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Home My WebLink AboutF2023-0230 - Permits,EvuaoR� City of Newport Beach II COMB Permit: F2U23'U230 CQ �� Community Development Department- Building Division F 2 9 2 3 0 2 3 0 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1144 n Permit Counter Phone: (949) 718-1888 Issued Date : 05/25/2023 S newportbeachca.gov/civic Inspection Area : FIRE Cq</FOR�`P 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 : 1200 NEWPORT CENTER DR, #270 Legal Desc : P BK 316 PG 3 PAR 3 Description: COMM FIRE SPRINKLER SYSTEM (14) HEADS (XC2023-0091) Owner: IRVINE COMPANY Address : 110 INNOVATION DRIVE IRVINE, CA 92617 Phone : Applicant: FIRE PROT SPECIALISTS Address: 2810 E MlRALOMA AVE ANAHEIM, CA 92806 Phone : (714) 635-6500 Owner/Builder Address : Phone Contractor: FIRE PROT SPECIALISTS Address : 2810 E MIRALOMA AVE ANAHEIM, CA 92806 Phone: (714)635-6500 Con State Lic : 464915 Lic Expire : 10/31/2024 Bus Lic: BT30042894 Bus Lic Expire : 05/31/2023 Workers' Compensation Insurance Carrier: COMPWEST INS CO Policy No : WCV5502952 W. C. Expire : 12/2/2023 Architect Address Phone: State Lic Engineer: Address Phone Designer: FIRE PROT SPECIALISTS . Address: 2810 E MIRALOMA AVE ANAHEIM, CA 92806 Phone : (714) 635-6500 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : e No of Units : 1 Alteration sq. ft. Bldg : No of Stories : 2 Added/New sq. ft. Garage Bldg Height : TOTAL sq. ft. : Building Setbacks : �A Flood Zone : X Use Zone : PC - Corporate Plaza West -1 � y - 4 ) L PROCESSED BY: \�/(�fJ SPECIAL CONDITIONS: $7,000.60 > > 0 0 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 item(s) Section 7031,5, Businoss and Professions Code: Any city or county that requires a permit to construct, alter. Improve, demolish, or repair any structure, prior lolls issuance, also requires the applicant for he permit to fife a signed statement that lie or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commenting with Section 7000) of Division 3 of the Business and 'rofessions 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 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovemene are not Intended or offered for sale. Ir, 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 buitt or mproved for the purpose of sale). 1 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 doe's not Ippty 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y my signature below t 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 iegall ,ell a structure that I have built as an ownor-builder if it has not boon constructed in its onlircly by lloonsad 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:hitp:liwww.leginfo.ca.govlcalaw.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 7 of �1',vision 3 of the Business and Profe 1 coe an license is In full force Ind effect. License Class License No Date.1 G Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TJ 3CCJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,0001, IN ADDITION TO THE 'OST OF COMPENSAYION. U, MACES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 'tnrih,• affirm under penalty of perjury one of the following declarations: J I have and will m6ntam 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, for th affi tance of the work for which this permit Is issued. Policy No. �ha,,e and wile mat lain 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' compensatioi isbeanca carrier and policy number are: :arrinr Policy Number Expiration Date of Agent c3Yfy that, in the performance of the work for hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Calfomia, and agra L if I should hucon e sub c t the workei sahon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r natue of Applicant, Data S� JL�,0.RATtQp.: RAGA ING CON RUCT ENDING AGENCY —� Ireby affirm under Psinalty 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). Ider's Name Lender's Address 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. I agree to comply with all applicable city and count ordinances a sl to ws relating to building construction. I authorize representatives of this city or county te�rthe. e-Id d property for inspection purposes. nature of Property Owner or Authorized Agent G(.L-a _ _ Print Prooertv Owner's or Authorized Anent's Name ACTION I DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL l FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ADMIT RULE PERMIT EXPIRED L.-I I SUBMITTED ASBESTOS NOTIFICATION TO —__ PERMIT CANCELLED EpA PERMIT EXTENDED �_ ___ _ QMD __ PCR�Yfl7 FlMAi E ST05 NUTIFICATION IS NOT PpLI A LE TO CFRT(FCCA7E OF 0 q �, VAA/ I PROPOSED DEMfV-y� OCCUPANCYi55UE6 1 V`"_ c cacmeruoc. /ls. /A 1