HomeMy WebLinkAboutF2023-0209 - Permitsar~WnoRr City of Newport Beach II III I IIII IIIIIIIII IIIIII III IIII IIIIIIIII I II COMB Permit: F2023-0209
Community Development Department -Building Division F 2 0 2 3 0 2 0 9
My 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1062
urh 1 Permit Counter Phone: (949) 718-1888 Issued Date : 05/12/2023
newportbeachca.gov/civic .�,,r—,,r. Inspection Area :FIRE
cquFoa"'`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 : 4675 MACARTHUR CT, 100 Legal Desc : P BK 196 PG 40 PAR 3
Description : COMM FIRE SPRINKLER SYSTEM 1 HEAD (XC2023-0049)
Owner: IRVINE COMPANY
Contractor: FIRE PROTECTION SPECIALISTS
Architect
Address : 110 INNOVATION DRIVE
Address : 2810 E MIRALOMA AV
Address
IRVINE, CA 92617
ANAHEIM, CA 92806
Phone:
Phone: (714)625-6500
Phone:
Con State Lic : 464915
State Lic
Lic Expire : 10/31/2024
Applicant: FIRE PROTECTION SPECIALISTS
Bus Lic : BT30042894
Engineer
Address : 2810 E MIRALOMA AV
Bus Lic Expire : 05/31/2023
Address
ANAHEIM, CA 92806
Phone: (714) 625-6500
Workers' Compensation Insurance
Phone:
Carrier: COMPWEST INS CO
Owner/Builder :
Policy No: WCV5502952
Designer: FIRE PROTECTION SPECIALISTS
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 : $250.00
Type of Construction : I-B
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 : 15
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks
Flood Zone : X
Use Zone : PC - Koll Center
'
PROCESSED BY:
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Low for the reasons) indicated below by the checkmark(s) I have placed next to the a pp3cabs items)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
tire 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 ficensure 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).
1:1 k as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or J 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 door 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 of proving that it was not built or
Improved for the purpose of sale),
1, as owner of the property, am exclusively Contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not
apply 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 licensors 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 legall,
sell a structure that I have bull as an owner -builder It it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044ofthe Business and
Professions Code, is available upon request when this application Is submitted or at the following Web site:http:fiw .teginfo.ca.gov/caiaw.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 70DOW D}vision 3 of the Business and Profs Code, d ense Is in full force
and effect. License Class License No Date Contractor Signature �X ��J
24,
6VORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS f$100,0001, is ADDITION TO THE
COST OFCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS, INTEREST, AND ATTORN"s FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a certificate of consent In seiNrasure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for lb
oerlormence 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 k fir 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 agre
rat. if I should become act to ffie�rm ' ,
w �Omponsanion provisions of Section 3700 of the Labor Code, I shall forthwith comply Win those provisions.
ignature of ApplicantS" _N -- Date
ZA ii nON Li
-ATION REI Col RING
ECLAP ?4'"0 CTION LiN GAGENCY natty
,
hereby affirm under natty 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),
arcei's Name Lender's Address
ly my signature below, I certify to each of the following:
I ant kbe pmoeI-6y owner or authorized to act on the property Owner's behalf.
I have read th[s ap14cafiorh and the information I have provided is correct.
I i me4 to comply with all applicable city and county ordinances late laws relating to building construction.
I authorize rebrusentsWes of this city or cou -, property for inspection purposes.
=1 12 a ve&!tied p� Date
Lic,,Ia,j�e f PropertX Ows er or Authorized Aqent Print Properly Owner's or Authorized Agent Is Nam
ACTION DATE BY DICLAFATIN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OFTITLE 40 AND AGIVID RULE
1403
TE 7N.'T FX'tBED I SUBMITTED ASBESTOS NOTIFICATION TO
MEPA
FEriMtT FA rENDEP QVI D
PERMITFINAL SBESTOS NOTIFICATION IS 2TA P rAI111 no
CERTIFICATE OF PROPOSED UfW&
—OCCUPANCY —15SUE4")- � WOO SIGNATURE: 1A