HomeMy WebLinkAboutF2023-0398 - Permits�EwroRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2023-0398
p`r d Community Development Department- Building Division
F 2 8 2 3 0 3 9 E
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2062
uc H'� = Permit Counter Phone: (949) 718-1888 Issued Date : 10/17/2023
.� newportbeachca.gov/civic
4,FOPN�P Combination Type - Final Date:
Permit Status: Issued
Work Class - Other 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, 500 Legal Desc : P BK 196 PG 40 PAR 3
Description: COMM FIRE SPRINKLER TI WITH 9 HEADS (XC2023-0330)
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 MIRALOMAAV
ANAHEIM, CA 92806
Phone :
(714) 625-6500
Con State Lic
: 464915
Lic Expire:
10/31/2024
Bus Lic :
BT30042894
Bus Lic Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: COMPWEST INS CO
Policy No: WCV5502952
W. C. Expire: 12/2/2023
Code Edition :
2022
Fire Sprinklers :
YES
Type of Construction :
I -A
Fire Hazard Zone :
NO
Occupancy Groups :
B
No of Units :
0
Bldg Height :
No of Stories :
15
Building Setbacks
Flood Zone :
X
Use Zone :
PC - Koll Center
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer
Address
Phone
Designer: FIRE PROTECTION SPECIALISTS
Address: 2810 E MIRALOMA AV
ANAHEIM, CA 92806
Phone: (714)625-6500
Construction Valuation : $1,450.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
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I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable fterri
'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
he 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
'rofessions Code) or that he or she is exempt from lieansum 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
Tot more than five hundred dollars ($50D).
1 1, 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,
3LxineSs 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
mprovements 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 bull or
mproved 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
appiy to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
IInnI am exempt from licensure under the Contractors' State License Law for the following reason: ----
By my signature below t 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 In 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 Code, is available upon request when this application is submitted or at the following Web site:http:/Am .leginfo.ca.gov/calaw.htmi.
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 7000) Di ision 3 o? the Business and Profession and y lie s In full force
and effect. License Class License No D Contractor Signat
WORKERS' 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 THO SANG DOLLARS (6100,000), IN ADDITION TO THE
COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES_
I 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' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for in
pe 0 lance of the work for which this permit is issued. Policy No.
eve 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
carrier and policy number are:
of Agent
certify that, in the performance of the work
Policy Number
Date
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
:, if I should become subjeF�-0-0
work rs' compe s• tiorr provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. A, /
nature of Applicant 1� P OLARATION REGAROTNTRUGTIO ENRING AGENCY
Ireby affirm under panaity 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).
Ider's Name _ Lender's Address
my signature below, I certify to each of the 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 is correc
I agree to comply with all applicable city and county ordinances and s to t ws relating to building construction.
I authorize representatives of this city or county to an r ab Ivf-i nlif d party for inspection purposes.
nature of Property Owner or Authorized Agent 1� T � L,/ Li---Pnni Property Owner's or Authorized Agent's Nam apt%�S�'/t Date
PERMIT EXPIRED
PERMITCANCE!!ED
_................ _.......... _...... . _...........
PERMIT EXTENDED
PER,14.rT FINAL
CERTIFICATE Of
OCCUPANCYISSUED
DATE BY : bECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL I FOR O11ICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
I SUHMIl
IEel
❑ASBESTOS NOTIFICATION IS ND1' AVPLICABLE 10
PROPOSED DEMOLITION
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