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Home My WebLink AboutF2023-0529 - Permits�EWPO,gT, City of Newport Beach iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii II COMB Pirmit : F21023-0529 C� �� Community Development Department- Building Division F 2 0 2 3 0 5 2 9 i D 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023.26 2 3 Permit Counter Phone: (949) 718-1888 Issued Date : 10/26/2023 newportbeachca.gov/civic Final Date: Combination Type- 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 : 5000 BIRCH ST (EAST TOWER), UNIT 405 Legal Desc : P BK 181 PG 13 PAR 5 Description: COMM FIRE ALARM SYSTEM WITH 4 DEVICES (XC2023-0250) Owner: JOHN HANCOCK LIFE INSURANCE COMPANY USA Address : 865 S FIGUEROA ST STE3320 LOS ANGELES, CA 90017 Phone: (949)757-0397 Applicant: FIRE SAFETY FIRST Address : 1170 E FRUIT ST SANTA ANA, CA 92701 Phone : (714) 836-4800 x137 Owner/Builder : Address : Phone Contractor: FIRE SAFETY FIRST Address : 1170 E FRUIT ST SANTA ANA, CA 92701 Phone : (714) 836-4800 x137 Con State Lie : 599761 Lie Expire : 08/31/2024 Bus Lie : BT00009906 Bus Lie Expire : 06/30/2024 Workers' Compensation Insurance Carrier: BERKSHIRE HATHAWAY HOMESTATE INS CO Policy No: BRWC331969 W. C. Expire : 11/1/2023 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : B No of Units : 1 Bldg Height : No of Stories : Building Setbacks Flood Zone : X Use Zone : PROCESSED BY: &Z+' SPECIAL CONDITIONS: Architect Address Phone : State Lie Engineer: Address Phone: Designer: FIRE SAFETY FIRST Address : 1170 E FRUIT ST SANTA ANA, CA 92701 Phone : (714) 836-4800 x137 Construction Valuation : $1,000.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLt.RAT'ON I hereby afflnn under penal(/ c: perjcy'ha- I Pin exempt froin the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Prlfe'iFions C-6de`. Airy wily or cpunty 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred OLA'am ($500). ❑ I, as owner of the property, or my employees with wages aH their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Ccde, The Contractors' State Licant.e _r N 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 inlendeb or bfld(ed for Gale.r tf, however, th= 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 10 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). ❑ 1 am exempt from licensors under the Contractors' Slate 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 legall7 sell a structure that 1 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:/Iwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof ssro In license is in full force and effect. License Class License No Date Contractor Signature - I/VORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR $100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 370G of the Labor Code, for lormance 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 Date me of Agent Phone 0 certify that, in the performance of th work for which t ermit is issued, I shall not employ any person in any manner so as to become subject to the workers compensation laws of California, and agre L if I should become subject tot eke ' c ens lion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date CLARATION REGARDING CONSTRUCTMIll L' ING AG treby affirm under penalty of perjury that there i a c nstructio ending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). lders Name Lenders 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 agree to comply with all applicable city and county, ordi rs nd laws relating to building construction. I authorize representatives of this city or county to en r t a e- led property for inspection purposes. nature of Prooertv Owner or Authorized Alt_�, n Print Prooertv Owner's or Authorized Aoents Name \Cll. � 1 (Hal m &�� DatAV'Zb'2,.r ACTION I DATE BY DECLARATION OFWMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART Bl OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED 13EPA PERMIT EXTENDED QM D PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED CSBESTOS NOTIFICATION IS NOT APPLICABLE TO ASBESTOS PROPOSED DEMOLITION SIGNATURE: