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HomeMy WebLinkAboutF2023-0156 - Permits2EwPORT City of Newport Beach Community Development Department- Building Division 0D/ �y 100 Civic Center Drive, Newport Beach, CA 92660 ..m, s.. Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement Iluiiiiiiin II tl, 9 ^e 77' r• r7 COMB Permit: F2023-0156 Plan Check No : PC2023-0788 Issued Date : 04/06/2023 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: 4695 MACARTHUR CT, 1450 Legal Desc : P SK 196 PG 40 PAR 2 Description: COMM FIRE SPRINKLER TI WITH 42 HEADS (XC2023-0014) Owner: TRIO COMMUNITY ASSOCIATION Contractor: FIRE PROT SPECIALISTS Architect Address : 4695 MACARTHUR CT Address : 2810 E MIRALOMA AVE Address NEWPORT BEACH, CA 92660 ANAHEIM, CA 92806 Phone : Phone : (714) 635-6500 Phone Con State Lic : 464915 State Lic Lic Expire : 10/31/2024 Applicant: FIRE PROTECTION SPECIALISTS Bus Lic : BT30042894 Engineer: Address : 2810 E MIRALOMA AV Bus Lic Expire : 05/3112023 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 : $4,200.00 0 Type of Construction : I-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : Occupancy Groups : A3 No of Units : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 Bldg Height : No of Stories: 15 TOTAL sq. ft. : 0 Building Setbacks Flood Zone Use Zone: PC - Kell Center PROCESSED BY: SPECIAL CONDITIONS: ; OWNER -BUILDER DECLARATION 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 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 As issuance, also requires the applicant for he 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 ?rofessions Code) or that he or she is exempt from l censure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of tot more than five hundred. dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L)f all of or (_) portions of the work, and the structure is not intendedor 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 property, provideA 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 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 eply 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), 1 am exempt from ecensure under the Contractors' State License Law for the following reason: _ 3y my signature below t 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 legal]. coil 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 theapplicable law, Section 7044 of the Business and ?rofessions Code, is available upon request when this application is submitted or at the following Wee site:http:llwww.leginfo.ca.govicalaw.himi. ,ignature of Property Owner or Authorized Agent _ Date _ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9(commencing with Section 700 of vision 3of the Business and.Profe Cod d m tic seis In full force Ind effect. License Class License No Date — 9� Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SU84ECT AN EMPLOYER TO CRINNNAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,0001, IN ADDITION TO THE LOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 340E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a certificate of consent to sell -insure for workerscompensation, issued by the Director of Industrial Relations as provided for by Seclion 3700 of the Labor Code, forth e0brmance of the work for which this permit is issued. Policy No. LStj have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work far which this permit is issued. My workers' compensatio Insurance carrier and policy number are: Carrier Policy Number Expiration Date Vam s of Agent Phone # =I certify that, in the performance of lh rk for which 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 agre hat, if I should become ct to rtha or is mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wilh those provisions. Signature of Applicant Date �3 XCLAFiAT[pN REG AiNG C NST UCTIDN LI:NOING AGENCY — hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permitfs issued (Section3097, Civil Code). _endan 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 ].have provided is c Fact. I agree to campy, mtL all applicable City and county ordinances : tale laws relating to building construction. I authorize representatives of this city or county ter th a. ve- e filed property for inspection purposes. Signature of Prope,li Cwner or Authorized Agent Print Property Owner's or Authorized Agent's Name 3 w Date T i7 ZJ� ACTICN. DATE BY I DECLARATION OF CONIPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMtTEXPIRED it i i ...+,..., t.. rurv.w, "'Z t I (ASBESTOS N0'71FICAT'ION 15 NOTAPPLICABLE '1'0 CERFOCATE OF q� PROPOSED DEMOLITION OCCUPANCYISSUED