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Home My WebLink AboutF2023-0308 - Permits5`o�aE eoRTe' City of Development Beach nt- Building Division F 2 0 2 3 - 0 3 0 8�� COMB Permit : F2023-0308 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1497 ut t=6 Permit Counter Phone: (949) 718-1888 Issued Date : 06/21/2023 newportbeachca.gov/civic Inspection Area: FIRE "��ciFo aNw�} 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 00 (Cut.'%C-� Job Address : 4321 BIRCH ST egal Desc : N TR 5169 BLK LOT 5 - - Description: FIRE SPRINKLER TI (1ST FLR) "KIND BODY" (A2022-1677) 53 HEADS - /5'aa-ao a Owner: 4321 BIRCH PARTNERS LTD Contractor: TOP LINE FIRE PROTRCTION INC Architect Address : 668 N COAST HWY #1370 Address : 13844 ALTON PKWY #133 Address LAGUNA BEACH, CA 92651 IRVINE, CA 92618 Phone : Phone : (949) 299-7949 Phone Con State Lic : 944213 State Lic Lic Expire : 09/30/2024 Applicant : TOP LINE FIRE PROTRCTION INC Bus Lic : BT30081354 Engineer Address : 13844 ALTON PKWY #133 Bus Lic Expire : 04/30/2024 Address IRVINE, CA 92618 Phone: (949) 299-7949 Workers' Compensation Insurance Phone: Carrier: PALOMAR SPECIALTY INSURANCE COMPANY Owner/Builder : Policy No : PSIC1110803 Designer: TOP LINE FIRE PROTRCT:ON INC Address : W. C. Expire: 4/1/2024 Address : 13844 ALTON PKWY #133 IRVINE, CA 92618 Phone : Phone : (949) 299-7949 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $10,000.00 Type of Construction : V-B 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 : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : CA - Office --Airport PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION 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 applicableitem(s) (Section 7031.6, 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 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 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).. ❑ 1, as owner of the property, or my employees with Wages as their sole compensation, will do (_) all of of i_) 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 improvedfor thepurpose 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 1a ,ply 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 Lave). I 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 bythis 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 Code., is available upon request when this application is submitted or at the following Web site;http:flwww.leginto.ca.govlcaiaw.titmi, Signature of Property Owner or Authorized Agent - __ Date LICENSED-ONTRACTOR'S DECLARATION [[[ I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Be Up�QO}_ f " ision3 of the Business a IS 10! Cgde, and my nse is to full force and _,ffect, License mass License No F9afe`Ob 1.. Contractor Sign ure WORKERS' COMPENSATION DECLARATION WJ.RNINd: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (9100,000), IN ADDITION TO THE C05 f OF COMPENCATID'd, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. �I;itereov affirm u ider penalty of perjury one of the following declarations: u i have and. r.,11; reintam 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 tht performance of the WORK for which this permit is issued. Policy No, va 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' compensatior lnsrradca carrier and prlicy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit is issuad. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,. and agre� I, if hoecome subject to the workers' compensation provisions of Section 3700 of the Labor Code. Ishall forthwith comply with those provisions. nal f Applicant _, - _ Da Z- ( OLARATION REGARDING 40�LENDISG AGENCY Ireby affirm under penalty of perjury that there is a construction landing agency for the performance of the work for which this permit Is issued (Section 3097 Clvll Cade), 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 correct. I ogres to comply with allcable city and county ordinances and state taws relating to building construction. I authorize representatives "a city or county to enter the above -Identified property for Inspection purposes. l (fL E _-L ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED DEPA P€RMiT EXrEMDfD QMD PCRMI7 FINAL o2 fG a- 7--� IUGtL i.J ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: