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HomeMy WebLinkAboutF2023-0432 - Permits� cRT City of Newport Beach II IIIII II II I III II III IIIIII IIII I I II COMB Permit: F2023-0432 Community Development Department- Building Division F 2 e 2 3 0 4 3 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2218 u ) ? Permit Counter Phone: (949) 718-1888 Issued Date : 09/1212023 y .+. newportbeachca.gov/civic Final Date: 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 : 3300 IRVINE AVE, STE 200 Legal Desc : P BK 142 PG 41 PAR 1 P.M. 142-41 PAR 1 AND POR ABA Description: COMM FIRE SPRINKLER TI -3 HEADS (XC2023-0228) Owner: NEWPORT IRVINE CENTER LLC Address : 7 UPPER NEWPORT PLZ #225 NEWPORT BEACH, CA 92660 Phone : (949) 400-4375 Applicant: JOHN JOHNSTON Address: 179 ROYMAR RD, H OCEANSIDE, CA 92058 Phone : (951) 264-3912 Owner/Builder : Address : Phone Code Edition: 2022 Type of Construction : V-B Occupancy Groups: B Bldg Height : Building Setbacks Flood Zone : X Use Zone : OG - Offce eneral PROCESSED BY: SPECIAL CONDITIONS: Contractor: ALL PRO FIRE PROTECTION INC Address : 179 ROYMAR RD OCEANSIDE, CA 92058 Phone : (951) 244-9836 Con State Lie: 629993 Lie Expire : 12/31/2023 Bus Lie : BT30029935 Bus Lie Expire : 08/31/2024 Workers' Compensation Insurance Carrier: OAK RIVER INSURANCE COMPANY Policy No : 345573 W. C. Expire : 3/1/2024 Fire Sprinklers : YES Fire Hazard Zone : NO No of Units : 0 No of Stories : 3 Architect Address Phone : — e ' 1 ° State Lie : � e T Ls� Engineer Address Phone : Designer: JOHN JOHNSTON Address: 179 ROYMAR RD, H OCEANSIDE, CA 92058 Phone : (951) 264-3912 Construction Valuation : $2,200.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty 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, alter, Improve, demolish. or repair any structure, prior to its issuance, also requires the applicant for the 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 Professions Code) or that he or she is exempt from licensors 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044, Business 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 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). ❑ 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 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). Q 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 residod for at least one year prior to completion of the Improvements covered by this permit, I cannot legafl} soil a structure that I have built as an owrrorrbuilder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and Professions Code, is available upon request when this application is submitted or at the following 'Web site: httpaiwwvcIeginto.ca.gotdca law. html, Signature of Property Owner or Authorized AgentDate._.______._._...__.,.___.,___...�....._ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Division 3 of the Business and Prof?o"ons Code. and my license is in full force and effect. License Class License No Date Contractor Signatu€e X WORKERS' COMPENSATION DECLARATION 11 ✓YARNING: FAIT-URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE C05T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37D6 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FeES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consenl (o self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ntrmance 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 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 L if I should become st jeer to the workers' compensate ovisions Ofoften 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant .. .. __......... __,.. . _ _ .. D t �Z - 2 CLARATION REGAR CtlRU GTTON LENDING AGENCY 3ro y affirm under penalty Of pe ury that there is a construction lending agency for the perfcrmancl of the work for which this permit is issued (Section 3097, Civil Code). ither e Name Lende,.rs Address Tiny signature below. I certify to each of the following: I am the property awrter or authorized to act on the property owner's behalf. I have read this application and the ii niation I have provided is correct. I agree to comply with all applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or county to enter the above -Identified property for inspection purposes. „ea,,.�pro,,,,,en„n,,,.,or.,rv,aH„n,ane„a,a�/ /1?Y>/!/ori„ra.,,,,an,.n,.,,,ors..,n,ah...i,>aN-,.,odjlN; �Dd11Lli `i n,ro ACTION 3 DATE j BY ) OECATNON OF COMPLIANCE WITH CODE OF FEDERAL � FOR OFFICE USE ONLY LA I I RF.G ATIONS PART 51 OF TITLE 40 AND AQMID RULF I 1 1403 FFAM7T EXPIRED I I SURMIITTFD ASBESTOS NOTIFICATION TO PEAMIT CANCFLCFD .. � _.._ � py _..........- _....__.......r....._______......._..... IJCPA FERNii EXTENDED I ❑.WD FEAJWT FINAL _ O (p �� dl?X�.j _ MASaFSIOj NOI IHCAItON I5 NOl APPLICABLE TO CERTIFlC11Tf OF PROPOSED DEMOI ITION OCCUPANCY VSSUED SICNATDRF