HomeMy WebLinkAboutF2023-0210 - PermitsaEWPORr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : F2U23�U210
DF "@ Community Development Department- Building Division F 2 0 2 3 0 2 1 e
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1062
UPermit Counter Phone: (949) 718-1888 Issued Date : 05/1212023
e.newportbeachca.gov/civic Inspection Area : FIRE
cg4co NN`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, 200 Legal Desc : P BK 196 PG 40 PAR
Description : COMM FIRE SPRINKLER SYSTEM 4 HEADS (XC2023-0048)
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 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 : 05/31/2023
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 : $1,000.00
Type of Construction : I-B
Fire Hazard Zone : NO
Added/NewlTI 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 - Kell Center
PROCESSED BY:
SPECIAL CONDITIONS
I hereby affirm Under penally 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, after, Improve, demolish,, or repair any structure, prior to its issuance, also requires the applicant for
io permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law, (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions 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 for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($5000).
1 1, as owner of the property, or my employees with wages as their sale compensation„ will do L) all of or C_) portions of the work, and the structure is not intended or offered far sale (Section 7044,
Iusmess and Professions Code: The Contractors' State License Law does not apply ro an owner of properly who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sole. 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
n b oved for the purpose of sale).
3 1, as owner of the property, am exclusively contracting with licensed Contractors to const vct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pppry 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).
3 1 am exempt from licensure under the Contractors' State License Law for the following reason.
ly 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 iegail)
ell a structure that I have built as an ownerbuilder if it has net been constructed in its entirety by licensed 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:http://w .leginfo.ca.gov)calaw.btmi,
'agnature of Property Owner or Authorized Agent ®® Date
3CENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 Commencing with Section 70 f DStan 3 of the Business and Profe io a Ca a, , nd r tense is in full force
no effect. License Class License No Date Contractor Signature ' ,�
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CAEMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS {f1 Wj(F16), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
] I have and Will maintain a Certificate of Consent to self -insure for workers' compensator, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih
e5grmance of the work for which this permit is issued. Policy No.
have 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'
rance carrier and policy number are:
Policy Number
of Agent
r0T.T.
certify that In the performance of the for which this peTnit is issued. I shall not employ any person in any manner so as to become subject to the workers` compensation laws of California, and agree
I. if I should become su je t a th,.ee we e c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant M.L_-_(_
CLARATION REGA DING CONST C ON LENDING AGENCY
neby affirm under penalty 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)).
iders Name _ Lender's Address
my signature belsv, I certify to each of the following:
:I a property owner or authorized to act on the property owner's behalf.
I have read thi3 application and the Information I have provided is correct..
I rgrec to comply with all applicable city and county ordinances a s at laws relating to building construction.
I authorize reprrsenta'ives of this city or county e tl�, tiidn - e-C ad property for inspection purposes. y� /jam
ia'ure rf Property Owner or Authorized Anent 1 ,/A- Pnnt Prooertv Owner's or Authorized Arent's Name r 1 N.iG'7��/ DAte �2/ '3
BY r DECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL, ( FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PENM'T FxwRtt7
PERMIT CANCELLED
Ltd SUBMITTED ASBESTOS NOTIFICATION TO
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' / ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
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