HomeMy WebLinkAboutF2022-0578 - Permits�EWRT
City of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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I nspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
F 2 0 2 2 0 5 7 8II COMB Permit : F2022-0578
Plan Check No: PC2022-2816
Issued Date : 11 iq J2-6 Z'L
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 : 1017 NEWPORT CENTER DR
Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 POR OF PAR AND POR PA R 1 OF P.M.
Description: COMM FIRE SPRINKLER TI - 9 HEADS (X2022-1793)
Owner: IRVINE CO
Contractor : D C FIRE PROTECTION
Architect :
Address : 111 INNOVATION
Address 14772 HARPER ST
Address
IRVINE, CA 92618
MIDWAY CITY, CA 92655 :-
Phone : (949) 608-9659-
Phone: ` (714)',309-0144
Phone
Con State Lie : 584285
State Lie
Lie Expire : ' 01/31/2024
Applicant: D C FIRE PROTECTION
Bus Lich BT30046894 ^.
Engineer:
Address : 14772 HARPER ST
Bus Lie Expire : 04/30/2023
Address
's
MIDWAY CITY, CA 92655
Phone: (714) 309-0144
Workers` Compensation insurance
Phone: a y \ 4
Carrier.:.
Owner/Builder:
Policy No: EXEMPT
Designer: D C FIRE PROTECTION
Address:
W. C. Expire:Address
: 14772 HARPER ST
MIDWAY CITY, CA 92655
Phone:
Phone: (714)309-0144
Code Edition : 2019
Fire Sprinklers : - YES
Construction Valuation : $10,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups :
No of Units: 0
-` Alteration sq. ft. Bldg
Bldg Height:
No of Stories e 1 -
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
:
Building Setbacks
Flood Zone.: X
Use Zone `. PC - North Newport Center
PROCESSED BY:
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SPECIAL CONDITIONS:
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as owner of the property, or my employees with wages as their sole compensation will do U all of or {_j portions of the work, and the structure is not intended or offered for sale (Section 7044-,
less 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
wements 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
,oved for the: purposeof sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project(Secfon 7044, Business and: Professions Code: The.Gontractors' State License Lawdoes not.
yto an owner of property who builds or improves thereon, and who contracts for the projectswitha licensed Contractor pursuant to the Contractors' State License Law),
I am exempt from licensure under the -Contractors' State License Law for the following reason;
affirm under penalty of perjury that:I am`Hcent
ct. License Class
°R5' COMPENSATION DECLARATION
or at
$HALL SUBJECT. AN EMPLOYER TO CRIMINAL PENALTIES AND Civil KNES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000); IN ADDITION TO THE
OE, INTEREST.ANO ATTORNErS FEES..
hereby affirm under penally of perjury one of the following declarations:
31 have and will maintain aCertificate of consent to salt -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
erformance of :the work for which this permit is issued.. Policy No.
31 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' commensal
isurance carrier: and policy number are:
Palley Number.
Date
rtify that„ in the performance of the work for
w
rphich 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 agree
I should become subject t the! enset ion provisions of Section 3700 of the Labor Code I shalt forthwith comply with those provisions.
nature of Applicant /%' Date u/I
CLARATION REGfiRAING CONSTRUCTIO E�/�GENCY.
!Peby 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, Ciyil. Code);
ides s Name. Lender's Address
my. signature. below, I car* 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 i ma inrmmnly with all anrilinable eity and county'ordinances and state lawsrelation to buildino construction.
CERTIRCATE.OF
DATE B
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ss
To
FOR, OFFICE: USE ONLY
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