The URL can be used to link to this page

Home My WebLink AboutF2024-0206 - Permitsc,FWr'o,r, City of Newport Beach IIIIIIIII IIIIIIIIIII III ��III ��IIIII�I�II��I�� II COMB Permit F2U24-U2U6 I p Community Development Department- Building Division F 2 0 2 4 0 2 0 6 > y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0863 Permit Counter Phone: (949) 718-1888 Issued Date : 05116/2024 newportbeachca.gov/civic Final Date: <,rop, 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, 4000 Legal Desc : P BK 181 PG 13 PAR 5 Description: COMM FIRE SPRINKLER SYSTEM 4 HEADS (XC2024-0129) Owner: JOHN HANCOCK LIFE INSURANCE COMPANY Contractor: FIRE SAFETY FIRST Architect: USA Address : 865 S FIGUEROA ST STE3320 Address: 1170 E FRUIT ST Address LOS ANGELES, CA 90017 SANTA ANA, CA 92701 Phone : (949) 757-0397 Phone: (714) 836-4800 x137 Phone: Con State Lie : 599761 State Lie Lie Expire: 08/31/2024 Applicant: FIRE SAFETY FIRST Bus Lie: BT00009906 Engineer: Address : 1170 E FRUIT ST Bus Lie Expire : 06/30/2024 Address SANTA ANA, CA 92701 Phone: (714) 836-4800 x137 Workers' Compensation Insurance Phone: Carrier: REPUBLIC INDEMNITY COMPANY OF AMERICA Owner/Builder : Policy No: 2569801 Designer: FIRE SAFETY FIRST Address : W. C. Expire: 11/1/2024 Address : 1170 E FRUIT ST SANTA ANA, CA 92701 Phone: Phone: (714) 836-4800 x137 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $2,650.00 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 : 0 Bldg Height: No of Stories : 1 Add/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone: X Use Zone : PC - Koll Center PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affinn under penalty of perjurythat I am exempt from the Contractors' State License Law Tor the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business end 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 3 of the Business and Professions Code) or that he or she is exempt from llcensure and the basis for the alleged exemption_ Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended 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 -But der will have the burden of proving that it was not built or improved for the purpose of sale). ri 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). El I am exempt from llcensure 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 legal) 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://Www.leginfo.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 7 0) of Division 3 of the Business and Professions Code,/�n my censeis In full force and effect. License Class License No Dated_ Contractor Signature'6 v sal �'�=,/b. WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFINES UP TO ONE HUNDRED THOUSAT40 DOLLARS IS100,000), IN ADDITION TO THE COST OF COMPENSATION: nAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a cerlificale 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, forth( performance of the work for which this permit is issued. Policy No. �I 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' compensatio dnsurance carrier and policy number are: .Carrier Policy Number Expiration Date Name of Agent Phone # I 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 afire that, if I should become subject to the Workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant s. ,Yl lz Date _ 3 �� DECLARATION REGARDING N87RUCTION LENDIN A ENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance ofthe work for which this permit is issued (Section 3097, Civil Code). Lendei s Name Lender's Address By 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 Ls correct. I agree to comply will) all applicable city and county ordinances and state laws relating to building. construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's cr Authorized Agent's Name / „ La Dat `' ACTION GATE iBY DECLARATIONOF COMPLIANCE WIT14 CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE ---r14�.03 PERMiTEXPNED k i L,I SUBMI17EDA56ESTOS NOTIFICATION TO PER11 IT CAIIVCELL& EPA PERMIT FXTENOED r IaQM6 _ PC ITFINAL 7J IASBESTOS NOTIFICARTON IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITLON OCCUPANCY ISSUED SeGNATURE: