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Home My WebLink AboutF2023-0393 - Permits�EwvoRT City of Newport Beach IIIII II IIIIII III II IIIII II IIIII I III II COMB Permit : F2023-0393 C� @ Community Development Department- Building Division F 2 0 2 3 0 3 9 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2044 r+? ? Permit Counter Phone: (949) 718-1888 Issued Date : 11113/2023 newportbeachca.gov/civic Final Date: CgC�Fp0.N`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: 4695 MACARTHUR CT, 9TH FLOOR Legal Desc : P BK 196 PG 40 PAR 2 Description: COMM TI FIRE SPRINKLER SYSTEM 2 HEADS (XC2023-0321) Owner: IRVINE COMPANY Contractor: FIRE PROTECTION SPECIALISTS Architect Address : 110 INNOVATION DRIVE Address : 2810 E MIRALOMA AV Address IRVINE, CA 92617 ANAHEIM, CA 92806 Phone : (949) 720-2000 Phone : (714) 625-6500 Phone Con State Lic : 464915 State Lic: Lic Expire : 10/31/2024 Applicant: MARK YAM Bus Lic : BT30042894 Engineer Address : 392 N LEMAY CT Bus Lic Expire : 05/31/2024 Address ORANGE, CA 92867 Phone: (626) 757-2320 Workers' Compensation Insurance Phone Carrier: COMPWEST INS CO Owner/Builder : Policy No: WCV5502952 Designer: FIRE PROTECTION SPECIALISTS Address : W. C. Expire : 12/2/2023 Address: 2810 E MIRALOMAAV ANAHEIM, CA 92806 Phone: Phone: (714) 625-6500 Code Edition : 2022 Fire Sprinklers ; YES Construction Valuation : $1,100.00 Type of Construction : 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 - Koll Center PROCESSED BY SPECIAL CONDITIONS: L o 4 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Lawfor the reason(*) indicated below by the checkmark(s) I have placednext to the applicable ftem(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 70DO) of Division 3 of the Business and Professions Code) or that he or she is exempt from ficensure 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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 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 theburden 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 (Sectlon 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 licensors 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 t0 completion of the improvements covered by this permit, I cannot legally sell astructure 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:tlwww.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent „_„__ Date LICENSED CONTRACTOR'S DECLARATION i hereby affirm tinder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of 4vision 3 of the Business and Profese . t e, a y 11 an , is In full force and effect. License Class License. No Date / Contractor Signature WORKERS' COMPENSATION DECLARATION MARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UN{AWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED T OusAND DOLLARS f$100A00), IN ADDRION To THE COST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 0706. OF THE LABOR CODE, tNTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a Certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the. Labor Code, for th, per9Asance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' ranee carrier and policy number are: Policy Number Date lame of Agent Phone fi 31 certify titst, in the performance of the wor r hich this permit is Issued„ I shall not employ any person in any manner so as to become subject t0 the workers' compensation laws of California, and agree tat, if I should become sub to the w ke co pe atlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. — lignature of Applicant _ /K,�.t �Data a$ � tECLARATf0N REGAR ING CONSTRIL N LENDING AGENCY --//-^^Z hereby affirm under pe . arty of perjury that there Is a construction lending agency for the performance of the work for which this permit Is issued QSection 3097, Civi Code). endat'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' rrect. I agree to comply with all applicable city and comity ordinanc and state lases relating to building construction. 1 authorize representatives of this city or countyttapnter thq ove dgli fled property for inspection purposes. '� ACTION i DATE I BY PERMIT Expt -.D __ PERMIFCANC�LLER ...ERM...__ i PIT E'<7"FfiOED - CERTIFICATE OF OCCUPANCY ISSI DECLARATION OF COMPLIANCE WITH CODE OK FEDERAL REGULATIONS PART 51. OF TITLE 40 AND AOMID RULE I SUBMITTED A5RESTOS NOTIFICATION TO I ASBESTOS NOTIFICATION 15 NOlAPPLICABLE TO PROPOSED DEMOLITION SIGNATURE: rner's or Authorized Ag FCR OFFICE USE ONLY e7AJ Date