILEXPIRED PERMIT EXTENDED 1 i LJAQMD _ PCR,MITF7flAi wJJ -.13 ILtC€Li�/{ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: