HomeMy WebLinkAboutF2023-0380 - PermitsEwvoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit:FZOZ3-0380
Q�, e Community Development Department -Building Division F 2 0 2 3 0 3 B 0
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1935
= Permit Counter Phone: (949) 718-1888 Issued Date : 10/02/2023
<+. 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: 4241 MACARTHUR BLVD Legal Desc : P BK 45 PG 23 PAR 2 TR 7770 LOT 4 FOR OF LOT (P M
Description: COMM FIRE SPRINKLER TI, 69 HEADS "NEW LOOK SKIN CENTER" X2022-0761
Owner: 1ST NEWPORT INVESTMENT LLC
Address : 2001 DUBLIN DR
GLENDALE, CA 91206
Phone: (818)662-5005
Applicant:
CENTURY FIRE PROTECTION INC
Address :
8504 DAY ST
SUNLAND, CA 91040
Phone :
(818) 450-7997
Owner/Builder :
Address :
Phone
Contractor:
CENTURY FIRE PROTECTION INC
Address :
8504 DAY ST
SUNLAND, CA 91040
Phone :
(818) 450-7997 ,
Con State Lic
: 896121
Lic Expire :
09/30/2024
Bus Lic :
BT30079786
Bus Lic Expire: 10/31/2024
Workers' Co pgn_sation insurance'
Carrier: ND
Policy No: 9219623
W. C. Expire : 10/11/2023
Code Edition : 2022
Fire Sprinklers : YES
Type of Construction : V-B
Fire Hazard Zone : NO
Occupancy Groups : B
No of Units: 0
Bldg Height :
No of Stories :
Building Setbacks :
Flood Zone: X
Use Zone : PC - Newport Place
PROCESSED BY(
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer:
Address:
Phone
Designer: KLODARIGORIAN
Address: 8504 DAY ST
SUNLAND, CA 91040
Phone:
Construction Valuation : $7,000.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq, ft. : 0
3a,
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 eheckmark(s) I have placed next to the applicable Mends)
(Section 7031.5, Business and Professions Code: Any city or county that requires. a permit to consUucL after, 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).
0 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 offerad for sale. If, however, the building or improvement is said 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 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
11 1 am exempt treat ucensure under the Contractors' State License Law for the following reason. —_ _ _ .._ ,. .----- __,_,_.,,,_w..,_-�.,,_..........,�...,.._...-._.
By my signature below 1 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 agafl)
sell a structure that I have built as an owner-huildor if it has not been Constructed in its entirety by licensed Contractors. I understand that a copy of the applicable law, Soctlon 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:!lwww.leginfo.ca.govtcalaw.htmi.
Stgnature 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 Code, and my license Is In full farce
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
fARNING: FAILURE TO SECURE WORKERSCOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS Na00,00a, rN ADDmCN TO THE
'AST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3748 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm underpenaity of perjury one of the following oeclarstions:
3 1 have and will maintain a certificate of consent to saff-Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for far
erformance of the work for which this permit is issued_ Policy No.
have and will maintain workers' compensation insurance, as req,uhed 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
is of Agent Phone IF
certify that, in the performance of the work for which this permit is issued. I shall not employ any person in any manner sous to become subject to the workers' compensation laws of California, and
, if I should become subject to the workers' oompensation provisions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions.
gnalure of Applicant .,....._.. _ .._...,..__...__._...._.._._...._......._.__..._m_____m_____. .,._,___mat__. Data-„_„_.,�
ECLARATIGN REGARDING CONSTRUCTION LENDING AGENCY
hereby 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).
enders Name ® Lenders Address
y 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.
I agree to comply with 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.
ACTION ( DATE. BY : DECLARATION OF COMPUANCF WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 610E TITLE 40 AND AQMD RULE
PERM1T£XPIRED I I Ut SUBMITTED ASBESTOS NOTIFICATION TO
r'Efti_I
MITEXTENDED I AQM€}
PERMITFINAL � t..0 ASBESTOS NOTIFICATION IS NOT APPCICARUi 10
CERT711C4if OF , PRGPOSEOD€MOURION
OCCUPANCr1SSUED E SIGNATURE: