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Home My WebLink AboutF2022-0607 - Permits��.iaoRr City of Newport Beach - 6+ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 644-3288 u ems/ Inspection Requests Phone: (949) 644-3255 cqG/Fp0.��P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement F 2 0 2 2 0 6 0 7� II COMB Permit : F2022-0607 Plan Check No : PC2022-2993 Issued Date : 03/07/2023 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: 4695 MACARTHUR CT, 8TH FL \ C 0 Y Legal Desc : P BK 196 PG 40 PAR 2 Description : COMM FIRE SPRINKLER TI - 6 HEADS (XC2022-2086) Owner: TRIO COMMUNITY ASSOCIATION Contractor: FIRE PROTECTION SPECIALISTS Address: 4695 MACARTHUR CT Address : 2810 E MIRALOMA AV NEWPORT BEACH, CA 92660 ANAHEIM, CA 92806 Phone: Phone: (714)625-6500 Con State Lie: 464915 Lie Expire : 10/31/2024 Applicant: MARK YAM Address : 392 N LEMAY CT ORANGE, CA 92867 Phone: (626)757-2320 Owner/Builder : Address : Phone Code Edition: 2019 Type of Construction : I -A Occupancy Groups: Bldg Height : Building Setbacks : Flood Zone : X Use Zone : PC - Koll Center PROCESSED BY: 1, % SPECIAL CONDITIONS: Bus Lie: BT30042894 Bus Lie Expire : 05/30/2023 Workers' Compensation Insurance Carrier: COMPWEST INS CO Policy No: WCV5502952 W. C. Expire : 12/2/2023 Fire Sprinklers : YES Fire Hazard Zone : NO No of Units : 1 No of Stories : 15 Architect Address Phone : State Lie Engineer: Address: Phone Designer: FIRE PROTECTION SPECIALISTS Address: 2810 E MIRALOMA AV ANAHEIM, CA 92806 Phone: (714)625-6500 Construction Valuation : $1,300.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg: Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 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 checkrnark(s) I have placed next to the applicable ftem(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, poor to its issuance, also requires the applicant for Te 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 wagesas their sole compensation, will do (_). all of or L) portions of the work, and the structure is not Intended or offered for sale (Section 7044, Iusiness 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 aprovemants are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Suildor will have the burden of proving that it was not built or mprovod for the purpose of sale)- 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 net 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), 3 1 am exempt from licensure under the Contractors' State License Law for the following reason: ty 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 oil 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://",w.leginfo.ca.gov/calaw.iitml. tignature of Property Owner or Authorized Agent Date AGENSEO CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 D' 'sion 3of the Business and Profe I pde, a d y I' •e is In full force ,nd effect. License Class License Do 7 Z3 Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARMING: FAILURE TO SECURE WORKERS• COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000),IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEE$, hereby affirm under penalty of perjury one of the following declarations: 21 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 UP Qrmance of the work for which this permit is issued. Policy No. ql Mave 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' Compensator nsu nee, carrier and policy number are: It Policy Number Expiration Date ,Jame of Agent Phone # =1 certify that. in the performance of the work fopqiolb 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 hat, if I should become s life the workers' o arts• ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.%%� 3lgnature of Applicanf ._..-.=..� 7-a®._-_.............__._..._.�. 3ECLARATION 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, Ivil Code). -tinder s Name - Lenders Address 3y my signature below, I oeriffy to each of the following: �m 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 or ' ances and to aws relating to building construction. I authorize representatives of this city or county toe e e above- anti e oparty for inspection purposes. Signature of Property Owner or Authorized A e Print Property Owner's or Authorized Agent's Nan a I% Data 3 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 _ PERMIT EXPIRED 1 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED CPA PERMIT EXTENDED ry�ry OM0 PERiVHT FINAL LI A5BESTO$ NOTIFICATION 15 NOT APPLICABLE TO CERTfrIrATEOF PROPOSED DEMOLITION OCCUPANCY ISSUED .SIGNATURE: _