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Home My WebLink AboutF2023-0116 - Permits�E`wPORT City of Newport Beach 0`< A Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C9��F00.N\P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement F 2 0 2 3 0 1 1 6II COMB Permit: F2023-0116 Plan Check No : PC2023-0507 Issued Date : 03/08/2023 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 �kST To )ti'c Job Address : 5000 BIRCH ST P - Legal Desc : P BK 181 PG 13 PAR 5 Description : COMM FIRE SPRINKLER TI - 20 HEADS (X2022-2041) Owner: JOHN HANCOCK LIFE INSURANCE COMPANY Contractor: FIRE SAFETY FIRST Architect USA Address : 865 S FIGUEROA ST STE3320 Address : 1170 E FRUIT ST Address LOS ANGELES, CA 90017 SANTA ANA, CA 92701 Phone : Phone : (714) 836-4800 x137 Phone Con State Lic : 599761 State Lic Lic Expire: 0813112024 Applicant : FIRE SAFETY FIRST Bus Lic : BT00009906 Engineer Address : 1170 E FRUIT ST Bus Lic Expire : 06/30/2023 Address SANTA ANA, CA 92701 Phone: (714) 836-4800 x137 Workers' Compensation Insurance Carrier: BERKSHIRE HATHAWAY HOMESTATE Phone: ev / 1 ?�(�.'� `� 5 INS CO Owner/Builder : Policy No: BRWC331969 Designer: FIRE SAFETY FIRST Address: W. C. Expire : 11/1/2023 Address : 1170 E FRUIT ST SANTA ANA, CA 92701 Phone: Phone: (714) 836-4800 x137 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $5,100.00 Type of Construction : I -A Fire Hazard Zone : NO Added/New/Tl sq. ft. Bldg: 0 Occupancy Groups : No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 6 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X Use Zone : PC - Koll Center 1l`/n PROCESSED BY: SPECIAL CONDITIONS: C*1 i I� 3r11 I TX 7 T T:7si i Cd:1 I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) effort 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 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 fesstons Code) of 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 more than five hundred dollars ($500), 1, 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, Iiness 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 properly, provided that the rovements 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 roved for the purpose of sale). 1, 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 ly 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). J I am exempt from licensors under the Contractors' State License Law for the fallowing 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 legal], ell 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 applicalion is submitted or at the following Web site:http:tA&ww,ieginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent to .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) it 3 of the Business and rof d ri iicenso is in full force Bill effect. License Class License. No Date �Contractor Signat VORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P. IALINES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL s tS100,000), IN ADDITION TO THE DST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE i. AROR COOP, INTEREST, AND — 1-4EY'S -- hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure tot workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth rmance of the work for which this permit Is issued. Policy No. �1 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' compensatioi Isu once carrier and policy number are: a ter Policy Number Expiration Date Be of Agent certify that, In the performance if i should become subject to�1 iature of Applic�n3� 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 i provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions. areby affirm under penalty of perjury that then is a construction lending agency for the performance ideis Name Lender's Address my signature below, I certify to each of the. following: I am the property owner orouthorized to art on the property owner's behalf. I have read this application and the information I have provided Is correct. Datbli ..� 2 of the work for which this permit is issued (Section 3097, Civil Code). I agree to comply with all applicable city and county ordi n s a d ate laws relating to building construction.. I authorize representatives of this city or cou en the v I entitled property for inspection purposes. ii nature of Property Owner or Authorized Ago Print Property Owner's or Authorized A ACTION j DATE BY (DECLARATIO F C PLIANCF Wiry CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE. PERMIT EXPIRED PERMIT FINAL L,.(ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF �� I PROPOSED DEMOLITION OCCUPANCY153UED 1 /I SIGNATURE: