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Home My WebLink AboutF2023-0397 - Permitsrc��WPo�r City of Newport Beach 0 Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 u newportbeachca.gov/civic c9oaN�P Combination Type - Work Class - Tenant Improvement 11IIIIII111111111111111111111111111111111111111111111111111111 jj COMB Permit : F2023-0397 Plan Check No : PC2023-2062 Issued Date : 09/20/2023 -- ? Final Date: Permit Status: Issued 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, 500 Legal Desc : P BK 196 PG 40 PAR 3 Description: COMM FIRE ALARM TI WITH 8 DEVICES (XC2023-0330) Owner: IRVINE COMPANY Address : 110 INNOVATION DRIVE IRVINE, CA 92617 Phone: (949)720-2000 Applicant: MARK YAM Address : 392 N N LEMAY CT ORANGE, CA 92867 Phone : (626) 757-2320 Owner/Builder : Address : Phone Contractor: SIMPSON DAVID CONST CO INC Address : 17177 GILLETTE AVE #A IRVINE, CA 92614 Phone: (949)250-134B Con State Lie : 381149 Lie Expire : 03/31/2025 Bus Lie : BT00006013 Bus Lie Expire : 06/30/2024 Workers' Compensation Insurance Carrier: CYPRESS INSURANCE COMPANY Policy No: DAWC426822 W. C. Expire : 5/1/2024 Architect Address Phone: State Lie Engineer: Address :12T7ii-' Designer: BUILDING ELECTRONIC CONTROLS Address: 2246 LINDSAY WAY GLENDORA, CA 91740 Phone : (909) 305-1600 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $5,337.00 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 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - KDII Center PROCESSED BY: 1 SPECIAL CONDITIONS: , OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(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 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of net more than five hundred dollars (S500). 0 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is notintended 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). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from Bcensure 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 sill a structure that 1 have built as an ownor-builder if it has not been constructed in its entirety by hcensod contractors. I understand that a copy of the applicable law, Section 7044 of the Businoss and Professions Code, is available upon request when this application is submitted or at the following Web site:http:tlw .feginfo.ca.gov'calaw.html. Signature of Property Owner or Authorized Agent ...............__.___._...__.._..._.____.._„__�_..�_�___u._ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cad and my license is in full force and effect. License Class License No Date �T; Contractor Signature'Z.�, WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 9N SECTION 3706 OF THE LABOR COnE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the fallowing dectaratlorI ❑ I have and will maintain a certificate of consent to sell -insure [of Workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for lh perfyFinance 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 of Agent Date -I certify that, in the performance of the work for which thispermit 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 fat, if I should become subject to the orkers' Compensation provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions. signature of Applicant _ _._ __,_ __, _ Date F/z-&I IECL.ARATION REGARDING CONST UCTION LENiSING AGENCY 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 Cade). enders Name Lenders Address N my signature below, I certify to each of the following: I am the property owner orauthorized 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 Paws relating to building construction. 1 authorize representatives of this city or county to enter the apove-identified property for inspection purposes. e of Property Owner or Authorized Agent` ll'�/� Print Property i DATE. j BY c DECLARATPON OF COMPLIANCE WITH CODE OF FEDERAL RFGULATIONS PART fit OF TITLE 40 AND AOMD RULE 1403 EXPIRED , ( I SUBMITTED ASBESTOS NOTIFICATION TO PrERMITEXTENDED j Q - �-�LIAOM- .PN„ PE7FINAL I�3-''I J-j rz'&;N;K Ir-JASBESTOS NOTIFICAIION 15 N01 APPLICABLE TO CERTt`ICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED i I I SIGNATURE: FOR OFFICE USE ONLY Name Date