HomeMy WebLinkAboutF2023-0429 - Permits��Ev ok City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2023-0429
Community Development Department- Building Division F 2 0 2 3 0 4 2 9
y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2208
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Permit Counter Phone: 949 718-1888 ( ) Issued Date :12N 4/2023
'_. newportbeachca.gov/civic Final Date:
Combination Type- Permit Status: Issued
Work Class - Tenant Improvement 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, STE 280 Legal Desc : P BK 316 PG 3 PAR 3
Description: COMM FIRE SPRINKLER TI - 4 HEADS (XC2023-0357
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:
Type of Construction
Occupancy Groups
Bldg Height :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
2022
III -A
X
PC - Corporate Plaza West
Alv�
SPECIAL CONDITIONS:
Contractor: FIRE PROT SPECIALISTS
Address : 2810 E MIRALOMA AVE
ANAHEIM, CA 92806
Phone : (714) 635-6500
Con State Lie :
464915
Lie Expire :
10/31/2024
Bus Lie:
BT30042894
Bus Lie Expire :
05/31/2024
Workers' Compensation Insurance
Carrier: COMPWEST INS CO
Policy No: WCV5502952
W. C. Expire: 12/2/2024
Fire Sprinklers :
Fire Hazard Zone
No of Units :
No of Stories
Architect
Address
Phone :
State Lie
Engineer:
Address
Phone
Designer: FIRE PROTECTION SPECIALISTS
Address: 2810 E MIRALOMA AV
ANAHEIM, CA 92806
Phone : (714) 625-6500
YES Construction Valuation : $1,200.00
NO Added/New/Ti sq. ft. Bldg : 0
1 Alteration sq. ft. Bldg :
2 Added/New sq, ft. Garage : 0
TOTAL sq. ft. : 0
I hereby affirm under penalty 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 itemjs)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter. improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for
the permit to file a signed statement that lie or she is liconsad pursuant to theprovisions 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 dollars ($50).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do {_) all of or 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 properly, provided that the
improvements are not intended or offered for sale. It, 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).
111, 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 to an owner f 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 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 forat least one year prior to completion of the Improvements covered by this permit, I cannot legally
sell a structure that I have built as an owner -builder if it has not open constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 ofthe Business and
Professions Code., is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.gov/calaw.titml.
Signature of Property Owner Or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of pery'ury that I am licensed under provisions of Chapter 9 (commencing with Section 70p0 Div! on 3 of the Business and Profes ' Ode an my I is In full force
and effect, License Class License No Date G Y Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tS10(1,000). IN AUDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and rill maii. a cortiloale 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 the
performarl of the work for which this permit is issued. Policy No.
bave and will maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this perm t is issued. My workers` compensation
rance carrier and policy number are:
'ier Policy Number Expiration Date
Te of Agent Phone H
certify that, in the performance of LheXl for which this permit is issued., I shall notemploy any person In any manner so as to become subject to the workers compensation laws of California, and agrel
, if I should becomes ct to tv.el
'' c�n provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. /,�,� , ///
nature of Apo Date _ _ Dataw.rf C�YrT'/�Z
L Are of AYI IS CI+ Cf hlAI2 /+Ak1h AI [ E1Ihlx11^ Af1'CAYI^V / 1
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 Code)
-enders Name Lender's Address
3y 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 ct.
I agree to comply with all applicable city and couti ordinances nd st to ws relating to building construction.
I authorize representatives of this city or county r the y-rb ve-Id d property for inspection purposes.Sf� J
Signature of Property Owner or Authorized A ent. N /� PnN Pro err Owner's Or Authorized A ent's Name L Date
ACTION DATE. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOROFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMf7_EXPIRED. I a__ISU&mf, TEDASBESTOS NOTIFICATION TO
PERMiTFINAL q/� LJASBE5IOS NOTIFICATION 15 NOT APPLICABLE To
CERTIFICATE OF t 1t ti� '(.l' PROPOSED DEMOLITfON
OCCUPANCYISSUEO 1 4 _.. __._ SI('NA NNE: