HomeMy WebLinkAboutF2024-0077 - PermitsD��EWPORT City of Newport Beach
p Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
C Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
C'9G/F00.N`P Combination Type -
Work Class -Tenant Improvement
iiiiiiiiiii II COMB Permit: F2024-0077
Plan Check No : PC2024-0298
Issued Date : 02/1312024
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: 221 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR
Description : COMM FIRE SPRINKLER TI (14 HEADS) "VINCE" **XC2023-0447**
Owner: IRVINE COMPANY
Contractor: D C FIRE PROTECTION
Architect
Address : 110 INNOVATION DRIVE
Address : 14772 HARPER ST
Address
IRVINE, CA 92617
MIDWAY CITY, CA 92655
,
Phone : (949) 720-2000
Phone : (714) 309-0144
Phone
Con State Lie : 584285
State Lie
Lie Expire : 01/31/2026
Applicant: D C FIRE PROTECTION
Bus Lie : BT30046894
Engineer
Address : 14772 HARPER ST
Bus Lie Expire : 04/30/2024
Address
MIDWAY CITY, CA 92655
,
Phone: (714) 309-0144
Workers' Compensation Insurance
Phone:
Carrier: NATIONAL LIABILITY AND FIRE INSURANCE
CO
Owner/Builder:
Policy No: N9WC340866
Designer: D C FIRE PROTECTION
Address :
W. C. Expire: 6/7/2024
Address : 14772 HARPER ST
MIDWAY CITY, CA 9265t' '
Phone:
Phone: (714)309-0144
Code Edition :
Fire Sprinklers : YES
Construction Valuation : $4,200.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/NeW/TI sq. ft. Bldg : 0
Occupancy Groups : M
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
Building Setbacks
Flood Zone : X
Use Zone : PC - North Newport Center
PROCESSED BY�
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION'
I hereby affirm under penally of perjury that I am exempt from the ContractorsState License Law for the reasons) indicated below, by the checkmark(s) I have placed next to the applicable items)
(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 he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division Satins 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 ($500),
❑ I, as owner of the property., or my employees with wages as their sole compensation, will do L) all of or L) portions of the work. and the structure is not intendedor offered for sale (Section 7044,
Business and Professions Code: The Contractors' Slate 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 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 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' Slate License Law for fire following reason: -_ ____.____,_.__._,__.__..._v.__.._._ ___...__._.._.__._....._.._
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 legali±
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:/lvtww.leginfo.ca.govlcalaw.htm).
Signature of Property Owner or Authorized Agent Date _
LICENSED CONTRACTOR'S DECLARATION
I hereby affimr under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio of Division 3 of the Business an m essio�, an y license is in full force
and effect. License Class License No DO
Contractor Sl na. a
WORKERS' COMPENSATION DECLARATION
FAILURE TO SdGLRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE FRiNDRED THOUSAND DOLLARS ($t DD,0001, IN ADDITION TO THE
'.OMPENSAi IJN, DA31AGES AS PROVIDED FOR IN SECTION 3TD6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
nelebv affirm under penalty of perjury one of the following declarations:
I hove and .I.1 r?c.i tain a certificate of consent to self-{nsure for workers' compensation, issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for
brrance of the work for which this permit is issued. Policy No.
and wail maintain workers' compensationinsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier and policy number are:
ter
is of Agent
Policy Number Expiration Date
"34certi+y that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
rat. I. , should becnl ie,$dbjecl to the at$' compe ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions,
signature of Applic e-------
IECLARATIONR CA ���AGENCY�
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
ly my signature below,. I certify to each of the fallowing:
I am the property owner or authorized to act on the propertyowners behalf. e
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 state laws relating to building construction.
authorize representatives of this city or courtly tofenl�i}bovppdentifled property for inspection purposes.
ACTION
DATE
BY/ DEC6ARAMN OF COMPLIANCE WITH CODE. OF FEDERAL
FOR OFFICE USE ONLY u
RFC5LH ATIONS PART 61 OF TITLE. 40 AND AQMD RULE
J 1
1403
PERMIT EXPIRED
'.I SUBMITTED ASBFSTOS NOTIFICAPON TO
PFRMITCAACELLFD
❑EPA
PERMIT EXTENDER
i..... ❑AQMD...
PERMIT FINAL
j
rLYL(S 1 0 ASBESTOS NOI IFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
ROPO EDFDEMOLITION
PROPOSED
OCCUPANCY ISSUED