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Home My WebLink AboutF2023-0151 - PermitsCity of Newport Beach �EWPo -Q 8 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 644-3255 Inspection Requests Phone: (949) =gc,,;ryaN`P' newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement COMB Permit : F2023-0151 F 2 0 2 3�� II Plan Check No : PC2023-0753 Issued Date : 04/03/2023 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 J 4 FL - 212 4 6Dr zl •i Zofz Job Address : 5000 BIRCH ST Legal Desc : P BK 181 PG 13 PAR Description: COMM FIRE- INSTALL (3) FIRE NOTIFICATION DEVICES (XC2023-0032) Owner: JOHN HANCOCK LIFE INSURANCE COMPANY Contractor: FIRE SAFETY FIRST Architect USA Address : 865 S FIGUEROA ST STE3320 Address : 1170 E FRUIT ST Address LOS ANGELES, CA 90017 SANTA ANA, CA 92701 Phone : Phone : (714) 836-4800 x137 Phone Con State Lie : 599761 State Lie Lie Expire : 08/31/2024 Applicant: FIRE SAFETY FIRST Bus Lie: BT00009906 Engineer Address : 1170 E FRUIT ST Bus Lie Expire : 06/30/2023 Address SANTA ANA, CA 92701 Phone: (714) 836-4800 x137 Workers' Compensation Insurance Phone: Carrier: BERKSHIRE HATHAWAY HOMESTATE INS CO Owner/Builder : Policy No : BRWC331969 Designer: FIRE SAFETY FIRST ' Address : W. C. Expire: 11/1/2023 Address : 1170 E FRUIT ST SANTA ANA, CA 92701" Phone: Phone: (714) 836-4800 x137 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $7,275.00 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 : 6 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - Koll Center PROCESSED BY: SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt Rom the Contractors' State 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 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 L) all of or U portions of the work, and the structure Is not intended cr ofered for sale (Section 7044, Business and Professions Code: The Contractors" State License Law does not apply to on 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. if, however, the building or Improvement is sold within one year of compiedon, the Owner -Builder will have the burden of provingthat it was not built or Improved for the purpose of sale). 0 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 Lfcense Law), I am exempt from licensure under the Contactors' 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 e completion cribs mpovements covered by this permit, I Cannot legaif sell a structure that I have built as an owner-buildor if it has not boon 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 prat the following Web site:http:/A tiw.leginfo.ca,gov}calow.html, Signature of Property Owner or Authorized Agent T _._. ,______ _ Date LICENSED CONTRACTOR'S DECLARATION /] I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9:(commencing with Section 7 ,00}o Dlvislan 3 of the Business and Professi C e, i'td If se is In full force and effect, License O riss License No Date ^,j 2 Contactor Signature WORKERS' COMPFf,%AT1ON DECLARATION ✓JAPN'NY' -P LURE Tr' RFC'/RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIARNAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($ 00,0001, IN ADDFfION TO THE CULT OF CO:IPENSATION; rAMAOES AS PROVIDED rOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES_ har�by cffirrn under penalty of perjury are of the following declarations: 13 1 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, forth perfctma„ce of the, work for Which this permit is issued Policy No. have and will maint: in 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' ranee carrier anri piney number are: Policy Number or Agent Phone IS cerety that, in the pert'Imenco of theI406I for , If I sh,)uid become ubtect to me ork g s' I iature of Date is issued; I Shall not employ any Careen in any manner so as to become subject to the workers' compensation laws of California, and ague Lions of Section 3700 of the. Labor Code, I shall forthwith comply vdth those provisions. f 2— [late 1 ' 4f — 2 ireby affirm under penalty of perjury that there ikQc nstructio?r4rtding agency for the performance of the work for which this permit is issued (Section 3097, Civil Coda), )dens Name Lenders Address my signature below, I certify to each of the fallowing: 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 ail applicable city and count no as state laws relating to building construction. I authorize representatives of this city or county t a r t a a artifice property for inspection purposes, f`� nature of Proa e U Owner or Authorized A gent Print Pro n p e Owners or Authorized Agent's Name t � J GU TIOW DATE BY DFCLARATI Of COD DANCE WI'7H CODE. OF FEDERAL FOR OFFICE USE ONLY (REGULATIO SEART bl OF TI7€E 40 ANO AgNID RUt.E PERMIT-FXP1RED LJ i SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCE FEED T--rEPA PERMIT ENr€HOED ..•_. m•...• ®••.+ inQMD _ PERMIT FINAL I ASBESTOS NOI III TI N I N PPLiCABLE TO OCCUPANCY6F I PROPOSED DEMO / �� OCCUPANCYiS3GE0 t SIGNATURE;: f� Date `f 3 -'23