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Home My WebLink AboutF2022-0589 - Permitswpo City of Newport Beach �� Rr p b Community Development Department- Building Division F t"y 100 Civic Center Drive, Newport Beach, CA 92660 u i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C9C/F00.��P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement F 2 0 2 2 0 5 B 9COMB Permit : F2022-0589 Plan Check No : 1660-2022 Issued Date : 12/07/2022 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: 20411 BIRCH ST Legal Desc : N TR 706 BLK LOT 66 TR 706 LOT 61, 62 AND POR, OF LOTS 63, 6 4, 65 & Description: COMM -SUITE 200 & 210 INSTALL AUTOMATIC FIRE SPRINKLERS (98) HEADS (X2022-1802) Owner: BAYSIDE SQUARE INVESTMENTS LLC Address: 220 NEWPORT CENTER DR #11-557 NEWPORT BEACH, CA 92660 Phone: Applicant: COSCO FIRE PROTECTION INC Address : 1075 LAMBERT RD, BLDG D BREA, CA 92821 Phone: (714)974-8770 Owner/Builder : Address : Phone Contractor: COSCO FIRE PROTECTION INC Address : 1075 LAMBERT RD, BLDG D BREA, CA 92821 Phone: (714)974-8770 Con State Lie : 577621 Lie Expire: 09/30/2023 Bus Lie : BT00022773 Bus Lie Expire : 07/31/2023 Workers' Compensation Insurance Carrier: ACE AMERICAN INSURANCE COMPANY Policy No: WLRC68917396 W. C. Expire: 1/1/2023 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : II -A Fire Hazard Zone : NO Occupancy Groups : B No of Units : 0 Bldg Height: No of Stories: 2 Building Setbacks Flood Zone : X Use Zone : SP-7 - Santa Ana Heights Specific Plan PROCESSED BY: " SPECIAL CONDITIONS: Architect Address °o - Phone: State Lie Engineer Address Phone: Designer: COSCO FIRE PROTECTION INC - Address : 1075 LAMBERT RD, B? "DG `- BREA, CA 92821 Phone: (714)974-8770 Construction Valuation : $14,500.00 Added/New/Tl sq. ft. Bldg : 0 Alteration sq. ft, Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 �I`Ve I `i- �3�i_0SU7 OWNER -BUILDER DECLARATION I hereby affirm under penally 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 le the applicable Items) 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 he permit to file a signed statement that be or she is licensed pursuant to the provisions of the Contractors' Stale 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 licensure and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of iot 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, 3usiness 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 mprovements 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 mproved for the purpose of sale). 1 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 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 I am exempt from licensors under the Contractors' State License Law for the following By 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 sell 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 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:/lwww.leginfo.ca.govlcolaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pepury that I am licensed under provisions of Chapter 9 (commencing with Section 70�0j� of Division 3 of the Business and Profess' n Oda, find w Ileanseis In full force and effect. License Class License No Date 7�tZ -7- x2_Contractor Signature WORKERS' COhIPFASATiON DECLARATION NARNINr: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE la UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADOmON TO THE co5T OF' vmr,ENSATIoii, DAMAOEs As PROVIDED FOR IN SECTION 0706 OF THE LABOR COOP. INTEREST, AND ATTORNEYS FEE$. hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided tot by Section 3700 of the. Labor Code, for th oorjf ;;,Lc;a of the wc-k for which this permit is Issued. Policy No. LNl j.>Avu 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' compensatiol nsur r ca carder and policy number are: Policy Number Date Ub ul hoent revue » certify that, in thr 7er5cmmaneo of the work for which this permit is issued. I shall not employ any person it) any manner so as to become subject to the workers' compensation laws of California, and agre , If I should become subject to the workers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of may affirm under penalty of perjury that there is a construction lending agency for the performance ofthe work for which this permit is issued (Section 3097, Civil Code). Iders Name Lender's Address 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 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 enter above ntl �8 d roperty for ui pectlon purposes. r nature of ProoeMv Owner or Authorized Agent ,—_.___.__ mil Property Owner's or Authorized Agent's Nam e'Y '�i>` /L ACTION GATE. ( BY DECLARATION OF I REGULATIONS PART 61 OF TITLE NCE WITH CODC OF AL FOR OFFICE USE ONLY ITLE 40 AND AQMD RULE PERMIT EXPIRED LJ ii SSU—BMI—TTED ASBESTOS' PERMIT CANCELLEO M EPIJ A PERMITFINAL NAL yl �� I�A5 I U ASBESTOS POSED DEMOLITION NOTIFICATION IFICA ION 15 NOT APPLICABLE TO OCCUPANCY ISSUED f SIGNATURE;