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HomeMy WebLinkAboutF2022-0511 - PermitsCity of Newport Beach II II I I II I II I I III I I II 0 @ Community Development Department- Building Division COMB Permit: F2U22—o511 i y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2463 > i Permit Counter Phone: (949) 644-3288 Issued Date : 10/04/2022 c r Inspection Requests Phone: (949) 644-3255 Inspection Area : FIRE q<oaN` newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement N n(GA1 rLaAn n �, H o ob 5 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 : 343 NEWPORT CENTER DR - - Legal Desc r P BK 221-PG 30-PAR 3- -- _ - Description : COMM FIRE SPRINKLER SYSTEM 3 HEADS (X2021-3448) Owner: IRVINE CO Address : 111 INNOVATION IRVINE, CA 92618 Phone Applicant: D C FIRE PROTECTION Address : 14772 HARPER ST MIDWAY CITY, CA 92655 Phone: (714)309-0144 Owner/Builder : Address : Phone Contractor: D C FIRE PROTECTION Address : 14772 HARPER ST MIDWAY CITY, CA 92655 Phone: (714)309-0144 Con State Lie : 584285 Lie Expire : 01/31/2024 Bus Lie : BT30046894 Bus Lie Expire : 04/30/2023 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire: Code Edition : 2019 Fire Sprinklers : YES Type of Construction : IV Fire Hazard Zone : NO Occupancy Groups : M/B/S-1 No of Units : 0 Bldg Height: No of Stories : 1 Building Setbacks Flood Zone : X Use Zone: PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: Architect : Address : Phone: /11-1 State Lie: Engineer Address Phone : Designer: D C FIRE PROTECTION Address : 14772 HARPER ST'-- MIDWAY CITY, CA 92655 Phone : (714) 309-0144 Construction Valuation : $2,100.00 Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg: Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg: 0 OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law lot the reason(s) indicated below by the checenark(s) I have placed next to the applicable items) 3eCtton 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 is 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 libensure 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). 1 1, 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 proffered for sale (Section 7044, Jstness 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 nprovements 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 nproved 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' Slate License Law does not ply 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 are exempt from lwonsure, under the Contractors' State License Law for the following reason ly 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:hitp:ltwww.leginfo.ca.govlcalaw.html. iignahlre of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of Division 3 of the Business and Pro io de, an y license is In full force nd effect. License Class License No Date 'L�'b7- Contractor Signature COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO Cr DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATIORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE have and will meinfatn 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 ormance 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' compeosa ranee carrier and policy number are: Policy Number of Agent Date codify that, in the p rformanco 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 Nik—II should bee subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provlsions. nature of Applican _.. �✓_+' ^v/ Dat CI_ARATION RE AR ING CONSTRO( LENDING AGENCY Itchy 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, C i1 Code). IderG Name Lenders Address my signature below, I certify 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 agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or co iy enter �.e�nti d property for inspection purposes. nature of Property Owner or Authorized Agent wir.ar.. Print Property Owner's or Authorized Agent's Name Kr r % L��'�// C� �rO i/z- Date ACTION DATE BY ' -t-DECLARATtONOPLTFMPLIANCE*rtrHCODEOFFEOERAL REGULATIONS PART 61 OF TITLE 40 AND AONID RULE. 1403 FOR OFFICE USE ONLY ✓ �-... PERMITEXPIRED 01SURMITTEO-ASRF.ST06 NOTIFICATION TO MIELL PERTCANCED InE-,A ' — —_... __ ...__.._ PERMIT EXTENDED .. _.... ..__ .— ._ _ _._ ... t. �AIIMD PERM7T FINAL . 1p'%,�j �Da%rj%t�t Q ASBESTOS NOT IFICAI ION IS 001 APPLICABLE TO CERTIFICATE OF 111 ` PROPOSED DEMOLITION OCCUPANCY ISSUED , 516dATURE: __