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Home My WebLink AboutF2023-0119 - PermitsCity of Newport Beach �eWPo?� o�. Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 t ? Permit Counter Phone (949) 644-3288 Inspection Requests Phone. (949) 644-3255 °9<r FoaP1P. newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement F 2 0 2 3 0 1 1 9COMB Permit : F2023-0119 Plan Check No: PC2023-0551 Issued Date : 03/23/2023 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 : 4675 MACARTHUR CT -t o0 Legal Desc : P BK 196 PG 40 PAR 3 Description: COMM TI - INSTALL/RELOCATE (112) FIRE SPRINKLER HEADS (XC2022-2123) Owner: IRVINE CO Contractor: KIMBLE AND COMPANY Architect Address : 111 INNOVATION Address : 7261 GARDEN GROVE BLVD SUITE E Address �• IRVINE, CA 92618 GARDEN GROVE, CA 92841 � 9 t'°= W— -_ ',,�+ � t'✓° � Phone : (949) 720-3100 Phone : (714) 317-5541 Phone : -• ', > 9 '°•'" tj w Con State Lic : 460923 e State Lic - - - _ — — Tic—ExpW1 ---- 8/3172024 - Applicant : KIMBLE AND COMPANY Bus Lic: BT30081061 Engineer: Address: 7261 GARDEN GROVE BLVD SUITE E Bus Lic Expire : 03/31/2024 Address GARDEN GROVE, CA 92841 Phone: (714) 317-5541 Workers' Compensation Insurance Phone: Carrier: ZENITH COMPANY Owner/Builder : Policy No: M1331901 Designer Address : W. C. Expire : 10/1/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $30,000A - ° Type of Construction : I -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : B No of Units: 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories: 15 Added/New sq. ft. Garage : 0 u TOTAL sq. ft. 0 ° Building Setbacks Flood Zone : X Use Zone: PC - Koll Center lsl� PROCESSED BY: �34-7 SPECIAL CONDITIONS: 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 checkmark(s) I have placed next to the applicable Rem(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 lie 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 Professions Code) or that he or she is exempt from Ifcensureand 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). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 the purpose of sale). 111, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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 exempt from licensure 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 legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed 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.leginfo.ca.gov/calaw.htmi, Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing WIN Section 0 ) of Division 3 of the Business and Prof' sinn ode, and my li Fuels In full force and effect. License Class License No Date Contractor Signature - INORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO 8ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS 1S100,000j, IN ADOnION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: -11 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 Ih 3erformance of the work for which this permit is issued. Policy No. eve 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' compansatior nsurance came -and pc?icy number era: ,r "rJCr�_Ae ZPi4 i -j'�1 Z.4-ew ce Policy Number ivl / 3 31 9U I Expiration Date / d O / /2 -2 Z � Name of Agent -__ )qr✓� a1=1� 1 9 —Phone If 7/4— 4q-73/O :11 veltlry that, in t5e 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 ogre ,hat, If I should b^.comh bjecttto�o�the �workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply Alin those provisions. 3igr,a.ure of Applia,am !' 1/ .� `-_,'� Date -ZCl ARATIOif F DIN -CONSTRUCTION LENDING AGENCY hq,eby affirm Lid^r penalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address- 3, my signature below, I certify to each of the following: I am the prdpe,ty owner or authorized to act on the property owner's behalf. I have reed this application and the information I have provided is correct, I agree is cc.npg' with all applicable city and tout ty ordinances and state laws relating to building construction. I authorize representatives of this city er countjt,',./�j ante a above -Id lifted property for inspection purposes. �(r\ / /- / 3ignature of Prooenv Owner Or Authorized ADenl // \ i 741 � Print Pmnertv Owner's or Authorized Anent's Nanoi Y / r, etLG+.9 �te (] ?A 7 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY fl4UI LATIONS PART 61 OF TITLE 40 AND AQNID RULE PERMIT EXPIRED I Ell -SUBMITTED ASBESTOS NOTIFICATIONTO PERMITEXTENDED -f, UAQMD PER,LPrT FINAL I,�rS J�A t� � ASBE510$ NOTIFICATION 15 NOTAPf LICABLE TO CERTIrICATE OF I- PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: 7