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Home My WebLink AboutF2024-0375 - Permits�PoRr City of Newport Beach d Community Development Department- Building Division F p 8 p q 0 3 7 1111 5 II COMB Permit: F2024-0375 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-1297 u S Permit Counter Phone: (949) 718-1888 Issued Date : 08/15/2024 a.newportbeachca.gov/civic Final Date: cq4 coaN�P Combination Type - ,�.. Permit Status: Issued Work Class - Other ��' � C is 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 : 500 NEWPORT CENTER DR Legal Desc : P SK 387 PG 41 PAR 2 Description: COMM R/R (E) UG FIRE SUPPLY LINE DUE TO LEAKAGE. Owner: 500/550 NEWPORT CENTER DRIVE LLC Address : P.O. Box 2450 NEWPORT BEACH, CA 92658 Phone: (949)453-2330 Applicant: TEAMWORK FIRE PROTECTION Address : 4533 MACARTHUR BLVD #5170 NEWPORT BEACH CA9266, CA Phone: (714)309-2869 Owner/Builder : Address : Phone Contractor: TEAMWORK FIRE PROTECTION Address : 4533 MACARTHUR BLVD #5170 NEWPORT BEACH CA9266, CA Phone: (714)309-2869 Con State Lic : 954763 Lic Expire : 11/30/2024 Bus Lic: BT30060048 Bus Lic Expire : 07/30/2025 Workers' Compensation Insurance Carrier: CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No: CWC01345101 W. C. Expire : 12/6/2024 Architect Address Phone: State Lic: Engineer Address Phone: Designer: TEAMWORK FIRE PROTECTION Address: 4533 MACARTHUR BLVD #5170 NEWPORT BEACH CA9266, CA Phone: (714)309-2869 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $1,000.00 Type of Construction : Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : 0 Bldg Height: No of Stories : 0 Add/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 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 item(s) 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 ie 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 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purpose of sale). 1 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 pply 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). 7 I am exempt from licensure under the Contractors' Slate License Law for the following reason: Iy 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 legalll ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Avww.leginfo.ca.govlcalaw.html. ;ignalure of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of DivisiW n . f e Business and Profession hand my a is in full force nd effect. License Class License No Date ^/ `^ ^ Contractor Signature �� VORKERS' COMPENSATION DECLARATION FARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 4$100.0001, IN ADDrTION TO THE DST 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: I have 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 ormance 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' compensa Rance carrier and policy number are: Policy Number Expiration Date of Agent Phone # certify that, in the performance if I should become subject to I lature of Applicant / for which this pentIssued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomla, and compensatio ovisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. zaDate ZTt )reby affirm under penaltyof perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Ider'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 zpp'"cation and the information I have provided is correct. I agree to comfl^' Mh all applicable city and county ord' — rid slate I elating to building construction, : �iut)orize relimsertalives of this city or county to a above -id I - property for inspection purposes. Signature of Property owner or Authorized Age A, TIUN I DATE I BY EXPIRED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED I I I LJAQMD PERMIT FNAL 1 G ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF i $ It4IZ /d ll PROPOSED DEMOLITION BCCUPAgCY ISSUEn I W SIGNATURE: FOR OFFICE USE ONLY rPU, Civil Code).