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Home My WebLink AboutF2023-0054 - PermitsWCity of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�II�I�II�II� II Community Development Department- Building Division F 2 0 2 3 - 0 0 5 4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 pR'1 e-�q 7"- �11Issued Inspection Requests Phone: (949) 644-3255Inspection U4.newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement COMB Permit: F2023-0054 Plan Check No : PC2023-0226 Date : 04/25/2023 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 rq— Job Address: 62D NEWPORT CENTER DR, 14TH FLOOR Legal Desc : P BK 295: PG 33 PAR 1 PARCEL MAP 295-33 PAR 1 POR OF PAR Description: COMM FIRE SPRINKLER SYSTEM 4 HEADS (XC2023-0026) 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 : MARK YAM Bus Lie: BT30042894 Engineer Address : 392 N LEMAY CT Bus Lie Expire : 05/31/2023 Address ORANGE, CA 92867 Phone: (626) 757-2320 Workers' Compensation Insurance Phone Carrier: COMPWEST INS CO Owner/Builder : Policy No : WCV5502952 Designer: FIRE PROTECTION SPECIALISTS Address : W. C. Expire: 12/212023 Address: 2810 E MIRALOMA AV ANAHEIM, CA 92806 Phone: (714)625-6500 Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $1,200.00 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 : 16 Added/New sq. ft. Garage : 0 TOTAL sq. ft.: 0 Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: . . 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 checkmerk(s) I have placed next to the applicable lHarl 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 )rofessfons Code) or that he or she is exemptfrom licensors 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), 3 1, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or U pardons of the work, and the structure is not intended or offered for sale (Section 7044, justness 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 n roved 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 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). I am exempt from Iicensure under the Contractors' Slate License Law for the following reason: fy 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 legail, all 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 Cade,is available upon request when this application is submitted or at the following Web site:http:/1www.leginfo.ca..govtcalaw.html. Ilgnature 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 7000�p' Divt�i6n 3 of the Business and Prof Cod , a if li as is In full force not effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL EWES UP TO ONE HUNDRED THOUSAND DOLLARS chOsOOOL IN ADDIINON TOTHE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a certtRcate 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 tM eKomrame of the work for which this permit is issued. Policy No. 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 of Agent Date JI certify that, In the performance of the his permit is issued, i shall nut employ any pe son in any manner so as to became subjec is I a works s'compensation laws of Caltfamia, and agmTat, if I should become s T the or is�wloh lion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, tignaturs of App➢cant Dale/2.( IECLARATION REGA ING CONSTRUC ON LENDING AGENCY hereby affirm under penalty of perjury that there is a construction rending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lenders Address Iy my signature below, t 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 compy with all applicable city and county ordinances a s to I we relating to building construction. I autfior;te reoresentalivoa of this city or county tq ri lrtMe aF�a -id tifji property for inspection purposes. r r� AC1i DECLARATION OF COMPLIANCE WITH CODE OF FEDE3 REGULATIONS PART fit OF TITLE 40 AND AOMD RULE TO aFpMiT EXTFI'DE7 -jT- r Q7 D _ °FP` iFrNAt /' `� A5RE5T65 NOTIHGATION DiNOT APPUC 9lf TO CERT-07CATEPF lI PROPOSED DEMOLITION 1CC"ANC`Y I$$Jf(+ Cm.NATt IRF, FOR OFFICE USE ONLY