HomeMy WebLinkAboutF2023-0479 - Permits�gwvoRr City of Newport Beach IIIIIII�III�I0IIIIIIIII��IIII�I�VI0�III4I�III7I
'unity
Develop�IIIIII
Comment Department- Building Division
100 Civic Center Drive, u Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888
> ¢ newportbeachca-900 ivic
Combination Type -
k Class - Tenant Improvement
COMB Permit : F2023-0479
Plan Check No: PC2023-2416
Issued Date : 10117/2023
Final Date:
Permit Status: Issued
Inspection Area : FIRE
Wor
ALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST V
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUN
DAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address: 4675 MACARTHUR CT, 1240
Description: COMM FIRE SPRINKLER TI
Owner:
11 COMPANY
Address
100NNOVA ION DRIVE
IRVINE, CA 92617
Phone:
(949)720-2000
Applicant:
MARK YAM
Address :
Y CT
ECAA92867
ORANGE
Phone:
(626)757-2320
owner/Builder:
Address :
Phone:
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone:
Use Zone :
PROCESSED BY:
Legal Desc
: P BK 196 PG 40 PAR 3
8 HEADS (XC2023-0395)
Contractor
: FIRE PROT SPECIALISTS
Address :
ALOMA AVE
ANAHE MIR
CA 92806
Phone:
(714)635-6500
Con State Lic : 46491/2024
Lic Expire
Bus Lic:
ST30042894
Bus Lic Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: COMPWEST INS CO
Policy No: WCV5502952
W. C. Expire: 12/2/2023
2022 Fire Sprinklers : YES
Fire Hazard Zone : NO
I -A No of Units : 0
B No of Stories: 16
X
PC - Koll Center
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer:
Address
I Phone:
Designer: FIRE PROT SPECIALISTS
Address: ANAHE MIRCA 92806VE
Phone : (714) 635-6500
Construction Valuation : $2,000.00
Added/New/Ti sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 00
TOTAL sq. ft.
f hecaby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the oheGkmark(s) I have placed next to the applicable item(s)
(Section 703.1.5. Business and Professions Code, Any city or county that requires a parmp to cons(
ruc4 alter. improve demolish, or repair any structure, prior to its issuance, also requires the permits file a signed he or he That ho or she is licensed pursuant to the provisions Of ilia Gontractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) u that he ll rs (i5 exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit Subjects the applccant t to civil pplenaky of
not more than five hundred dollars ($500).
I, as Owner of the property, or my employees with wages as their sole compensation, will do L.) all of or
BIISIneS3 and PrnfP,R51DnS Code; The GOnffaCtbrS' State LICenSP. Law does not apply loan Owner of
Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one yeaportionsomp ei completion, he Owner Builder will have the burden of offered rovin sthatale tSedion 7044,
property who, through employees' or personal effort, builds or improves the property, provided that the
improved for the purpose of sale).
it was not
bui
or
ElI, as owner of [fie property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law doesllnot
apply io 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 licensure under the Contractors' State License Law for the following reason:
By my signature below➢ acknowledge that, except for my personal residence in which I must have r¢sldod for at least one year prior to cornplefionof that
SSignature P t I have built as an ow ------------------_�,._�., nor builder if it has not been constructod in !Is entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business an
o a structure the mprovamants covered by this permit, I cannot legally
ignature O Code., is available upon request when this application is submitted or at the following Web site:hitp:liwww.leginfo.ca.govlcalaW.html,
g . of rdperty Owner or Authorized Agent _ d
LICENSED CONTRACTOR'S DECLARATION _ __ ___
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7Q00 of D' ision 3 of the Business and Profe Date -
.and effect License Class
WORKERS" COMPENSATION DECLARATION License No Date ��ssitbb��s Cod d y lei//lose is In luJagre
Contractor Signature �A w �""
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOREQ THOUSAND DOLLARS (E100,000), 1N AOOPI
COST OE COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LASOR CODE, INTEREST, AND ATTORNEY'S FEES.
IrI�httereby affirm under penalty of perjury one of the following declarations[
of I have end will maintain a certificate Pe of consent lO olic No. for workers' romponsati00, issued by the Director of Industrial Relations as provided tot by Section 3700 of the Labor CodTHE
ar r have
a of the work for which this permit is issued. Policy No.
I 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' com
nsuranee carrier and Polley number are:
,arrler Policy Number dame of Agent Expiration Date
�I certify that in the performance of the work for hich this permit is issued, I shall not employ Ib an Phone #
gat, if I should become sub to the workers' P Y y Person in any manner so as to become subject to the workers' compensation laws of California, a
ensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply Mth those provisions,
lgnalure of Applicant �/`
IECLARATION REGAR� YNG CON TADt LE.. DING Date—b 2
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. Civil Cod ).
tinder s Name
y my signature below, I Certify to each of the following: Lender's Address
I am the property owner Or authorized Id act On the property owner's behalf.
I have read this application and the information I have provided Is cor
I agree to comply with all applicable city and county ordinances an s1a E vs relating to building construction.
I authorize representatives of this city or county to n,J �he ayov _ide lif' �raparty for inspection purposes.
gnature of Property Owner or Authorized Anpnt ��L. 71A 7` n
DATE RY oEGLARATfON F COMpUANCE VJlik CODE OF FEDERAL owners or Authorized Ac
III RFG[,U ATIONS PART 61 OF TITLE 40 AND AQNID RULE FOR OFFICE USE ONLY
PERMIT EXPIRED 1,103
PERNfrTCANCELLED— '---'�- - i ISJeMIT, FDASRESTOS NOTIFICATION TO
1
LJ oA
P€)WTENTENDED r """-'- .. t..__..77---Tr' _
�rLJ4i2Mn ..._,
PERN)tT FfNAL ..__.. _ _
[ERTIfICATE OF
ASBESTOS NDIIFICANCIN 15 NOl AVpUCABLE TO
OCCUPANCY ISSUED ` '(/j. Gl PROPOSED DEMOLITION
SIGNArutE.