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HomeMy WebLinkAboutF2023-0112 - PermitsaEwao� City of Newport Beach p4 .. Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C9tIF00.N�¢ newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement F 2 0 2 3 0 1 1 2 COMB Permit : F2023-0112 Plan Check No: PC2023-0490 Issued Date : 03/07/2023 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� Description : COMM FIRE SPRINKLERS (XC2023-0008) 3 Owner: TRIO COMMUNITY ASSOCIATION Address: 4695 MACARTHUR CT NEWPORT BEACH, CA 92660 Phone: Applicant: FIRE PROTECTION SPECIALISTS Address: 2810 E MIRALOMA AV ANAHEIM, CA 92806 Phone: (714)625-6500 Owner/Builder : Address : Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups: B Bldg Height: Building Setbacks Flood Zone: X Use Zone: PC - Koll Center PROCESSED BY: ,•P • G'° r o SPECIAL CONDITIONS a �a9 m o�a Fire Fire P BK_196 PG 40 PAR 2 FIRE PROTECTION SPECIALISTS Architect 2810 E'MIRALOMA AV " (Address ANAHEIM, CA 92806 (714) 625 6500 Phone is : 464915 State Lic 16/31/2024 BT30042894 ' Engineer: ire : 05/30/2023 Address mpensation Insurance Phone: )MPWEST INS CO WCV5502952 Designer: Zone! NO 0 s: 18 FIRE PROTECTION SPECIALISTS 2810 E MIRALOMA AV ANAHEIM, CA 92806 (714)625-6500 (Construction Valuation : $1,150.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 G B G�0 S • B J iJ9 t YY 49��-��Y`tr9- � �+1 '~<...� G G 0^ 9 6 li J C '0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors -State License:Lawfor the reason(s) indicated below bythe checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, .Business and Professions Code: Any city or countytriat requires e- 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 heor she is licensed pursuant to the provisions of the Contractors':State License; Law (Chapter 9 (oommencing with Section 70DO) of Dlvlsien 3 of the Business and Professions Cede) or that he or she is exempt from licernsure and the basis for the alleged exemption. Any violation of Section 7031.5-by any applicant for a permit subjects Ito applicant to a civil penalty of not more than true hundred dollars ($500). © I, as owner of the property, or my employees with wages as their sole compensation, will do: U all of or U 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, ihraugh 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 the burden ofproving that R was not built or Improved for the purpose of sale). I, as owner of the property,am exclusively contracting with licensed Contractors to construct the project(Section 7 Business and Professions Code: The Contractors' State License: Law does not � El 1 am exempt from li ensure under the Contractors' State License Law for -the foiiowin9 reason: Sooty to an owner of property who builds or im ves.thereon, and who contracts for the projects with a licensed Contract�t pursuant to the Contractors' Stale License Law).. , By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least onelyear prior to completion of the improvements Covered by this permit, I cannot legal) sell'a structure that 1 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 requeetwhen this application is submitted or at the following Web site:tdtoflwww.legihio.ca.govJcalaw.html, Signature of Property Owner or Authorized Agent. Date. LICENSED CONTRACTOWS; DECLARATION I hereby affirm under penalty of pejurythat:I am licensed under provisions of Chapter-9 (commencing with Section 7000 Ision 3 of the Business and Profewk, and ll •en e ulfforce: and effect. License Class License No Day%� ContractorSignatu WORKERS'COMPENSATION DECLARATION WARNING: FAILURE TO SECURE: WORKERS': COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN. EMPLOYER TO CRIMINAL PERA LTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS jf100,0001 IN ADDITION TO THE COST OF COMPERSATION, DAMAGES AS PROVIDED .FOR IN SECTION 370B OF THE LABOR COEE, tNTEREST.AND ATTORNEY'SFEEG, i hereby affirm under penalty of perjury one of the following declarations: 13 I have and will maintain a certificate of Consent to self -insure for workers' compensation, issued by: the Director, A fndustrial :Relations as provided for'by Section 3700 of the, Labor Code, .for th fName rmance of the work for Which this permit Is issued.PolicyNo.aveend will maintain workers' compensation insurance, as required by Section 3700 of: the Labor Code, £or the performance of the work for wh€ch this,;permit is issued. My workers' compensatioanee carderand policy number arear Policy Number Expiration Gate of Agent:Phone# ertify that, in the performance of the work far ' h this permit it issued, I shall not employany person -in any manner so as to become subject to the workers'compensat'wn laws Of California, and:agreif I should become subj , to /e workers' mp at' n provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. Signature of Applicant r D�r�> 7 Z �j- DECLARATION RE CONSTRUCTION LENDING AGENCY i hereby affirm under net f perjury that there is a construction lending agency for the performance of the work for Whi�h this permitis issued (Section 3097, Civil Code). Lender's Name Lenders Address By 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 incorrect. 1 agree to comply with all applicable coty, and Countyo 'nancas and St a Saws relating to building Construction. I authorize representatives of this oily or County to a a ab ie tde of property for inspection purposes. f Signature Of Pro. eav,0wner or Authorize- a 0 7 Print Pro erty Owner's Gr thorizad A ent's Nam Al%E (I Data ACTION. DATE. BY DECLARA ON OF COMPLIANCE WITH CODE OF FEDERAL. FOR OFFI�E USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 140$ • ♦ •..... PERMIT EXP{REP 111 SUBMITTED ASBESTOS NOTi FICATI0NT0. . • e . • PEAMITfANCELlEB PA: . . . `• ` . : ` • • ••• a ••o `• aa� PERM1FEX7ENDED I13AQMD. PERMiFINAL .2 % tq C)P ASBESTO$ NOTIFICATION IS NOT APPLICABLE To. CERTIFrCArEOFPROPOSED DEMCLITION_ • • • OCCUPANCY ISSUED - SIGNATURE. • e e a a es• •• e• • e eee ••