HomeMy WebLinkAboutF2022-0649 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
�11111111111111111111111111111111111111111111111111111JillCOMB Permit : F2022-0649
Plan Check No: PC2022-3228
Issued Date : 03/30/2023
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 : 610 NEWPORT CENTER DR, 950 Legal Desc : P BK 295 PG 33 PAR 4
Description: COMM FIRE SPRINKLER TI: W/ (3) HEADS "ENGAGE CAPITAL"
Owner: 610 NEWPORT CENTER DR LLC
Address : 610 NEWPORT CENTER DR STE890
NEWPORT BEACH, CA 92660
Phone : (949) 720-2400
Applicant: MARK YAM
Address : 392 N LEMAY CT
ORANGE, CA 92867
Phone : (626) 757-2320
Owner/Builder :
Address :
Phone
Contractor:
FIRE PROT SPECIALISTS
Architect
Address :
2810 E MIRALOMA AVE
Address:
ANAHEIM, CA 92806
Phone:
(714) 635-6500
Phone
Con State Lie
: 464915
State Lie
Lie Expire :
10/31/2024
Bus Lie:
BT30042894
Engineer:
Bus Lie Expire: 05/31/2023
Address
Workers' Compensation Insurance
Carrier: COMPWEST INS CO
Policy No: WCV5502952
W. C. Expire : 12/2/2023
Phone:
Designer: FIRE PROT SPECIALISTS
Address: 2810 E MIRALOMA AVE
ANAHEIM, CA 92806 ,
Phone: (714)635-6500
Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $1,156.60°'
Type of Construction : I -A 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 : 18 Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks
Flood Zone : X
Use Zone: PC -North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS:
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 flem(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
Lila 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
Professions Code) or that he or she is exempt from liconsure and the basia for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit Subjects the applicant to a civil penalty of
not more than five hundred dollars ($500),
13 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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, through employees' or personal effort, builds or improves the. property, 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 B was not built of
improved for the purpose Of sale).
❑ 1, 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),
0 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 to completion of the improvements covered by this permit, I cannot logali,
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 704A of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am Ilcensed under provisions of Chapter 9 (commencing with Seclio�0)_of'DM on 3 of the Business and Profe, `' s9gde, a d y Ii,en� is In full force
and effect. License Class License No Date 33 2 Contractor Signature Z IV
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE T3 SECUFS WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATIJ4, aAMAGESAS PROVIDED FOR IN SECTION 37OS OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
h'3:a5; aMrm un,lerpe.lalty of perjury one of the following declarations:
,{1 S 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, forth
DG, o�r a of the work for which this permit is issued. Policy No -
and /and will mL.tnte'n 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' compensation
nsur n carrier and pollcy number are:
Policy Number
of Agent
Date
2 .:erofy ;hat, in the performance of the work f hich this 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 ogre
ie:, If I shJuid be-OML sl.bjec a workers' co ennsation provisions of Section 3700 of the Labor Code, I shall forthwith comply Will those provisions.
denature �f Applicant _ /;�lMn� Date 3 5y
IECLARATION F aA JPIN CO STR. CTION LENDING AGENCY
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'de)!/
enders 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 is correct
I agree to comply with all applicable city and county ordinances and st a I ws relating to building construction.
I authorize representatives of this city or counlf tq�I�;abov¢-I ntif IjAoperfy for inspection purposes.
or Aulhorzed Adeot / 1 ,V 6Le^i 1 I'rtnl Property Vwner's or
OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PART G1 OF TITLE 4D AND AQMD RULE
PERMIT EXPIRED
PERMITCANCELLED
PEPoNIT EXTENDED
PERNIITFINAL ES/yla3 ff,t�(y(, LJ ASBESTOS NOT]r9CATIGN 15 NOT APPLICABLE TO
CERTIFICATE OF I l (f PROP05ED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: