HomeMy WebLinkAboutF2024-0281 - PermitsW ok City of Newport Beach II II I I IIII I II II II IIII III III II II COMB Permit: F2024-0281
01 �Community Development Department - Building Division F 2 0 2 q 0 2 8 1
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-1091
n Permit Counter Phone: (949) 718-1888 Issued Date : 06/13/2024
v s
newport6eachca.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 : 620 NEWPORT CENTER DR, 250
Description : COMM FIRE SPRINKLER SYSTEM 1 HEAD
Owner: IRVINE CO
Address : 111 INNOVATION
IRVINE, CA 92618
Phone: (949)720-2156
Applicant:
FIRE PROTECTION SPECIALISTS
Address:
2810 E MIRALOMA AV
ANAHEIM, CA 92806
Phone:
(714)625-6500
Owner/Builder
Address :
Phone
Legal Desc : P BK 295 PG 33 PAR 1 PARCEL MAP 295-33 PAR 1 FOR O
Contractor:
FIRE PROTECTION SPECIALISTS
Address :
2810 E MIRALOMA AV
ANAHEIM, CA 92806
Phone:
(714)625-6500
Con State Lic
: 464915
Lic Expire :
10/31/2024
Bus Lic :
BT30042894
Bus Lic Expire
: 05/31/2025
Workers' Compensation Insurance
Carrier: COMPWEST INSURANCE CO
Policy No : WCP10007456802
W. C. Expire : 12/2/2024
Code Edition : 2022
Fire Sprinklers :
YES
Type of Construction :
Fire Hazard Zone :
NO
Occupancy Groups :
No of Units :
0
Bldg Height:
No of Stories :
1
Building Setbacks :
Flood Zone : X
Use Zone : PC - North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone
State Lic
Engineer:
Address
Phone:
Designer: FIRE PROTECTION SPECIALISTS
Address: 2810 E MIRALOMA AV
ANAHEIM, CA 92806
Phone: (714)625-6500
Construction Valuation : $1,050.00
Added/NewlTl sq. ft. Bldg : 0
Alteration sq. ft. Bldg : 0
Add/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
DECLARATION
I hereby affirm under penally 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 item(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a pennit 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 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 (_) all of or U 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 -Builder will have the burden of proving that It was not built or
improved 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
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' Stale 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 legall)
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:itwww.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 0 of ivis n 3 of the Business and Prof sbFe de, n my he n Is in full force
and effect. License Class License No Dat /� Contractor Signature CC
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED VUSAND DOLLARS 4$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
hereby affirm under penalty of perjury one of the following declarations:
and will maintain a certificate 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
ice of the work for which this permit is issued. Policy No.
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' compensa
carrier and policy number are:
Policy Number
of Agent
Date
I certify that, in the performance of the work w ich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and
L If I should become object worrkk/e/ comp n ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant \N`XNS J Da
CLARATION REGA DIN NSTR C DING AGENCY
areby 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, C it Code).
ides s Name Lender's 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.
agree to comply with all applicable city and coylifty ordinances and tat aws elating to building construction.
1 authorize representatives of this city or coun ante he ova-i a tried o rty for inspection purposes,
nature of Property Owner or Authorized Agent C �P6ml Prooertv Owner's or Authorized Agent s Name;'/tN
AJ
ACTION I DATE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
V
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE
1403
iUBMITTFD ASBESTOS NOTIFICATION TO
UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNAWPE:
FOR OFFICE USE ONLY