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HomeMy WebLinkAboutF2023-0429 - Permits��Ev ok City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2023-0429 Community Development Department- Building Division F 2 0 2 3 0 4 2 9 y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2208 u Permit Counter Phone: 949 718-1888 ( ) Issued Date :12N 4/2023 '_. newportbeachca.gov/civic Final Date: 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 : 1200 NEWPORT CENTER DR, STE 280 Legal Desc : P BK 316 PG 3 PAR 3 Description: COMM FIRE SPRINKLER TI - 4 HEADS (XC2023-0357 Owner: IRVINE COMPANY Address : 110 INNOVATION DRIVE IRVINE, CA 92617 Phone : (949) 720-2000 Applicant: HOLLY GRAVES Address : 18600 MACARTHUR BLVD, 100 IRVINE, CA 92612 Phone : (949) 697-9401 Owner/Builder : Address: Phone: Code Edition: Type of Construction Occupancy Groups Bldg Height : Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2022 III -A X PC - Corporate Plaza West Alv� SPECIAL CONDITIONS: Contractor: FIRE PROT SPECIALISTS Address : 2810 E MIRALOMA AVE ANAHEIM, CA 92806 Phone : (714) 635-6500 Con State Lie : 464915 Lie Expire : 10/31/2024 Bus Lie: BT30042894 Bus Lie Expire : 05/31/2024 Workers' Compensation Insurance Carrier: COMPWEST INS CO Policy No: WCV5502952 W. C. Expire: 12/2/2024 Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Architect Address Phone : State Lie Engineer: Address Phone Designer: FIRE PROTECTION SPECIALISTS Address: 2810 E MIRALOMA AV ANAHEIM, CA 92806 Phone : (714) 625-6500 YES Construction Valuation : $1,200.00 NO Added/New/Ti sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 2 Added/New sq, ft. Garage : 0 TOTAL sq. ft. : 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable itemjs) (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 lie or she is liconsad pursuant to theprovisions 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($50). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do {_) all of or I portions of the work, and the structure is not intended 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 properly, provided that the improvements are not intended or offered for sale. It, 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). 111, 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 f property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure 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 forat least one year prior to completion of the Improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not open constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 ofthe Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.gov/calaw.titml. Signature of Property Owner Or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pery'ury that I am licensed under provisions of Chapter 9 (commencing with Section 70p0 Div! on 3 of the Business and Profes ' Ode an my I is In full force and effect, License Class License No Date G Y Contractor Signature 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 THOUSAND DOLLARS tS10(1,000). IN AUDITION 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: ❑ 1 have and rill maii. a cortiloale 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 the performarl of the work for which this permit is issued. Policy No. bave and will maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this perm t is issued. My workers` compensation rance carrier and policy number are: 'ier Policy Number Expiration Date Te of Agent Phone H certify that, in the performance of LheXl for which this permit is issued., I shall notemploy any person In any manner so as to become subject to the workers compensation laws of California, and agrel , if I should becomes ct to tv.el '' c�n provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. /,�,� , /// nature of Apo Date _ _ Dataw.rf C�YrT'/�Z L Are of AYI IS CI+ Cf hlAI2 /+Ak1h AI [ E1Ihlx11^ Af1'CAYI^V / 1 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 Code) -enders Name Lender's 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 and the information I have provided is ct. I agree to comply with all applicable city and couti ordinances nd st to ws relating to building construction. I authorize representatives of this city or county r the y-rb ve-Id d property for inspection purposes.Sf� J Signature of Property Owner or Authorized A ent. N /� PnN Pro err Owner's Or Authorized A ent's Name L Date ACTION DATE. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOROFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMf7_EXPIRED. I a__ISU&mf, TEDASBESTOS NOTIFICATION TO PERMiTFINAL q/� LJASBE5IOS NOTIFICATION 15 NOT APPLICABLE To CERTIFICATE OF t 1t ti� '(.l' PROPOSED DEMOLITfON OCCUPANCYISSUEO 1 4 _.. __._ SI('NA NNE: