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Home My WebLink AboutF2023-0134 - PermitsPoRT City of Newport Beach ��E� o @ Community Development Department- Building Division q 100 Civic Center Drive, Newport Beach, CA 92660 U T Permit Counter Phone: (949) 644-3288 a. Inspection Requests Phone: (949) 644-3255 Cq(/FOftN`P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement 11111111111111111111111111111111111111111111111111111 llli jjCOMB Permit: F2023-0134 Plan Check No : PC2023-0630 Issued Date : 03/22/2023 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 : 5000 BIRCH ST, 1000 Legal Desc : P BK 181 PG 13 PAR 5 Description: COMM FIRE SPRINKLER TI - 59 HEADS (XC2022-2118) Owner: JOHN HANCOCK LIFE INSURANCE COMPANY Contractor: APEX FIRE SYSTEMS INC USA Address : 865 S FIGUEROA ST STE3320 Address : 2961 W MACARTHUR BLVD, 118 LOS ANGELES, CA 90017 SANTA ANA, CA 92704 Phone Applicant: MARC READ Address: 2961 MACARTHUR BLVD, STE 118 SANTA ANA, CA 92704 Phone : (949) 337-9679 Owner/Builder : Address : Phone : Phone : (949) 337-9679 Con State Lic : 732396 Lic Expire: 09/30/2023 Bus Lic : BT30006908 Bus Lic Expire : 01/31/2024 Workers' Compensation Insurance Carrier: ACE AMERICAN INS CO Policy No: C69981185 W. C. Expire : 11/1/2023 Architect Address Phone : State Lic Engineer Address Phone : Designer: MARC READ Address : 2961 MACARTHUR BLVD, STE 118 SANTA ANA, CA 92704 Phone: (949)337-9679 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $5,900.00 Type of Construction : V-B 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 : 11 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone: X Use Zone : PC - Kell Center PROCESSED BY: SPECIAL CONDITIONS: "' r9 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slafe.License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s) Section 7031.5, business and Professions Code: Any city or county [hat requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant. for io 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 7000) of Division 3 of the business and 'rofessions Code) or that he or she is exempt from Licensors 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 ponalty 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 (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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). I, 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 Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I I am exempt from licensorsunderthe Contractors' Stale License Law for the following reason: iy 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 ell a structure that I have built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Soction 7044 of the business and 'rofessions Code, isavailable upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.gov/calaw.html, signature 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 Section 7000) of Divisfo p 3 of the Business and Profession r e, r�dmy fica In full force nd effect. License Class License No Date �� Contractor Signature // VORKERS' COMPENSATION DECLARATION IARNING: 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 IS100,000I, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TOS OF THE LABOR CODE, INTEREST, AND ATTORNEY's Fees. hereby affirm under penalty of perjury one of the following declarations: l 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 the erl�ommsnce of the work for which this permit is issued. Policy No. Above 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' compensatior ranee Car,,.r.11,erl�an^d.�D[icy number are, --arrier RAF Policy Number Expiration Date ,lame of Agent Phone # =I codify that, in the perform ce of the work for which is 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 agree hat, if I should become subje t the w r{tcBNDING AGers' com Non provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. JJ 3ignalure of APplica�y 7—Z ._._. )ECLARATION REGAR CONSTRUCTION LENCY 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). _ender's Name Lender's Address 3y my signature below, I certify to each of the rollowing: I am the property owner or authorized to act on the property owner's behaff. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county din IT and state ws relating to building construction. I authorize representatives of this city or county to t the. ve-Ids ed property for inspection purposes. 3ignalure of Property Owner or Authorized Agent Print Pro - arty Owner's or Authorized A ent's Name r7 Dale ACTION DATE BY DECLARATION Or COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED R I UBMI',7ED ASBESTOS LIOTiFICATION TO _a PERMIT EXTENDED �T T�Tr- IaOMp PERMIT F7NAL� �7S �r IJ A$BESi OS NOfINCANON 15 NOT APPLICABLE TO OCCILATE OE PROPO5EO DEMOLITION OCCUPANCY ISSUED SIGNA rLI tE