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F2023-0247 - Permits
"4 EWPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : F2U23-U247 o �@ Community Development Department- Building Division F 2 0 2 3 0 2 4 7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1287 Permit Counter Phone: (949) 718-1888 Issued Date : 0712712023 4. T newportbeachca.gov/civic Final Date: raH�r Combination Type - Permit Status: Issued Work Class - Tenant Improvement Inspection Area : FIRE 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: 23 CORPORATE PLZ, 247 Legal Desc : P BK 93.PG 45PAR 20 PARCEL MAP 93-45 PAR 20 POR OF PAR AND POR PAR B Description : COMM FIRE SPRINKLER SYSTEM (6) HEADS (XC2023-0184) Owner: CO IRVINE Address : PO BOX 2450 NEWPORT BEACH, CA 92658 Phone: (949)720-2400 Applicant: CLAUDIA LAI Address : 18600 MACARTHUR BLVD, 100 IRVINE, CA 92612 Phone: Owner/Builder : Address : Phone Contractor: FIRE PROTECTION SPECIALISTS Address : 2810 E MIRALOMA AV ANAHEIM, CA 92806 Phone: (714)625-6500 Con State Lie : 464915 Lie Expire : 10/31/2024 Bus Lie: BT30042894 Bus Lie Expire: 05/31/2024 Workers' Compensation Insurance Carrier: COMPWEST INS CO Policy No: WCV5502952 W. C. Expire: 12/2/2023 Architect: ALGAZE NELSON Address: 6083 BRISTOL PKWY CULVER CITY, CA 90230 Phone : (213) 929-1400 State Lie : CO21090 Engineer : CORNELIA DIRPRES > Address : 16501 SCIENTIFIC WAY, 200 IRVINE, CA 92618 > > Phone: (949)594-0076 Designer: FIRE PROTECTION SPECIA'_'.STS Address: 2810 E MIRALOMA AV ANAHEIM, CA 92806 Phone: (714)625-6500 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : Type of Construction : III -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : B No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks Flood Zone : X Use Zone: PC - Corporate Plaza PROCESSED BY: SPECIAL CONDITIONS: $166,524.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of penury 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 ftem(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stele License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessioos Code) or that he or she is exempt from liceneure and Ui.e basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penafty of of more than five hundred dollars ($500).. 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, rusiness 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 Tu 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 moving that it was not built or nproved for the purpose of sate)_ 3 I, 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 Iiy to an owner of property who builds of improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law), I am exempt from Iicensura under the ConlrectorP` State License Law for the following reason: ............ _ 'ry 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 legally ell a structure that I have built as an owner-buildor it It has not been constructed in its entirety by licensed contractors, I understand that a copy of the applicable law, Section 7044 of the Business and professions Code, is available upon request when this application is submitted or at the following Web site;http_/iwww.leginfo.ca.gov/calaw.btmi. Lignamre of Property Owner or Authorized Agent Date JCEN.SED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 700 DIVIsf n I if the mess and Profess' 'ode, n my ca a is in full force rid effect. License Class License No Dai 'L 2 Cont a or Signature VORKERS' COMPENSATION DECLARATION / 'ARNINO FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANO DOLLARS IS100,WOL IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S F£Ea. hereby affirm under penalty of perjury one of the following declarations: 1 ' nave and w9! maintain a certificate of Consent to salt -Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the 'sr7p1'manca. el Line work for which this permit Is issued. Policy No, and mill 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' canlar an,' policy number are: Policy Number of Agent Dale I certrfy (hat, in the performance of Iha to whlah lints psrmtt Is issued, I shall not employ any person in any manner so as to become subject tp the warkars' compensation laws of Califam)a, and agra I, U I she o rime s t to thJJe w ers' ansatian povisions of Section 3704 of lino Lobar Code, I shall iorthwilh comply with those provisions. urdlure of ' MaAT GA .LNG GGNSTR. N LENDING AGENCY / ^�� � � =oby ffirm nnoer p malty of perjury that there is a construction lending agency for the performance of Iha work for which this permit fs issued ($eCllOq 309fi, Civil Coda). rdets Na,n� __ Lendets Atldress my signature below, I certify to each of the following: I am the property owner or authorlxed to act on the property owner's behalf. I haws: read this application and the information I have provided is cor et. I agree to comply with all applicable city and county ordinances an to laws relating to building construction. / �� I authorize representatives of this city or cNindy la, aljov Ida tifj f prdpeny for inspactlon purposes. _ 0 /V�L O rJZr, DATE i BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL { FOR OFFICE USE REGUtAtIONS PART 61 OFTITLE40 AND AQMD RULE 1 PERMrTEXPiRED LJ I SUBMITTEn T PFRM(T CANGEL(ED EPA PERNIT EXTENDED DAOMD PER1017 FINAL r p.ILJVLXLA� UASBESTOS NOTIFICAI ION 15 NOt APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION ©CCUPANCYISSUED SIGNATURE;