HomeMy WebLinkAboutF2023-0478 - Permits(�i3UN's,c.
PORCity of Newport BeachI��I��ImCommundyDevelopmentDpartment-BCuAd926 DOivisiony100 Civic Center Drive,Newport Beach,?Permit Counter Phone: (949) 718-1888
newportbeachca.9ov/civic
ac+�Combination Type -
k CI ss - Tenant Improvement
COMB Permit: F2023-0478
Plan Check No : PC2023-2416
Issued Date : 10/16/2023
Final Date:
Permit Status: Issued
Inspection Area : FIRE
Wor a
PERMITS EXPIRE 180 DAYS AFTER IS OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON 5ATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address
Description :
4675 MACARTHUR CT, 1240
Legal Desc
COMM FIRE ALARM TI WITH 3 DEVICES. (XC2023-D395)
owner:
IRVINE COMPANY
Address :
110, IN OA TI 7DRIVE
IRVINPhone:
(949)720-2000
Applicant:
MARK YAM
Address:
MAY CT
ORANGE CA2867
Phone:
(626)757-2320
owner/Builder:
Address :
P BK 196 PG 40 PAR 3
CO INC
S MPSON DE IIDTE
Contractor:
AONST
17177
Address
IRVINE, CA 92614
Phone :
(949) 250-1348
Can State Lie
: 381149
Lie Expire :
03/31/2025
Bus Lie:
BT00006013
Bus Lie Expire : 06/30/2024
Workers' Compensation Insurance
Carrier: CYPRESS INSURANCE COMPANY
Policy No: DAWC426822
W. C. Expire: 5/1/2024
Phone:
Fire Sprinklers : YES
Code Edition:
2022
Fire Hazard Zone : NO
Type of Construction :
I -A
No of Units : 0
Occupancy Groups :
B
No of Stories : 16
Bldg Height :
Building Setbacks
Flood Zone :
X
PC - Koil Center
Use Zone :
�
PROCESSED BY:
-- -
SPECIAL CONDITIONS:
Architect
Address:
Phone :
State Lie:
Engineer
Address
Phone :
Designer- BUILDING ELECTRONIC CONTROLS
Address GLENDORA, CA 91740
Phone : (909) 305-1600
Construction Valuation : $2,540.00
Added/New/TI sq. ft. Bldg : 0
I Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 00
TOTAL sq. ft.
I hereby arllrm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason($) indicated below by the checkrnark(s) I have placed next to the applicable '
(Section it to O ausiness and Professions he Cade: Any city ar county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Is issuance also P o Dewitt s (Itoe signed hestatementrhethat he exempt
she is licensed pursuant to the provisions of the Contractors' State License La ty (Chapter 9 (commencing with Section 70DOy of Division Sot the Businessc
Professions Code,) or that he ll She i5 exempt from Or
and the basis for the alleged exemption. Any violation Of Section 7031.b er any applicant g it permit subjects the Division
3 o to oivipl ttplicant y of
not more than five hundred dollars ($SOD}.and
appl
pena
❑ I, as owner of the property, Or my employees with wages as their sole compensation, will do L) all of or
Business and Professions Coda: Ths Contractors' State License Law does not apply to an owner of Property who, through employees' or ITS effort, builds or improves the r
Improvements are not Intended or offered for sale,. If, however, the building orimprmvemenl is sold within one year Of completion, omps of lretion,r he Owner -Builder will have the burden of provik, and the structure is not intended or offered ono property,
not thection at (h
Improvements
for the purpose of sale). p operty, provided that the
or
❑ I, as owner of the property, ant 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).
I am exempt from konsure under the Contractors' State License Law for the follrnmng reason:
SO my signature below I acknowledge that, except fort h personal residence in which I must have resided for at least one year prior to Completion of the improvements
SON a signature
that I have built lean ow _ __ nor -builder if it has not hGen constructed in its 011hroty by licensed contractors. I undorsland that a co
Professions Code., is available upon request when this application is submitted or at the foIlDWing iNe6 site:hflpaiwww.leginfo.ca.gov/calaw.htmt covered 6y this permit, I cannot legally
Signature of Property Owner or Authorized Agent __ PY of the applicable law, Suction 7044 of the ausiness and
LICENSED CONTRACTOR'S DECLARATION'�—`"'��--""'—""-----------
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 pry Date
and effect. License Class ) 3 of the Business and Pr
WORKERS' COMPENSATION DECLARATION License No Date / i7 / (¢ s C a, and Contractor S.ignatumy license Is in full force
ce WARNING! FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN ATTORNEYS
TO CRT PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THOUSAND DOLLARS isnoosirs, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS RROvi0E0 Fear IN SECTION Sipe OF THE LABOR CODE, INTEREST, AND pTTORNEVS ' FEES,
I hereby affirm under penalty of perjury one of the following declarations:
t have and wet maintain a cerhficale of consent e .O self -insure for Workers' compensation, Issued by the Director of Industrial Relations as provided For by Section 3700 of the Labor Code, for th
Pis r have a d the work for which tiff te. or is issued Policy No.
I ve and will pl n y number are: workers' compensation insurance, as su ice carrier andnd policy required by Section 3700 of the Labor Code, for the Performance of the work for Which this permit is issued. My workers' comper do
Carrier
Name of Agent Policy Number
Expiration Date
�I certify that, in he performance of the Work for which this permit i5 issued, I Shall not employ an Phone #
that, if I should become sub'e to the v rkers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
P y y parson m any manner so as to become subject to the workers' compensation laws of California, and agre
Siynaiure of App6ca
DECLARATION REA'RDING CONSTR TION—G AGENCY _�._,_,__�__,�__�`._��..4 X • _ �U lC— Z—
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097�, �Civie).
L ender'$ Name
By my signature below, I certify to each of iha fallowing Lender's Address
I am uhe property owner or authorized to act orl the property owner's behalf, i have read this application and the information I have provided is correct.
I agree to comply with all app6cebte arty and county ordinances and state taws relating to building construction.
I authorize representatives of this city or count the �t
re of FUDGE � Owner or Aulhorzed A ant �( Jov Identified property for inspection purposes.
>ignatu
ACTION DATE Print Pra erty Owner's or Authorized Agent's Name.v r'� l.L��,f,�,Si RY DECtnRAT40 OF COMPLIANCE WITH CObf.OF FEDERAL Dal l�/%
I FOR OFFICE USE ONLY E - HFOUlArIONS PART aI OFTITLE 40 AND AQNID RULE
REKNIT EXPIRED I- 1403
. I I SiIRMITTFn
PER,bIIT FINAL .............. �Y numu
(CERTIFICATE Of
I LJ ASBESTOS Not FICAfION 15 NOf APPLICAeLE'TO
q12�tJCC1/PANCY'!.S$l1EA I jo PROPOSFD bEMOLITRON