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Home My WebLink AboutF2023-0566 - PermitsD� Rr City of Newport Beach COMB Permit: F2023-0566 F 2 0 2 3 0 5 6 Community Development Department- Building Division 6 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2811 Permit Counter Phone: (949) 718-1688 Issued Date : 1112012023 <s.newportbeachca.gov/civic Final Date: c9</Fb P��P 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: 5000 BIRCH ST, 7TH FLOOR Legal Desc : P BK 181 PG 13 PAR 5 Description: COMM TI FIRE SPRINKLERS `XC2023-0281' 7 HEADS Owner: JOHN HANCOCK LIFE INSURANCE COMPANY Contractor: ALL PRO FIRE PROTECTION INC USA Address : 865 S FIGUEROA ST STE3320 Address : 179 ROYMAR RD LOS ANGELES, CA 90017 OCEANSIDE, CA 92058 Phone: (949)757-0397 Phone: (951)244-9836 Con State Lie : 629993 Lie Expire : 12/31/2025 Applicant : ALL PRO FIRE PROTECTION INC Bus Lie : BT30029935 Address : 179 ROYMAR RD Bus Lie Expire : 08/31/2024 OCEANSIDE, CA 92058 Phone: (951) 244-9836 Workers' Compensation Insurance Carrier: OAK RIVER INSURANCE COMPANY Owner/Builder : Policy No: 345573 Address : W. C. Expire : 3/1/2024 Phone Code Edition : 2022 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : No of Units : 0 Bldg Height: No of Stories : Building Setbacks : Flood Zone : X Use Zone : PC - Koll Center PROCESSED BY: \ rn �_� —�KN SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: Address : Phone Designer: ALL PRO FIRE PROTECJ;ONJNC Address : 179 ROYMAR RD OCEANSIDE, CA 92058 Phone: (951)244-9836 Construction Valuation : $2,3oo.nn 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' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ftem(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, al(ef. improve, demolish, or repair any structure, prior 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 Be 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 ($500). C1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure Is notintended 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). M i, as owner of the properly, 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 of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 0 I am exempt from licensure under the Contractors' State License Law for the fallowing reason: By 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 sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginto.cg,gov/calaw.html, Signature of Property Owner or Authorized Agent ... _... Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjuryU�at I am licensed under provisions of Chapter. g. (commencing with 5 Lido 7000 of Division 3 of the Bu Ines and Professions Code, and. my license is In fu 1 force. and effect. License Class cal o License No �. L�j 1 J� I date /y 7- s -ZJ Cantrac r gnature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIM1FINAL PENALTIES AND CIVIL FINE& UP TO ON HUNORE0 THOUS.A) DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. II hereby affirm under penalty of perjury one of the following declarations: El I have and will maintain a certificate of consent to self -insure for workers' compensation. Issued by the Director or Industrial Relations as provided for by Section 3700 of the Labor Code, for lh� lkerfG mane of the work for which this permit is issued. Policy No. will main -gin 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' ter'Ind policy number are! Policy Number Jama o' Agent Date A certify that. in the pdrformance of the work for which this permit Is Issued, I shall not employ any person in any manner so as to become subject to the rF raL, it I should lb Apme supiect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. q nit ure of AFPlir.ah(1_,,,__._ __ `;_1RATION IjPmf�F2DING RUCTitlN LENDING AGENCY' hr'r9hv affirm under p alfy of er)ury that there Is a construction lending agency for the performance of the work for which this permit is issued'. (Section 3097 e��der'; Name Lender's Address iy my signature. below I certify to each of the following: I aIa the properly owner or authorized to act on the property owner's behalf. I have rear, +hie Ppplication and the information I have provided Is correct. I agree to comply with all applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or/pdunty to enter t above -identified pry-perty for inspection purposes. 1 tinnafore of PrmnAr4v Owner or AuthorizadJ4Dent �/ Print Property Owner's or Authorized AgBnvs' ie DATE 4 (/ R6ULATIONS PARTARAT[ON OF 05t 0 TNTLE 40 AND AQfv1D RULE CEWiTH CODE OF AL FOR OFFICE USE ONLY PERMIT EXPIRED I f LJ I SDRGATTFD ASBESTOS NOTIFICATION TO PERMiTFINAL '� � rrLf1As L' U ASBESTOS NOI IFICATIO'N IS NOTAPPLICABLE TO CERTfFICATE Of PROPOSED DEMOLITION OCCUPANCY ISSUED ' SIGNATURES, compensation laws of California, and jL-Z°_Z3 Code). J66-1-j-L- D.1r~z,.