HomeMy WebLinkAboutF2023-0391 - Permits�EWPORT City of Newport Beach COMB Permit: F2023-0391
Community Development Department- Building Division F 2 9 2 3 0 3 9 1
F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2031
Permit Counter Phone: (949) 718-1888 Issued Date : 10/17/2023
c •' P newportbeachca.gov/civic Final Date:
gc�FoaN` 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: 4675 MACARTHUR CT, 550 Legal Desc : P BK 196 PG 40 PAR 3
Description: COMM FIRE SPRINKLER TI - 30 HEADS (XC2023-0319) SV_(.
Owner: IRVINE COMPANY
Address: 110 INNOVATION DRIVE
IRVINE, CA 92617
Phone:
(949)720-2000
Applicant:
MARK YAM
Address :
392 N N LEMAY CT
ORANGE, CA 92867
Phone:
(626)757-2320
Owner/Builder:
Address :
Phone
Contractor:
FIRE PROTECTION SPECIALISTS
Address :
2810 E MIRALOMA AV
ANAHEIM, CA 92806
Phone:
(714)625-6500
Con State Lic
: 464915
Lic Expire :
10/31/2024
Bus Lic :
BT30042894
Bus Lic Expire: 0513112024
Workers' Compensation Insurance
Carrier: COMPWEST INS CO
Policy No: WCV5502952
W. C. Expire: 12/2/2023
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone
Designer: FIRE PROTECTION SPECIALISTS
Address: 2810 E MIRALOMAAV
ANAHEIM, CA 92806
Phone: (714)625-6500
Code Edition :
2022
Fire Sprinklers :
YES
Construction Valuation :
$3,000.00
Type of Construction :
I -A
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 :
16
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
0
Building Setbacks
Flood Zone :
X
Use Zone :
PC -
Koll Center
PROCESSED BY:
SPECIAL CONDITIONS:
VYVIN CtC-ovlLucrc uc... e-r�.rv�i.v,w
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 checkrnark(s) I have placednext 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' 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 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
not more than five hundred dollars ($500).
El 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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).
❑ 1, 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' Stale License Law).
❑ 1 am exempt from licensure 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 legally
sell a structure that I have built as an owner -builder if 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 Cade., is available upon request when this application is submitted or at the following Web site:http:llwww.leginto.ca.govlcalaw.htmL
Signature of Property Owner or Authorized Agent._..._.__�.�_.�.._�._..___.�...._ ___.___.�—..�.—__Date _ _
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 Div' ion 3 of the Business and Profess' s de, a d y 1€ ens i In full force
and effect License Class License No Date 2-4Contractor Signature
�IWORKERS' COMPENSATION DECLARATION
(WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,0001. {N ADDITION TO THE
'COST OF COMPENSATION, DAMAGES AS PROVIDED FORM SECTION 3700 OF THE LABOR CODE. INTEREST, AND ATTORNErS FEES.
II hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ih
perf 9 rmance 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' compensatiol
ins, once carrier and policy number are: %
of Agent
certify that, in the performance of the
. If I should become 5ul;ll to the wo
of
Policy Number
this ,permit is Issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and
at€on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
1 _ Date_
VL 11--I..,_vim+
Ireby affirm under. ena€ty 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).
Idler's Name Lenders Address
my signature below, I certify to each of Tile 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 have provided' correct.
I agree to comply with all applicable city and county or
s a. state laws relating to building construction.
I authorize representatives of this city or count outer t abov -1 tifled property for inspection purposes. �,2 /yam"� ]i
,,,___.. ......,„a n__, h :./f 1. lfi Print PmDertv Owner's or Authorized ADenl's Name 1Qo6 N_6f�
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
_......_....... _.____.__.
P@RNttT FfNAI
CERTIFICATE OF
OCCUPANCY ISSUED
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE
NOTIFICATION TO
tru' i LJASBE5105 NOT (HCAI ION 15 NOT'APPLICABLE TO
PROPOSED DEMOLITION
_IGN�4L,RE._