HomeMy WebLinkAboutF2023-0208 - Permits> �EWPoRr City of Newport Beach COMB Permit: F2023-0208
04 Community Development Department - Building Division F 2 0 2 3 0 2 0 8
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1061
Permit Counter Phone: (949) 718-1888 Issued Date : 0510912023
.r� newportbeachca.gov/civic
c �r Inspection Area :FIRE
gCrGO0.N 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 : 4675 MACARTHUR CT, 150
Legal Desc : P BK 196 PG 40 PAR 3
Description : COMM FIRE SPRINKLER SYSTEM 29
HEADS (XC2022-2119)
„ ,
Owner: IRVINE COMPANY
Contractor: FIRE PROTECTION SPECIALISTS
Architect
Address : 110 INNOVATION DRIVE
Address : 2810 E MIRALOMAAV
Address
IRVINE, CA 92617
ANAHEIM, CA 92B06
Phone:
Phone: (714)625-6500
Phone:
Con State Lie : 464915
State Lie
Lie Expire: 10/31/2024
>> ,
Applicant: FIRE PROTECTION SPECIALISTS
Bus Lie: BT30042894
Engineer
Address : 2810 E MIRALOMA AV
Bus Lie Expire : 05/30/2023
Address
ANAHEIM, CA 92806
Phone: (714) 625-6500
Workers' Compensation Insurance
Phone:
Carrier: COMPWEST INS CO
Owner/Builder:
Policy No: WCV5502952
Designer: FIRE PROTECTIONSPECIAL'STS
Address :
W. C. Expire : 12/2/2023
Address: 2810 E MIRALOMA AV
ANAHEIM, CA 92806
Phone:
Phone: (714)625-6500
Code Edition : 2022
Fire Sprinklers : YES
Construction Valuation : $2,800.00
Type of Construction : I -A
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups :
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 15
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
Building Setbacks :'.s
Flood Zone : X
PC Koll Center
Use Zone : -
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L� - LAPROCESSED
BY:
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SPECIAL CONDITIONS:
R
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 item(s)
otion 7031 5. Business and Professions Code; Any city or County that requires a permit to construct, alter, improve, dernolish. or repair any structure, prior to its issuance, also requires the applicant for
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 Suction 7000) of Division.3 of the Business and
fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7p31.5 by any applicant for a permit subjects the applicantto a civil penalty of
more than five hundred dollars ($500). 'lib
I, as owner of the property, or my employees with wages as their sole compensation, will do (_} all of or (_) portions of the w rk, and the structure is not intended or offered for sale (Section 7044,
Iiness 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
rovements 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
roved for thepurpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bus ess and Professions Code: The Contractors' State 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 Do uant to the Contractors' State License Law),
J I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below 1 acknowledge that, except for my personal residence in which I must have resided for at least one year
soil a structure that I have built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. I unden
Professions Code., is available upon request when this application is submitted or at the following Web sileihttp:/iwrw✓.leginfc.c
Signature of Prcpnr:y Owner or Authorized Agent
LICENSED CON—,'RACTOR'S DECLARATION
! herein' affirm ender penalty of pert ury that I am licensed under provisions of Chapter 9 (commencing with Section ) Of i�
and effect Llcen.e Class License No Date ) 9!
XORXERS' COMPENSATION DECLARATION
YARRINO: FAILURE TO SIrWRE VIORk ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
COST OF COMPEN.FATION, LAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
he,ebv affirm under penalty of perjury one of the following declarations:
I 'Irve, and �+i11 maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Int
Grrnrmance of the work for which this permit is issued. Policy No.
Y a and will mailworkers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfol
surancc carrier and po,cy number are:
Car.i3- Policy Number
i-i �' Agent
certify that, in the performance of the work to on this ,permit is issued, I shall not employ any person in any manner so
, if I should become so4eckp'f}e workers m yjsabon provisions of Section 3700 of the Labor Code, I shall forthwith c
ignature of Applicant_ V
'ECLARATION RI GA. IN VCtrXMUCTIWLENDING AGENCY
hereby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which
order's Name _ Lenders 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 application and the information I h e provided is correct.
I agree to comply with all applicable city and Court ordinances and Stan law re ling to building construction.
I authorize representatives of this city or count ent!yF ove-ren died re
for inspection purposes.
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
CERTIFiCATEOF
OCCUPANCY ISSUED
DATE I 6Y V i DE�GARAT€ON OF COMPLIANCE w17H CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
5 %�) U ASBESTOS NOTIFICA ION 15 NOl'APPLICABLE 70
dz PROPOSED DEMOLITION
to completion of the improvements coven
that a copy of the applicable law. Section
and
Date
n 3 of the Business and Pr sl ode, a d To erise is In full force
Contractor Signature
CIVIL FINES UP TO' ONE HUNDRED THOUSAND DOLLARS ($100400), IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work far which this permit is issued. My workers`
Date
to become subject to the workers' compensation laws of California, and Agra
ply with those provisions.
Date S/�Z 3
permit Is issued(Section3097, Ci it Code).
FOR OFFICE USE ONLY