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Home My WebLink AboutF2023-0558 - PermitsrEwPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2023-0558 Community Development Department- Building Division F 2 0 2 3 0 5 5 8 > 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2775 j ? Permit Counter Phone: (949) 718-1888 Issued Date : 11/15/2023 newportbeachca.gov/civic Final Date: IFIRN 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, 7TH FLOOR Legal Desc : P BK 181 PG 13 PAR 5 Description: COMM FIRE ALARM SYSTEM (19) DEVICES (XC2023-0281) Owner : JOHN HANCOCK LIFE INSURANCE COMPANY Contractor: FIRE SAFETY FIRST USA Address : 865 S FIGUEROA ST STE3320 Address : 1170 E FRUIT ST LOS ANGELES, CA 90017 SANTA ANA, CA 92701 Phone : (949) 757-0397 Phone: (714) 836-4800 x137 Con State Lic : 599761 Lic Expire : 08/31/2024 Applicant : FIRE SAFETY FIRST Bus Lic: BT00009906 Address : 1170 E FRUIT ST Bus Lic Expire : 06/30/2024 SANTA ANA, CA 92701 Phone: (714) 836-4800 x137 Workers' Compensation Insurance Carrier: REPUBLIC INDEMNITY COMPANY OF AMERICA Owner/Builder : Policy No: 2569801 Address : W. C. Expire: 11/1/2024 Phone: 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 : PC - Koll Center PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: Address Phone: Designer: FIRE SAFETY FIRST Address : 1170 E FRUIT ST SANTA ANA, CA 92701 Phone : (714) 836-4800 A 37 Construction Valuation : $13,150.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION 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 item(s) 3eclion 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 ie 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 'rofessions 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 of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with Wages as their sole compensation, Will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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 nprovements 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 nproved 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 pply 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 licensure under the Contractors' State License Law for the following reason: ly 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 legally ell a structure that I 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 Irofesslons Code, Is available upon request when this application is submitted or at the following Web site:http:Uwww.leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S -DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) of Division 3 of the Business and Prof ss' nd y li nse is in full force nd effect. License Class License No Date x I `1 2 3 Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 ($ .000), IN ADDITION TO THE DST 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 3700 of the Labor Code, for 'ormance 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' compensa uance carrier and policy number are: rier Policy Number Expiration Date ne of Agent Phone # certify that, in the performance the ork r h 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 at if I should become subject t p,.w ers' o ensation provisions of Section 3700 of the Labor Coda, I shall forthwith comply with those provisions. iature of APPlical�t \0 Dale, 1 S^ Z :reby affirm under penalty of perjury that there% a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Ider's 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 countyncep anc{tsstaj� laws relating to building construction. I authorize representatives of this city or coup to nter a ova tied property for inspection purposes. y n ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE I BY DECLARATION REGULATIONS Print ILIANCE WITH CODE OF FEDEI OF TITLE 40 AND AQMD RULE Z IS IZN r �' UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO �/- PROPOSED DEMOLITION SIGNATURE: Owner's or Authorized Ao I FOR OFFICE USE ONLY Civil Code). _a�NA AL —Zb n.tY I I