HomeMy WebLinkAboutF2023-0155 - PermitsCity of Newport Beach
Community Development Department - Building Division
CQ
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.govlinspections
Combination Type -
Work Class - Tenant Improvement
F 2 0 2 3 0 1 5 5II COMB Permit: F2023-0155
Plan Check No : PC2023-0787
Issued Date : 04/06/2023
Inspection Area : FIRE
3 7 •hr; a . r
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
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Job Address: 800 NEWPORT CENTER DR
Legal Desc : P BK 136 PG 22 PAR 1
Description : COMM FIRE SPRINKLER TI WITH
1 HEAD
(XC2023-0018)
Owner: IRVINE COMPANY LLC
Contractor : FIRE PROT SPECIALISTS
Architect
Address : 111 INNOVATION DR
Address : 2810 E MIRALOMA AVE
Address
IRVINE, CA 92617
ANAHEIM, CA 92806
Phone: (949) 720-3100
Phone : (714) 635-6500
Phone
Con State Lic : 464915
State Lie
Lie Expire : 10/31/2024
Applicant: FIRE PROTECTION SPECIALISTS
Bus Lie : BT30042894
Engineer
Address : 2810 E MIRALOMA AV
Bus Lie Expire : 05/31/2023
Address
ANAHEIM, CA 92806
Phone: (714) 625-6500
Workers' Compensation Insurance
Phone:
Carrier: COMPWEST INS CO
Owner/Builder:
Policy No: WCV5502952
Designer:
Address :
W. C. Expire: 12/2/2023
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : YES
Construction Valuation
Type of Construction : I -A
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg
Occupancy Groups : B
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 7
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks
Flood Zone : X
Use Zone :
PROCESSED BY:
SPECIAL CONDITIONS:
$1,050.00
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to 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
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 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure 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 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 U all of or (_) 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 persona( 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 it was not built or
improved for the purpose of sale).
M 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
0 I am exempt from licensure-under the Contractors' State License Law for the following reason:
By my signature below t acknowledge that, except for my personal residence in which I most 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,ovmer-builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 or Ina Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:flw W,Ieginfo.ca.govlcalaw,html.
Signature of Property Owner or Authorized Agent Date .
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700PAf Division 3 of the Business and Preto Code id !inli SSE, -is to full force
and effect. License Class License No Date 2_3 Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: FAILIRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOLLARS (E100,0001, IN ADDrrION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES_
Irhfereby affirm under penalty of perjury one of the following declarations:
h_I 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
performance of the work for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which ibis permit is issued. My workers'
carrier and policy number are:
Policy Number
Date
me of Agent Phone n
I certify that, in the performance of the for which this permit is Issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
t, if I should become t iD the river c pensallon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date...
CLARATIONREGA. INGCONSTR CTIONLENDINGAGENCY
___777 T
areby affirm under p natty 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).
liter's Name Lender's Address _
3y 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 1 have provided is correct.
I agree to comply ,vith all applicable city and County ordinances rid late laws relating to building construction.
au(lorfze representatives of this city or county er th a eve- a ified property for inspection purposes.
Signature of Property Owner or Authorized A V ent Print. Pro - e Owner's Or Authorized A
All ION DATE BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REG ULACONS PART 61 OF TITLE. 40 AND AQMD RULE
11403
PJJ0, CXPINED I 10 ISURMITTEb ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
LI AQMD
PIRM1TPAJAL
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X-vr, q L-1 AS STOS NoriiicA rioN IS NOT APPLICABLE TO
CEm IHLATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
I
SIGNATURE:
Name