HomeMy WebLinkAboutF2023-0589 - PermitsaEwaoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2023-0589
@ Community Development Department - Building Division F 2 0 2 3 0 5 8 9
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2959
u = Permit Counter Phone: (949) 718-1888 Issued Date : 12/11/2023
.r• newportbeachca.gov/civic Final Date:
Cq(�FORN`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: 601 NEWPORT CENTER DR, LVL 2 Legal Desc : P BK 67 PG 2 PAR 1 P.M. 67-2 PAR 1 AND P.M. 221-30
Description : COMM FIRE SPRINKLERS - RELOCATE 6 HEADS (XC2023-0285)
Owner: IRVINE COMPANY LLC
Address : 111 INNOVATION DR
IRVINE, CA 92617
Phone: (949)720-3100
Applicant:
CARLOS LOPEZ
Address :
2961 MACARTHUR BLVD, 118
SANTA ANA, CA 92704
Phone:
(562)242-5130
Owner/Builder
:
Address :
Phone:
Contractor : APEX FIRE SYSTEMS INC
Address : 2961 W MACARTHUR BLVD, 118
SANTA ANA, CA 92704
Phone:
(949)337-9679
Con State Lie
: 732396
Lie Expire :
09/30/2025
Bus Lie :
BT30006908
Bus Lie Expire : 01/31/2024
Workers' Compensation Insurance
Carrier: ACE AMERICAN INS CO
Policy No : C5556226A
W. C. Expire: 11/1/2024
Code Edition : 2022
Fire Sprinklers :
YES
Type of Construction : V-B
Fire Hazard Zone :
NO
Occupancy Groups : B
No of Units :
1
Bldg Height :
No of Stories :
2
Building Setbacks
Flood Zone : X
Use Zone : PC - North Newport Center
PROCESSED BY: - -
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lie
Engineer:
Address :
Phone
Designer: MARC READ
Address : 2961 MACARTHUR BLVD, STE 118
SANTA ANA, CA 92704
Phone : (949) 337-9679
Construction Valuation : $600.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for there ason (a) indicated below by the checkrnark I I have placed next to the applicable items)
3ecUon 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
in permit to file a signed statement that he or she is licensed pursuant to the provisions of the ContractorsStale Licenso Lava (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 of Section 7031,5 by any applicant for a permit subjects the applicant to a Civil penalty of
of more than five hundred dollars ($500),
"I I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work; and the structure is not intended or offered for sale (Section 7044,
usiness 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 or 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
pply 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 I am exempt from licensure under the Contractors' Slate License Law for the following reason:
ty 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
all 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 theapplicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the fallowing Web site;http:liwww.leginfo.ca.govlcalaw.html.
iignahire of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION _._.._
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sao 00) of Division 3 of the Business and Professions C e. an my license is In full force
rid effect License Class License No at —Z Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS LIOD0,0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYe FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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 thi
gNQrmance of the work for which this permit is issued. Policy No.
ave 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
nsur rice carrier and policy number are:
: ter Policy Number Expiration Date
Name of Agent Phone 8
:1I certify that, in the performance 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
hat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
n
3fgnalure of Applicant �_[ �- Da
DECLARATION REGARD,NC-i (}61Vy RUCTION LENDING A a(`ti
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 30g7, vil Code).
_tinder's Name Lenders Address
3y 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 andthe information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to nter t above-; entified property for inspection purposes. /Z
3i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized A tines Name Data
ACTION DATE BY CLARATION. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
R.. ULATIONS PART 61 OF TITLF 40 AND AQMD RULE
( 1403
PERMITEXPIREO ISUBMITTFD ASBESTOS NOTIFICATION TO
PERMIT FINAL I' —� U _. yJ MD ¢ U ASBESTOS NOT "1FICATION 15 NOT APPLICABLE TO
CERT69C4TE Of Py, PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:
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