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Home My WebLink AboutF2023-0394 - PermitsaEWPpRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2023-0394 1' A Community Development Department- Building Division F 2 0 2 3 0 3 9 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2044 Permit Counter Phone (949) 718-1888 Issued Date : 09127/2023 U T newportbeachca.gov/civic Final Date: Combination Type - yp Permit Status: Issued Work Class - New 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: 4695 MACARTHUR CT, 9TH FLOOR Legal Desc : P BK 196 PG 40 PAR 2 Description: COMM FIRE ALARM SYSTEM 10 DEVICES (XC2023-0321) Owner: IRVINE COMPANY Address: 110 INNOVATION DRIVE IRVINE, CA 92617 Phone: (949)720-2000 Applicant: MARK YAM Address : 392 N LEMAY CT ORANGE, CA 92867 Phone: (626)757-2320 '. Owner/Builder : Address : Phone: Contractor: SIMPSON DAVID CONST CO INC Address : 17177 GILLETTE AVE #A IRVINE, CA 92614 Phone : (949) 250-1348 Con State Lic : 381149 Lic Expire : 03/31/2025 Bus Lic: BT00006013 Bus Lic Expire : 06/30/2024 Workers' Compensation Insurance Carrier: CYPRESS INSURANCE COMPANY Policy No : DAWC426822 W. C. Expire : 5/1/2024 Architect Address Phone: State Lic: Engineer: Address : Phone Designer: BUILDING ELECTRONIC CONTROLS Address: 2246 LINDSAY WAY GLENDORA, CA 91740 Phone : (909) 305-1600 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $53,887.00 Type of Construction : Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 15 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - Koll Center PROCESSED BY: M SPECIAL CONDITIONS: ", r 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 itemts) 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 is permit to file a signed statement that lie 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 licensors 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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lushness 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 her 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 oproved 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 poly to an owner of properly 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 front leenxure 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 all 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 'rofessions Code, is available upon request when this application is submitted prat the following INeb site:hitp:liwww.legiofo.ca.gov/calow.html. ,ignature 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 7000) ofp,i sio 3 of the Business and P.., ions God , a, p nd my license is In full force nd effect. License Class License No Date 7 Z Contractor Signature �Ce(�----- VORKERS' COMPENSATION DECLARATION 1 'ARNING: FAIW RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,000). IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS PEES. hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of Conseil tD self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for nfence of the work for which [his permit is issued. Policy No. have and will maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Trance carver and policy number are: Policy Number Expiration Date of Agent Phone # certify that, in the performance 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 workers' compensation laws of California, and egret if I should became subject to the wor ers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. t�Iure of Applicant —gy p,,� !reby 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). Ider's Name Leaders 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 county ordinances and slate jaws relating to building construction. I authorize representatives of this city or cc in ter th ove•identified property for inspection purposes. / nature of Proaerty Dwnar-orAulhonzed ADan! �� Pint PmnAMCYwnnr's nr RllthorNRN AnenYs. Noma ru fv`LL/rLJ-ecSZ DATE BY DECLARATIONFOF COMPLIANCE W174 CODE OF FEDERAL FOR OFFICE USE ONLY RFGULAI"IONS PART 61 OF TITLE. 40 AND AONID RUIF. PERMIT EXPIRED l l_I I SUIMITTED ASBESTOS NOTIFICATION TO _ PERMIT CANCELLED LP/ PERMIT EXTENDED LJA(t ,I D ....._. _....____ _i__, _ ... ____. i-..._... ......1 .__....... ... PCRNHT FINAL aF�-j I� j1kVLjeC 5, U ASBESTOS NOI I FICA110N 15 NOTAPPLICABLE TO CERTIFICATE OF �€ PROPOSED DEMOLITION OCCUPANCYISSUED t RI.N9'1JRE: