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HomeMy WebLinkAboutF2023-0398 - Permits�EwroRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2023-0398 p`r d Community Development Department- Building Division F 2 8 2 3 0 3 9 E 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2062 uc H'� = Permit Counter Phone: (949) 718-1888 Issued Date : 10/17/2023 .� newportbeachca.gov/civic 4,FOPN�P Combination Type - Final Date: Permit Status: Issued Work Class - Other 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 SPRINKLER TI WITH 9 HEADS (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: FIRE PROTECTION SPECIALISTS Address : 2810 E MIRALOMAAV ANAHEIM, CA 92806 Phone : (714) 625-6500 Con State Lic : 464915 Lic Expire: 10/31/2024 Bus Lic : BT30042894 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: COMPWEST INS CO Policy No: WCV5502952 W. C. Expire: 12/2/2023 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : I -A Fire Hazard Zone : NO Occupancy Groups : B No of Units : 0 Bldg Height : No of Stories : 15 Building Setbacks Flood Zone : X Use Zone : PC - Koll Center PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer Address Phone Designer: FIRE PROTECTION SPECIALISTS Address: 2810 E MIRALOMA AV ANAHEIM, CA 92806 Phone: (714)625-6500 Construction Valuation : $1,450.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 vvrrvcrt-ovlcuc+� uc�..-.+ r. 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 fterri '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 he 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 lieansum 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 Tot more than five hundred dollars ($50D). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure Is not Intended or offered for sale (Section 7044, 3LxineSs 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 mprovements 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 bull or mproved 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' State License Law does not appiy 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), IInnI am exempt from licensure under the Contractors' State License Law for the following reason: ---- By my signature below t 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 In 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Am .leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent_,_.__.___�.__.__.___ ___ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Di ision 3 o? the Business and Profession and y lie s In full force and effect. License Class License No D Contractor Signat WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO SANG DOLLARS (6100,000), IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES_ I hereby affirm under penalty of perjury one of the following declarations: I 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 in pe 0 lance 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' compensatiol carrier and policy number are: of Agent certify that, in the performance of the work Policy Number Date 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 :, if I should become subjeF�-0-0 work rs' compe s• tiorr provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. A, / nature of Applicant 1� P OLARATION REGAROTNTRUGTIO ENRING AGENCY Ireby affirm under panaity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued(Section 3097, Civil Code). Ider's Name _ Lender's 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 correc I agree to comply with all applicable city and county ordinances and s to t ws relating to building construction. I authorize representatives of this city or county to an r ab Ivf-i nlif d party for inspection purposes. nature of Property Owner or Authorized Agent 1� T � L,/ Li---Pnni Property Owner's or Authorized Agent's Nam apt%�S�'/t Date PERMIT EXPIRED PERMITCANCE!!ED _................ _.......... _...... . _........... PERMIT EXTENDED PER,14.rT FINAL CERTIFICATE Of OCCUPANCYISSUED DATE BY : bECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL I FOR O11ICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUHMIl IEel ❑ASBESTOS NOTIFICATION IS ND1' AVPLICABLE 10 PROPOSED DEMOLITION SII;NATVRE?