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Home My WebLink AboutF2022-0596 - PermitsCity of Newport Beach ��EWPORT Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 -- ? Permit Counter Phone: (949) 644-3288 e. Inspection Requests Phone: (949) 644-3255 C4C/F00.N�P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement iiiiiiiiiCOMB Permit : F2022-0596 Plan Check No : PC2022-2921 Issued Date : 11/21/2022 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 A/jPc S rv�tL�Is� t r)F, vlz�Ft� Job Address : 191 RIVERSIDE AVE Legal Desc : N TR 919 ELK LOT F TR 919 LOT F FOR OF LOT Description: COMM -INSTALL HOOD/DUCT FIRE SUPPRESSION SYSTEM (X2022-1082) Owner: MARINERS CENTER M2 LLC Contractor: V FIRE SYSTEMS CORP Architect Address : 660 NEWPORT CENTER DR STE200 Address : P 0 BOX 13278 Address NEWPORT BEACH, CA 92660 SAN BERNARDINO, CA 92423 Phone: Applicant: V FIRE SYSTEMS CORP Address : P 0 BOX 13278 SAN BERNARDINO, CA 92423 Phone : (909) 947-5055 Owner/Builder : Address: Phone Phone: (909)947-5055 Con State Lic : 779913 Lic Expire : 06/30/2024 Bus Lic: BT02031803 Bus Lic Expire : 02/28/2023 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No: WSD6033410 W. C. Expire : 4/1/2023 Phone: State Lic Engineer: Address : Phone: Designer: V FIRE SYSTEMS CORP Address : P O BOX 13278 SAN BERNARDINO, CA 92423 Phone: (909)947-5055 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $1,300 00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups : A-2� No of Units : 1 Alteration sq. ft. Bldg: Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 - TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : MU-MM - Mixed -Use Mariners' Mile • ° ,,,,, ° PROCESSED BY: SPECIAL CONDITIONS: INSS PLC, 1 � iR OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the chsckmark(s) I have placed next to the 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 structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant le the provisions of the Contractors' State License Low (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). F1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portionsofthe 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 Improved for thepurpose of sale).. ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 0 I am exempt from licensors under the Contractors' State License Law for the following reason. By 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 logally soli a structure that I have built as an ownar-builder if It has not been constructed in its entirely by Ilconsed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.feginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Dale 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, a (cerise is In full force and effect. License Class License No Date r I(12 (1 zz Contractor Signature& WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE le UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS B300,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGESAs PROVIDED FORM SECTION 07000E THE LABOR CODE, INTEREST, AND ATTDRNEY'S FEES. I hereby affirm under -penalty of perjury one of the following declarations: D I 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 Offori yance of the work for which this permit is issued. Policy No. 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' rance carrier and policy number are: Policy Number Date no of Agent —rnone s certify that, In the penormare a 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 , 11 1 should become subject to the workers' conn%tale�0an provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date -.PeL, 1//2//ZZ 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) endrr's Name Lenders Address y my signature below, I oertify to each of the following: I am ',)a property owner or authorized to act on the property owner's behalf. I have read this nppiication and the information I have provided is correct. I agree to comely 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-fdentiffed property for Inspection purposes. �. of DATE BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LJ IISUBMITTED ASBESTOS NOTIFICATION TO PERMfTCANCEHED -_---- - _.�—__ LIEPA _ �— PERMITEXTEA'DED PERMIT FfNAL i 'plJ' AS9kSTOSNOIIFICAi'IQNI5NOTAPPLICA8LE TO CERTIFICATE Or PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: Name