HomeMy WebLinkAboutF2023-0261 - Permits04"p,
City of Newport BeachCOMB Permit:F2U23-0261
Community Development Department -Building Division F 2 0 2 3 - e 2 6 t Plan Check No: PC2023-1369
irioPer Civic Center Drive, Newport Beach, CA 92660Permit Counter Phone: (949) 718-1868 Issued Date : O6/06/2023
newportbeachca.gov/civic Inspection Area : FIRE
Combination Type -
Work Class - New
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: 3 CORPORATE PLZ, 102
Legal Desc : P BK 93 PG 45. PAR 3
Description: COMM TI FIRE SPRINKLERS (12 HEADS) XC2023-0101
,,,,
Owner: PROPERTY RESERVE INC 3 CORPORATE
Contractor: SOUTH COAST FIRE PROTECTION INC
Architect
PLAZA LP
Address : 1908 S EL CAMINO REAL
Address
Address :
SALT LAKE CITY, UT 84151
SAN CLEMENTE, CA 92672
'
Phone : (949) 493-4604
Phone:
Phone :
Con State Lie : 746130
State Lie
Lie Expire : 02/29/2024
Applicant: SOUTH COAST FIRE PROTECTION INC
Bus Lie: BT20011043
Engineer
Address
Address: 1908 S EL CAMINO REAL
Bus Lie Expire : 12/3112023
SAN CLEMENTE, CA 92672
Workers' Compensation Insurance
Phone:
Phone: (949) 493-4604
Carrier: ACCREDITED SURETY & CASUALTY CO
SOUTH COAST FIRE �ROTFCTION INC
Owner/Builder :
Policy No: 1AGCA160065780
Designer :
Address: 1908 S EL CAMINO REAL
Address :
W. C. Expire : 5/1/2024
SAN CLEMENTE, CA 92672
Phone: (949) 493-4604
Phone:
Fire Sprinklers : YES
P
Construction Valuation : $3,000.00
Code Edition :
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg : 0
V-13
Type of Construction : V-B
1
Alteration sq. ft. Bldg
Occupancy Groups : B
No of Units :
2
Added/New sq. ft. Garage: 0
Bldg Height:
No of Stories :
TOTAL sq. ft. 0
Building Setbacks:
Flood Zone: X
Use Zone: PC - Corporate Plaza
PROCESSED BY: L 1
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that t am exempt from the Contractors' State License Lawlor the reasons) indicated below by the checkmark(s) I have placed next to the applicable Rem(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, Biter, improve, demolish, or repair any stricture, 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 700) of Division 3 of the Business and
Professions Cade) 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 permit subjects "the applicant to a civil penalty of
not more than five hundred dollars ($500),
111, as Owner of the property, or my employees with "gas as their sole compensation, will do (_) 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 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 completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of safe).
L as Owner of the property, am exclusively oontracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
6y to an miner of properly who builds or Improves thereon, and who contracts for the projects With a licensed Contractor pursuant to the Contractors' State License Law).
1 am exempt from licensure 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 pnor to completion of the improvements covered by this armll, I cannot legail,
Professions Code, is available upon request when this application is submitted or at the following Web site:http:/1www.Iegmfo.ca:g
sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Sao In 7044 a Business and
Signature of Property Cov/calaw:html. wvner or Authorized Agent ate
LICENSED CONTrA, .TOR'S DECLARATION -- -
I hereby affirm unde' pretty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 700) f DiNslon 3 of the Business and Professi and tcense is in full force
an0 affect_ License ClaRs License No pVC) G ConlrpctorSlg r
WORKERS' COMPFPrtsATION DECLARATION n(p`t}J\
APNIP6. F, RURE TO SFCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE RUpD ll � THOUSAND DOLLARS (f100,0001, IN ADDITION TO THE
CO:T OF C )MPENSATION, DAMAO" AS PROVIDED FOR IN SECTION $706 OF THE LABOR CORE, INTEREST, AND ATTORNEY'& Fee$,
I hrerotiy rffirm under penF ty of perjury one of the following declarations:
L_J �II 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,
pa4L,t.rj�,ce Of this w Ak fr,r which this permit is issued. Policy No,
�ve and will maintain 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' compensatior
Z,us carrier and policy number are:
r Policy Number
Expiration Date
Noma or Agent Phone #
DI certify that, in i,' part ce k for which this permit is Issued. I Shall not employ any person in any mannsf $0 as 10 became subject to the workers' compensation laws of California, and agree
that, if I should become sub the ors' provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Dat�/,GC 7
DECLARATION REGA O C UCTION LENDING AOENCY l
hereby affirm underp o perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,. Civil Code),
Lender's Name Lender's Address
By my signature Wow, I Certify to each of the following:
i am the property owner or authorized to act on the prop yowner's behalf,
t have read this application and the Information I have p vided is correct.
I agree to comply with all applicable city and county or panes and s aws relating to building construction.
I authorize repmsentatives of this city or County to a the a. amiRed property for inspection purposes.
3i nature of Pro art Owner or AuthorizedA Property Owner's or Authorized Agent's Na pate
ACTION DATE BY Vj
I tARATION OF COMPLIANCE WITH CODE OF FEDERAL I FpRorFICE. USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
CERTINCAif OE 3 ���% UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
OCCUPANCY ISSUED 2 \""" PROPOSED DEMOLITION
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