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HomeMy WebLinkAboutF2022-0358 - Permits�EWPoRr City of Newport Beach II III I II I II I II IIII I I I I COMB Permit: FZU2Z-0358 II p� b Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1753 S Permit Counter Phone: (949) 644-3288 Combination Type: a�. Cqt/p�0.H�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections gy�P'4 ¢^�, R�,T,-.— 1 � S aP R 5 3 work Class: New Issued Date �" � Inspection Area ;,7' fj a,C 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: 1071 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 •00 • FOR OF PAR AND POR PA R 1 OF P.M. • M6•'_: Description: COMM FIRE SPRINKLER TI: ADD (4) HEADS (X2021-0913) "ATHLETA' • •' ° `„ • • Owner: IRVINE COMPANY LLC THE :" Contractor: D C FIRE PROTECTION 5,. Architect: ;°°°°° " •°' J Address : PO BOX 2450 NEWPORT BEACH, CA 92658 - Address ; 14772 HARPER ST MIDWAY CITY, CA Address : 92655. °• '�' Phone: Phone: (714)309-0144 Phone: Con State Lie: 584285 State Lie Applicant: D C FIRE PROTECTION Lie Expire : 01/31/2024 • •• Address : 14772 HARPER ST MIDWAY CITY, CA 92655 Bus Lie: BT30046894 Engineer : ° • ;'"°"= Phone: (714)309-0144 Bus Lie :Expire :04/30/2023 : Address: Workers' Compensation Insurance • •• : Phone: - Carrier i' Policy No : EXEMPT Designer: D C FIRE PROTECTION W. C. Expire: - Address : 14772 HARPER ST MIDWAY CITY, CA 92655 Phone: (714)309-0144 Code Edition : 2019 Fire Sprinklers : Yes Construction Valuation : $1,500.00 Type of Construction : III-B : Fire Hazard Zone : ""Y Occupancy Groups : -Al No of Units : 0 '. Added/New sq. ft. Bldg : 0 Bldg Height : No of Stories : J;1 Added/New sq. ft. Garage: 0 Building Setbacks Flood Zone: X. Use Zone: PC - North Newport Center " Processed By: 0-5 Public Works Approval: Zoning Approval: Plan Check By: Grading Approval: Approval To Issue: SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that t 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 items) (Section 703T.6, 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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stato 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 licensors 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). 111, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 -Builder will have the burden of proving that it was not built or Ira roved for the purpose of sate). 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 improves thereon, and who, contracts for the projects with a. licensed Contractor pursuant to the Contractors' State License Law). { I am eyWt` rn licensure under the Contractors' State License Law for the following reason: B Amy signdM 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'. • • * ee4 a struature4** 1 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 Professior'l�Ade, is available upon request when this application is submitted or at the following Web site:http-.11 w .leginfo.ca.govicalaw.html. • • Signature of Property Owner or Authorized Agent ® Date • 1EICENSED CONTRACTOR'S DECLARATION • Thereby aVJr2 VEEi&r penalty of perjury that I am licensed under provisions of Chapter9 (commencing with Section 7000) of Division 3 or the Business and Professions C de, an my license is in full force • qM effect. License Class License No Date ! ZZ Contractor Signature s ... ORKEQS CO14PENSATIONDECLARATION' • • KING: FAIGURES"O SECURE wORKERB' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRUNAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E300,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION OEOE OFTHE LABOR CODE. INTEREST. AND'ATTORNEY'$ FEES. o `: M4-by affian ugor penalty of perjury one of the following declarations: Q I have and wilF 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 in `• peitformancc of tpq work for which this permit is issued. Policy No. •. • �• 1 have an+wifl.maintatn workers' Compensation insurance, as required by Section 3700 of the Leber Coda, for the performance of the work for which this permit is Issued. My workers' compensatiol insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # 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 agre that, if I should become subject to the workers' compensation provisions of Section 37OG of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work forwhich this permit is issued (Section 3097, Civil Code), enders Name Lendefs Address y my signature below, I certify to each of the following: 1 am the property owner or authorized to act on the property owner's behalf. I have read this application and the information 1 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 eountysp LnteLl Pe abcD*-idegGfied property for inspection purposes. - DATE REGULATIONS PART bt.OF TITLE 40 ANDAOMD RULE FOR OFFICE. USE ONLY PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMITCANCELLEO EPA PERMIT EXTENDED "QMD be in place prior to approval to flit poolllspa & shall remain 1n place & be maintained for the hie of the pool. PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTiFIG4TE OF OCCUPANCY ISSUED PROPOSED OEMOLiTI SIGNATURE: