HomeMy WebLinkAboutF2024-0051 - Permits�EWaoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2024-0051
04 Community Development Department- Building Division - F 2- 0 2 4 - 0. 0 5 1
�. 100 Civic Center Drive, Newport Beach, CA 92660 - Plan Check No : PC2024-0197
Permit Counter Counter Phone:(949) 718-1888
Issued Date : 01/3012024
<x. 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 : 1177 NEWPORT CENTER DR Legal Desc : P BK.221 PG 30 PAR 7, P BK 221 PG 30 PAR 8 P.M. 221-30 PAR 8 FOR OF PAR
Description: COMM TI FIRE SPRINKLERS (15 HEADS)'XC2023-0274* "BARRY'S GYM
Owner: IRVINE COMPANY
Address : 110 INNOVATION DRIVE
IRVINE, CA 92617
Phone : (949) 720-2000
Applicant: D C FIRE PROTECTION
Address : 14772 HARPER ST
MIDWAY CITY, CA 92655
Phone: (714)309-0144
Owner/Builder :
Address :
Phone:
Contractor:
D C FIRE PROTECTION
Address :
14772 HARPER ST
MIDWAY CITY, CA 92655
Phone:
(714)309-0144
Con State Lic
: 584285
Lic Expire :
01/31/2026
Bus Lic:
BT30046894
Bus Lic Expire : 04130/2024
Workers' Compensation Insurance
Carrier: NATIONAL LIABILITY AND FIRE INSURANCE
COMPANY
Policy No : N9WC340866
W. C. Expire : 6/7/2024
Architect
Address
Phone:
State Lid
Engineer
Address
Phone
Designer:
D C FIRE PROTECTION
Address :
14772 HARPER ST
MIDWAY CITY, CA 92655
Phone:
(714)309-0144
Code Edition : 2022
Fire Sprinklers : YES
Construction Valuation :
$3,200.00
Type of Construction : III-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups : A3
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:
I hereby al Iirm under penally 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 tha applicable items)
(Section 7051.5. 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
fro permit to file a signod statement that he or she is 9iconsod pursuant to tho provisions of ilia Contractors' Stela 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 Ilcensure 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 flee hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) allof or( ) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
Business and Professlons Code The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or Improves the property, provided that the
improvements are not intended or offered for sale. 11, however, the building or improvement Is sold within one yearof completlon, tine Owner -Builder will have the burden of proving that itwas not built or
Ir-m.�roved for the purpose of sale).
L..I I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 71 Business and Professions Code: The Contractors' Stale License Law does not
Ia-�plply 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),
L..A I am exempt from Ilcensure under ilia 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 for at least oneyear prior to completion of the improvements covered by this ,permit, I cannot legally
sell a structure that 1 have built as an owner•bullder 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 requestwhen this application is submitted or at the following Web situ:http://www.legknfo.ca,gov;calaw. html.
Signature of Property Owner or Authorized Agent _ _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions , a y license is in full (once
sand affect. License Class License No Date j �Vle N Contractor Signature / m
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES A140 CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (y100,000), fN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SE071ON 3706 OF THE LABOR COCE;, INTEREST, AND ATTORNEY'S FEES,
I 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 Inoushta4 Relations as provided fol Section 3700 of the Labor Code, for the
performance 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`
ranee carrier and policy number are:
Policy Number
Date
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 agree
If I should become subject to th r✓orkers' corpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant_ Date
hereby affirm under malty of perjury that there 1s a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
ender's Name Lender's Address _
y my signature below, II certify to each of Ilia Following:
I am the property owner or authorized to act, on the property owner's behalf.
I have reap+ ihis eppliral on and the Intarmation I have provided is correct,.
I a]roe to cowply, with all applicable oily and county ordinenoes and state Taws rotating to building construction.
I authorize eores.mtatives of this city or county to enter t above -identified property for inspection purposes.
laailure of Property Owner or Authorized Aoent �— Print Prooertv Owner's or Authorized ADenfs Name /,I,
DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
i REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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ASBESTOS NOTIFICATION IS NOT APPUCABIE TO
„1FICA7E OF
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CC7UPANCY,55J,0
I SIGNATURE: