HomeMy WebLinkAboutF2023-0268 - Permits�EWPoRr City of Newport Beach II IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII�IIIIIIIIIIIII�III
0� Community Development Department- Building Division COMB Permit : F2U23-U268
F 2 0 2 3 0 2 6 B�II
100 Civic Center Drive, Newport Beach, CA 92660 _ Plan Check No: PC2023-1384
Permit Counter Phone (949) 718-1888 Issued Date : 06107/2023
w. newportbeachra.gov/civic _ _ - Inspection Area : FIRE
C94 F0 PN`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: 700 NEWPORT CENTER DR, 2ND FL Legal Desc : N TR 361 ELK 55 IRVINE SUB LOT ELK 55 POR OF BLK
Description: COMM FIRE ALARM TI WITH 4 DEVICES. (PACIFIC LIFE, FLOORS)
Owner : IRVINE CO
Address : 111 INNOVATION
IRVINE, CA 92618
Phone: (949)720-3100
Applicant: GARY RAMIREZ
Address : 1354 S PARKSIDE PL
ONTARIO, CA 91761
Phone: (909)957-5200
Owner/Builder :
Address :
Phone
Contractor: H C I SYSTEMS INC
Address : 1354 S PARKSIDE PL
ONTARIO, CA 91761
Phone:
(909)628-7773
Con State Lic
: 905493
Lic Expire:
02/29/2024
Bus Lic:
BT30042287
Bus Lic Expire: 02/29/2024
Workers' Compensation Insurance
Carrier: FEDERAL INSURANCE COMPANY
Policy No: 54309498
W.C. Expire : 3/2/2024
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone
Designer: H C I SYSTEMS INC
Address : 1354 S PARKSIDE PL
ONTARIO, CA 91761
Phone: (909)628-7773
Code Edition :
2022
Fire Sprinklers :
YES
Construction Valuation :
$2,375.00
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 :
8
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
0
Building Setbacks
Flood Zone :
X
Use Zone :
OR - Office —Regional
IP
PROCESSED BY:
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(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 first requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for
the permit to Ole 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
111, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Cade: The Contractors' State License law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the properly, 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 of proving that O was not built or
Ii-mproved for the purpose of sale).
LJ 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 Lew does not
rely to an Owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law).
L! t am exempt from licensure under 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 legalip
sell a structure that I have builtas 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 70" of the Business and
Professions Code, Is available upon request when this application is submitted or at the following Web site:httpalwww.leginfo.oa.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed Under provisions of Chapter 9 (commencing with Section 7000) of Di/ �Sion 3 of the Business and Profess Ps Ode ' Icense Is in full force
and effect License Class License No Dateo� &IL [.I 4 Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,0001, N ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
-11 have 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, for thm
3erformance of the work for which this permit is issued. Policy No.
bh have and will maintain workers compensation Insurance, as required by Section 3700 of the Labor Code, for the performance or the work for which this permit is issued. My workers compensatior
nsumnce carder and policy number are:
-arrier Policy Number Expiration Date
flame of Agent I Phone #
]I certify that, In the performance of the work 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 agref
.hat, if I should become subject the corkers' ensatfon provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. Signature of Applicant �/• ,...^_...._....... _.._..._.__.._.. Date lit/
! Ga /Z -
hereby affirm under penalty of perjury that there is a Construction lending agency for the performance of the work for which thit permit Is issued (Section 3097. Civil Code).
endel's Name Lender's Address
y 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 appli^alion and the Informallon I have provided is correct.
1 agres to comply vnth all applicable city and county ordinances and state laws relating to building construction.
I authorize reorecentitives of this city or county lg,"r th"bove-kiepuffe-d5iropedy for inspection purposes. ) rm n
ACTION
PFPMIT FXPIREO
PFPMIT :ANCELLEO
P'Pll!IT 4.`TENDED
K�RMITFt.NAL
C'PT'PCCTE OF
0Cr(+P41VCY f5SUt0
DATE I BY
REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE
UASBESTOS NOTIFICATION IS NOT APPLICABLE TC
PROPOSED DEMO
LI�
SIGNATURE:
FOR OFFICE USE ONLY