HomeMy WebLinkAboutF2023-0069 - Permitsry vroRT City of Newport Beach I 111�111111111p1111111111111111111111111111p111p1111111111 COMB Permit: F2023-0069
D e�Community Development Department - Building Division F 2 0 2 3 0 0 6 9
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0293
Permit Counter Phone: (949) 718-1888 Issued Date : 06/09/2023
a.. newponbeachca.gov/civic Inspection Area : FIRE
CgC,FppN�P Combination Type -
Work Class - Tenant Improvement
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: 888 SAN CLEMENTE DR, 150
Legal Desc : A TR IRVINE SUB BLK 55 IRVINE SUB.,
FOR OF BLOCK 55. t� t
°'�9
Description: COMM FIRE SPRINKLERS 9 HEADS (XC2023-0035)
Owner: IRVINE CO
Contractor: FIRE PROTECTION SPECIALISTS
Architect
Address: 111 INNOVATION
Address : 2810 E MIRALOMA AV
Address
IRVINE, CA 92618
ANAHEIM, CA 92806Phone:
Phone : (714) 625-6500
Phone
Con State Lie : 464915
State Lie
Lie Expire : 10/31/2024
Applicant: MARK YAM
Bus Lie : BT30042894
Engineer:
Address : 392 N LEMAY CT
Bus Lie Expire : 05/31/2024
Address
ORANGE, CA 92867
Phone: (626) 757-2320
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 : $1,450.00
Type of Construction : II-B
Fire Hazard Zone : NO
Added/NewlTl sq. ft. Bldg : 0
Occupancy Groups :
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 4
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:
OWNER43UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law for the resson(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 penni(lo construct. alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for
is 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
Irofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any. violation of Section 7031.E by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
31, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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
nprovemenls are not intended or offered for sole. 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. He 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
�ly 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 am exempt from ficensure under the Contractors' State License Law for the following reason:
ly 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 improvementscovered by this permit, I. cannot legali)
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web siteihttp9Avww.(aginfo.ca.g"celaw.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 ) #,'y slo 3 of the ess and Prof t Cod , It my
is se is in full force
nd effect. License r7ess License NoCon or Signature
VORKERS' COIP,I'ENSATION DECLARATION
WtA71r: 77111LURE TO S irl'RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1011A00), IN ADDITION TO THE
0.7 OF C4MPENSA.104, DA6;AS" AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNrrS FEES.
helaby affirm under penalty of perjury one of the following declarations:
and Will r"Pintain a Certificate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
Ire of the work for which this permit Is issued. Policy No.
and will nclntaa 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' compensa
harrier aed Poricy number are:
ne of A Gent
nanify that. in 0.6 panormence of the
If I skould be�orr',� 3ublef�l }n thae
ti/a tature of A nt /- /J /L• -
Policy Number Expiration Dale
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
ation provisions or Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ / J
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
ender's Name Lender's Address
y 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 'or
I agree to comply with all applicable city and county ordinances and eta aws relating to building construction.
I authorize representatives of this city or county toept file aonpe- en>f e�roparly, for inspection purposes.
DATE
PERMIT
CERTIRCATEOP
OCCUPANCYISSUED
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE. USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
NOTIFICATION
LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
.PROPOSED DEMOLITION