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Home My WebLink AboutF2024-0292 - Permits,�waoRr City of Newport Beach II��I��III�IIIII��I�I��I��I��I II �� @4 Community Development Department- Building Division F 2 0 2 4 0 2 9 z COMB Permit : F2U24-U292 r �t 100 Civic Cer".er Dive, Newport Beach, OA 92660 Plan Check No : PC2024-1126 U y. Permit Cnunter Phone: (9-9) 716-188n Issued Date a newportbeachca.god/chic C9[/FOM1N`P Final Date: Combination Type - Work Class - Tenant Improvement Permit Status: Applied P Inspection Area :FIRE PERM) fS E.{P-RE 180 DA f3 AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCT ION 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, 280 Legal Desc : P BK 295 PG 33 PAR 1 PARCEL MAP 295-33 PAR 1 POR 0 Description: COMM FIRE SPRINKLER SYSTEM (20) HEADS **XC2024-0151** Owner: 620 NCD LLC Address : PO BOX 2450 NEWPORT BEACH, CA 92658 Phone Applicant: FIRE PROTECTION SPECIALISTS Address: 2810 E MIRALOMA AVE ANAHEIM, CA 92806 Phone: (714)635-6500 Owner/Builder : Address : Phone Contractor: FIRE PROTECTION SPECIALISTS Address : 2810 E MIRALOMA AVE ANAHEIM, CA 92806 Phone: (714)635-6500 Con State Lie : 464915 Lie Expire : 10/31/2024 Bus Lie: BT30042894 Bus Lie Expire : 05/31/2025 Workers' Compensation Insurance Carrier: COMPWEST INS CO Policy No: WCV5502952 W. C. Expire : 12/2/2024 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : I -A Fire Hazard Zone : NO Occupancy Groups : B No of Units : 1 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 Lie Engineer Address Phone Designer: FIRE PROTECTION SPECIALISTS Address: 2810 E MIRALOMAAVE ANAHEIM, CA 92806 Phone: (714)635-6500 Construction Valuation : $2,000.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 0 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 checknl/:rk)sI , hsve-olaced nexlto ide 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 struLtme, pLcr tL its issLance, also requires the applicant for 1e permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencirg with Section 7000) of 9ivis'on 3 of the Business and Tofessions 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). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 70", iusiness and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who, through employees' or personal efort, bLilds or in,pruveJ 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-Builve,'vill have the tu•der-of prow ng the t it was not built or nproved 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 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' State License Law for the following reason: ly 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 legally 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govicelaw.htmi. lignature of Property Owner or Authorized Agent _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7 ) of ' ' n of the Business and Profes b de, d y I' en is in full force end effect. License Class License No Date Contractor Signatu VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVR FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100.000). IN AUDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 1 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 th dance of the work for which this permit is issued. Policy No. ha a 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 insurXnce carrier and policy number are: Hier Policy Number Expiration Date Name of Agent Phone If ❑I certify that, in the performance of the work for - h 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 agr Ihat, if I should become u ct to the workers' c Parise on provisions Of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date/Z DECLARATION REGARDING ONSTRU TION LENDING AGENCY I 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). Lenders Name Lenders Address ._ By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. agree to comply with all applicable city and county ordinances and laws relating to building construction. I authorize representatives of this city or county t an r e ab Ve dent roperty for inspection purposes. [Signature of Pro Owner or Authorized Agent Print Properly Owner's or Authorized Agent's Name e - ACTION DATE BY I bECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY j REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITEXTENDED UAQMD PERMITFINAL I LJ ASBESTOS NOTIFICATION IS NOT APPUCABLE TO CERTIFICATEOF (+� I1(r I S4 % PROPOSED DEMOLITION OCCUPANCYISSUED 1111 (JL SIGNATURE: