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HomeMy WebLinkAboutF2023-0525 - PermitsO� - Po " City of Newport Beach II II IIII II IIIIIIII III II IIII I II IIII II COMB Permit : F2023-0525 Community Development Department- Building Division F 2 0 2 3 0 5 2 5 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2600 u x Permit Counter Phone: (949) 718-1888 Issued Date 10/24/2023 \ newportbeachca.gov/civic Final Date: �,tiFon��P Combination Type - Permit Status: Issued �... Work Class - Tenant Improvement 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 : 809 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 PO F� OF PAR Description: COMM TI FIRE SPRINKLERS "GOOD AMERICAN" (17 HEADS) *XC2023-0208* Owner: IRVINE COMPANY Address : 110 INNOVATION DRIVE IRVINE, CA 92617 Phone : (949) 720-2000 Applicant: D C FIRE PROTECTION Address : 14772 HARPER ST MIDWAY CITY, CA 92655 Phone : (714) 309-0144 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : Contractor : D C FIRE PROTECTION Address : 14772 HARPER ST MIDWAY CITY, CA 92655 Phone : (714) 309-0144 Con State Lic : 584285 Lic Expire : 01/31/2024 Bus Lic : BT30046894 Bus Lic Expire : 04/30/2024 Workers' Compensation Insurance Carrier: NATIONAL LIABILITY AND FIRE INSURANCE COMPANY Policy No: N9WC340866 W. C. Expire : 6/7/2024 De�igner : D C FIRE PROTECTION ' Address : 14772 HARPER ST I" Phone: MIDWAY CITY, CA 92655 (714) 309-0144 2022 Fire Sprinklers : YES Construction Valuation : $5,200.00 III-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 No of Units : 0 Alteration sq. ft. Bldg : No of Stories : Added/New sq. ft. Garage : 0 TOTAL sq. ft.: 0 X PC - North Newport Center PROCESSED BY SPECIAL CONDITIONS: 1 OWNER -BUILDER DECLARATION hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkrirark(s) I have placed next to the applicable hems) section 7031,5, Business and Professions Code: Any city or county That requires a permit le construct, alter. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for Ic permit to file a signed statement that lie 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 licensure and the basis for the alleged exemption. Any violation or 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 I, as owner of the property, or my employees with wages as their sole compensation, will do f_) all of or U portions of the work, and the structure is not intended oroffered for sale (Section 7044, useass 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 at 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). 1 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 poly 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 licensure under the Contractors' Slate License Law for the following reason: ,y 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 legall7 ell a structure that I have built as an owner-buildor if it has not boon constructed in its entirely 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:htip://www.leginfo.ca.govlcalaw.html. ,ignature of Property Owner or Authorized Agent ___��_.�.._........._.,.-.-_.._.___.� Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjup' that I am licensed under provisions of Chapter 9 (Commencing with Se tl 7 of Owlsii �3 of the Busiyssdrofes'do, and my license is In full force nd e`ffect License Class License No Da � Contracre �„_p/ PORKERS' COMPENSATION DECLARATION Z1171 ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AMU SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO FINE HUNDRED THOUSAND DOLLARS IEtDD,0001, IN ADDITION TO THE t ° .-1MPENSAT.'CN DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COD€, INTEREST, AND ATTORNEY's FEES. hereby affirm ands, penalty of perjury one of the following declarations: I have and will .naintain 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, for 'ormance of the woi% `of which this permit is issued. Policy No. ;0i 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' compensa hence carrier 'a d policy number are: Policy Number of Agent Date JI cert f, that, ir: the pe-to once 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 if I stiould come a the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. Ignature of App.ir r Gs q ;��- /r_. _ Do 1ECLARATIO ARDING CONSTFtUC NDING A ENCY hereby affirm under penalty of perjuy that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 30- , Civil Cade). endor's Name Lender's Address ly 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 wadi all applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or county to_Ithe above-IcAptified property for inspection purposes."G- of PFODertv Owner or vner s or Authorie ACTION DATE DECLARATIONRGULANONS PEATCOMPLIANCE TITE 40 AND AQMD RULE FEDERAL FOR OFFICE LIE ONLY 1403 FERNHT EXPIRED LJ I SUSMITTFD ASRFSTOS NOTIFICATION TO PERMIT EXTENDED I LIAOMD PEI FINAL L-1 ASBESTOS NOI I[A t[ON 15 NQ1APPLICABLE 1'0--- CERTIFICATE OF I�� 1ia� %% PROP05ED DEMOUI OCCUPANCY ISSUED ''. SIGNAI I