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Home My WebLink AboutF2023-0431 - Permits�gWi=oRr City of Newport Beach oa e Community Development Department- Building Division Fy 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportheachca.gov/civic Combination Type - Work Class - Tenant Improvement IIIIIIIIIIilllllllllllllllllllllllllllllil�llllllllllllll �� Plan OMB Pk F2023-0431 Permit: issued Date : 11/1512023 Final Date: _ Permit Status: Issued 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 : 1200 NEWPORT CENTER DR, 260 Legal Desc : P BK 316 PG 3 PAR 3 Description: COMM FIRE SPRINKLER TI - 2 HEADS (XC2023-0358) Owner: IRVINE COMPANY Address : 110 INNOVATION DRIVE IRVINE, CA 92617 Phone: (949)720-2000 Applicant: HOLLY GRAVES Address: 18600 MACARTHUR BLVD, 100 IRVINE, CA 92612 Phone: (949)697-9401 Owner/Builder : Address : Phone : Code Edition : 2022 Type of Construction : III -A Occupancy Groups: B Bldg Height: Building Setbacks : Flood Zone: X Use Zone: PC - Corporate Plaza West PROCESSED BY: SPECIAL CONDITIONS: Contractor: FIRE PROTECTION SPECIALISTS Address : 2810 E MIRALOMA AV ANAHEIM, CA 92806 Phone: (714)625-6500 Con State Lie : 464915 Lie Expire : 10/31/2024 Bus Lie: BT30042894 Bus Lie Expire : 05/3112024 Workers' Compensation Insurance Carrier: COMPWEST INS CO Policy NO: WCV5502952 W. C. Expire : 12/2/2023 Architect Address Phone : State Lie: Engineer: Address: Phone Designer: FIRE PROTECTION SPECIALISTS Address: 2810 E MIRALOMA AV ANAHEIM, CA 92806 Phone : (714) 625-6500 Fire Sprinklers : YES Construction Valuation : Added/New/TI sq. ft. Bldg Fire Hazard Zone : NO Alteration sq. ft. Bldg No of Units : 1 Added/New sq. ft. Garage No of Stories : TOTAL sq. it. : $1,100.00 0 0 0 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 applicable Item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, poor 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 fora permitsubjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 I, as owner of the property, or my employees with wages as their sale Compensation, Will do U all of or U 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 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 a 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 Law), LI 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 pear to completion of lha improvements covered by this permit, LCamtol legallt sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. f 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 sitethtipa/www,leginfo.ca.,gov/oalaw.html, Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION Date I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of !Sion 3 of the Business and Prof i ,dj-Code.,ga d m ce is in full force and effect. License Class License No Date i1 < Contractor Signature d .f- NORKERS' 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 bOLLARS f$J00S007, rN ADDITION TO THE'. :DST OF CCMPENSATION, 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: a 1 have and will maintaina certificate or 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 this 2pnmance of the work for which this permit is issued. Policy No. _. 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' rance carrier and policy number are' of Agent certify that, in the performance of the if I should become supifat-k the wo Policy Number Dale 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 stien provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /> Signature of Applicant-_,.,,_f�i (/ T LIEN �L,�_ Date `f / pBCLARATION REGA ING CONSTRUCTIC LENpING AGENCY --- //f_....�� I hereby affirm under p at of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3697, Civil Code).. lender's Name Lentler's Address By my signature 6efow, I certify to each of the following: _ I am the property owner or authorized to acton the property owner's behalf. I have read this application and the information i have provided is correct. I agree It comp'y with all applicable city and county ordinencas ands laws relating to building construction. I authorize representatives of this city or county t above= en' B property for inspection purposes. ucature of Pro ody owner or Aulhodzad Agent 6-- Print Props -tOwner's or Authcrized A ent's Name /J �J'�3 �,� Date �— ACTION GATE RV j DECLARATION OF COMPLIANCE WITH CODEOFFEDERAL FOR OFFICE USE ONLY � REGULATIONS PART bI OF TITLE. 40 AND AQMp RULE 1403 PePMIT EXFrAEd UISUBMITTFD ASBESTOS NOTI FICATION TO N I L_€ASBESIOSNOTIFICAIION IS NOTAPPLICAaLE TO OCCUPANCY ANCY OF ( Q L (I I PROPOSED DEMOLITION ISSLS_ff _. SIGNATURE:.