HomeMy WebLinkAboutF2024-0238 - Permits�, WpcR, City of Newport Beach IIIII II IIIIIIII IIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : F2O24-0238
11 Community Development Department- Building Division F 2 0 2 4 0 2 3 8
'r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0956
Permit Counter Phone: (949) 718-1888 Issued Date : 05/16/2024
u newportbeachca.gov/civic Final Date:
ccoaN�P Combination Type - Permit Status: Issued
Work Class - Tenant Improvement Inspection Area : 7
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: 450 NEWPORT CENTER DR ST& 6.50 Legal Desc : P BK 61 PG 10 PAR 1
Description: COMM FIRE SPRINKLER SYSTEM 1 HEAD (XC2024-0109)
Owner: IRVINE COMPANY
Contractor: FIRE PROTECTION SPECIALISTS
Address : 110 INNOVATION DRIVE
Address : 2810 E MIRALOMA AVE
IRVINE, CA 92617
ANAHEIM, CA 92806
Phone: (949)720-2000
Phone: (714)635-6500
Applicant: FIRE PROTECTION SPECIALISTS
Address: 2810 E MIRALOMA AVE
ANAHEIM, CA 92806
Phone: (714)635-6500
Owner/Builder :
Address :
Phone
Con State Lie :
464915
Lie Expire :
10/31/2024
Bus Lie:
BT30042894
Bus Lie Expire :
05/31/2024
Workers' Compensation Insurance
Carrier: COMPWEST INS CO
Policy No: WCV5502952
W. C. Expire : 12/2/2024
Code Edition : 2022
Fire Sprinklers :
Type of Construction :
Fire Hazard Zone
Occupancy Groups :
No of Units:
Bldg Height:
No of Stories
Building Setbacks
Flood Zone: X
Use Zone: PC - North Newport Center
PROCESSED BY
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lie
Engineer:
Address:
Phone
Designer: FIRE PROTECTION SPECIALISTS
Address: 2810 E MIRALOMA AVE
ANAHEIM, CA 92806
Phone: (714)635-6500
NO Construction Valuation :
$1,050.00
NO Added/New/Ti sq. ft. Bldg :
0
0 Alteration sq. ft. Bldg :
0
1 Add/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 items)
;Section 7031.6, Business and Professions Code: Any city or county that requires a Pei to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the appItuant for
.he 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
Orofessions 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 ($501
1, 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 70",
3usiness 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
mprovements 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
mprovod for the purpose of sale).
1, 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
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).
❑ I am exempt from licensure under the 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 one year prior to completion of the improvements covered by this permit I cannot legail,
sell a structure that 1 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable 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:lt. w.leginto.ca.govfcalaw.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 Sectio 7400) f Oi rate" 3 01
the Business and Prof ion ode, a ny lice" e'fs in full force
and effect. License Class License No Dat H Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING; PAILU RE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ]TOE OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of in following declarations:
El I h ve and wilt riIT 'm a cerlifl�cate 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 th
pe mance Df 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' Compensatiol
sur a carrier and policy number are:
Policy Number
of Agent
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' ompensaticn laws of California, and agre
:, if I should become I\act to�the�woorrkyers���r psahon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions,
nature of Applicant 11 \ / //I Dat L1
CLARATION REGADING C6fv�STR.11-�®C.'CI�N LENDING AG CY i
neby 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 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.
1 have read this application and the information 1 have provided is correct.
I agree to comply with all applicable city and o my ordinances and state taws relating to building construction.
I authorize representatives of this city or courio enter the a�-identifieq4jlrcperty for inspection purposes.
ACTION I DATE I BYY ✓6fCLARAYPON OF COMPLIANCE WITH CODE OF FEDERAL ( FOR OFFICE USE ONLY
I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED I SJ' SLBMITTF'1 ASPESTOS NGI hCATICNTO
PERMIT CANCELLED _ .�'��(EFA
PERMIT EXTENDED -r—r
PERMIT FINAL �'( l VUS .F L�ASBESTOS NOTIFICATION iS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYISSUEA _ 5I6NATJRC: