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Home My WebLink AboutF2023-0246 - Permits�EwPORr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : F2U23-o24s Community Development Department- Building Division F 2 0 2 3 0 2 4 6 n100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1272 Permit Counter Phone: (949) 718-1888 Issued Date: 05/26/2023 ems.. newportbeachca.gov/civic Inspection Area : FIRE Cq�IFOftiN1P 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: 700 NEWPORT CENTER DR 2Nv FV Legal Desc : N TR 361 BLK 55 IRVINE SUB LOT BLK 55 FOR OF BLK Description: COMM FIRE SPRINKLER TI -RELOCATE 2 HEADS (XC2023-0168) Owner: PACIFIC MUTUAL LIFE INSURANCE CO Address : 700 NEWPORT CENTER DR #1 NEWPORT BEACH, CA 92660 Phone: Applicant: BRIAN SOUSA Address: 1451 W LAMBERT RD LA HABRA, CA 90631 Phone : Owner/Builder : Address : Phone: Contractor: ADVANCE FIRE PROTECTION CO Address : 1451 W LAMBERT ROAD LA HABRA, CA 90631 Phone: (562)691-0918 Con State Lie : 259936 Lie Expire: 04/30/2025 Bus Lie: BT30043739 Bus Lie Expire : 06/30/2023 Workers' Compensation Insurance Carrier: HARTFORD ACCIDENT & INDEMNITY CO Policy No: 72WEAAPIR2C W. C. Expire: 12/1/2023 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : B No of Units : 0 Bldg Height: No of Stories : 5 Building Setbacks : Flood Zone : X Use Zone: OR - Office —Regional PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: Address! Phone Designer: SERGIO OROZCO Address: 1451 W LAMBERT RD LA HABRA, CA 90631 Phone: (562)691-0918 Construction Valuation : $1,000.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg: Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 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 items) (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 the 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 Professions Code) or that he or she is exempt from 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 not more than five hundred dollars ($500). 71 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 one year of completion, the Owner -Builder will have the burden or proving that It was not built or mproved for the purpose Of sale). 71 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 a ly 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). I am exempt from licensureunder the Contractors' State License Law for the following reason: By 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 sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. j understand that a copy of the applicable law, Section 7044 of the Business and Professions Code., Is available upon request when this application is submitted or at the following Web sits:http:IAVWw.Ieginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3of the Business and Professions Code, and my license is In full force and effect. License Class License No Date 6�: Contractor Signatu l WORKERS' COM'.PENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: -11 have and will maintain a certificate of consent to seif-insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, ae ormance of the work for which this permit is issued. Policy No, i�ve 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' compensatior n ura ce ca ter and policy ng" a e: -r �p rri � ri`r'� fee:I CAJ� I, Policy Number W U) LA, Ft, 122 L Expiration Date ne of Agent Phone tE certify that, in the perfo4thework for �eh this permit is issued, I shall not, employ any person in any manner so as to became subject to the workers' compensation laws Of California, and aWel t, if I should become sueom nsation provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions. nature of Applicant DatCLARATIGN REGAROIING AGENCY meby affirm underpenalra is a onstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ Code). War's Name Lenders Address 3y my signature below, I certify to each of tha followin I am the property owner or authorized to act on f1rel property owner's behalf. I have read this application and the information I haveprvided i orrect. Iagree to comply with all applicable city and countesd state laws relating to building construction. I authorize representatives of this city or county Is ab - entified property for inspection purposes. Signature of Property Owner or Authorized AgaM Print Property Owner's or Authorized A ACTION DATE BY 0 T. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMF RULE PERMIT EXPIRED U SUBMITTED ASBESTOS NOTIFICATION TO PERMI7174NCELLED �I IJEPA PERMITEXTENDED PERMIT FINALQVZ ASBESTOS NOT[FICA LION IS NOT APPLICABLE TO CERTIFICATE OF � "y€ PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE Bfi A✓t �t _SO d50. Oat, 5-2(-Z"23