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HomeMy WebLinkAboutF2023-0208 - Permits> �EWPoRr City of Newport Beach COMB Permit: F2023-0208 04 Community Development Department - Building Division F 2 0 2 3 0 2 0 8 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1061 Permit Counter Phone: (949) 718-1888 Issued Date : 0510912023 .r� newportbeachca.gov/civic c �r Inspection Area :FIRE gCrGO0.N Combination Type - Work Class - Tenant Improvement 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, 150 Legal Desc : P BK 196 PG 40 PAR 3 Description : COMM FIRE SPRINKLER SYSTEM 29 HEADS (XC2022-2119) „ , Owner: IRVINE COMPANY Contractor: FIRE PROTECTION SPECIALISTS Architect Address : 110 INNOVATION DRIVE Address : 2810 E MIRALOMAAV Address IRVINE, CA 92617 ANAHEIM, CA 92B06 Phone: Phone: (714)625-6500 Phone: Con State Lie : 464915 State Lie Lie Expire: 10/31/2024 >> , Applicant: FIRE PROTECTION SPECIALISTS Bus Lie: BT30042894 Engineer Address : 2810 E MIRALOMA AV Bus Lie Expire : 05/30/2023 Address ANAHEIM, CA 92806 Phone: (714) 625-6500 Workers' Compensation Insurance Phone: Carrier: COMPWEST INS CO Owner/Builder: Policy No: WCV5502952 Designer: FIRE PROTECTIONSPECIAL'STS Address : W. C. Expire : 12/2/2023 Address: 2810 E MIRALOMA AV ANAHEIM, CA 92806 Phone: Phone: (714)625-6500 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $2,800.00 Type of Construction : I -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 15 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks :'.s Flood Zone : X PC Koll Center Use Zone : - �/ 111 a _ J• f L� - LAPROCESSED BY: ®�- SPECIAL CONDITIONS: R 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 checkmark(s) I have placed next to the applicable item(s) otion 7031 5. Business and Professions Code; Any city or County that requires a permit to construct, alter, improve, dernolish. 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 Suction 7000) of Division.3 of the Business and fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7p31.5 by any applicant for a permit subjects the applicantto a civil penalty of more than five hundred dollars ($500). 'lib I, as owner of the property, or my employees with wages as their sole compensation, will do (_} all of or (_) portions of the w rk, 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 property, 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 thepurpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bus ess and Professions Code: The Contractors' State 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 Do uant to the Contractors' State License Law), J I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below 1 acknowledge that, except for my personal residence in which I must have resided for at least one year soil a structure that I have built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. I unden Professions Code., is available upon request when this application is submitted or at the following Web sileihttp:/iwrw✓.leginfc.c Signature of Prcpnr:y Owner or Authorized Agent LICENSED CON—,'RACTOR'S DECLARATION ! herein' affirm ender penalty of pert ury that I am licensed under provisions of Chapter 9 (commencing with Section ) Of i� and effect Llcen.e Class License No Date ) 9! XORXERS' COMPENSATION DECLARATION YARRINO: FAILURE TO SIrWRE VIORk ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES COST OF COMPEN.FATION, LAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. he,ebv affirm under penalty of perjury one of the following declarations: I 'Irve, and �+i11 maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Int Grrnrmance of the work for which this permit is issued. Policy No. Y a and will mailworkers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfol surancc carrier and po,cy number are: Car.i3- Policy Number i-i �' Agent certify that, in the performance of the work to on this ,permit is issued, I shall not employ any person in any manner so , if I should become so4eckp'f}e workers m yjsabon provisions of Section 3700 of the Labor Code, I shall forthwith c ignature of Applicant_ V 'ECLARATION RI GA. IN VCtrXMUCTIWLENDING AGENCY hereby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which order's Name _ Lenders Address y 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 h e provided is correct. I agree to comply with all applicable city and Court ordinances and Stan law re ling to building construction. I authorize representatives of this city or count ent!yF ove-ren died re for inspection purposes. ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED CERTIFiCATEOF OCCUPANCY ISSUED DATE I 6Y V i DE�GARAT€ON OF COMPLIANCE w17H CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE NOTIFICATION TO 5 %�) U ASBESTOS NOTIFICA ION 15 NOl'APPLICABLE 70 dz PROPOSED DEMOLITION to completion of the improvements coven that a copy of the applicable law. Section and Date n 3 of the Business and Pr sl ode, a d To erise is In full force Contractor Signature CIVIL FINES UP TO' ONE HUNDRED THOUSAND DOLLARS ($100400), IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work far which this permit is issued. My workers` Date to become subject to the workers' compensation laws of California, and Agra ply with those provisions. Date S/�Z 3 permit Is issued(Section3097, Ci it Code). FOR OFFICE USE ONLY