HomeMy WebLinkAboutF2023-0161 - PermitsCity of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2U23-o1 s1
Community Development Department -Building Division F 2 0 2 3 0 1 6 1
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0823
Permit Counter Phone: (949) 718-1888 Issued Date : 07/2712023
newportbeachca.gov/civic Final Date:
`'�ciFoa"`P Combination Type - Permit Status: Issued
Work Class - Tenant Improvement Inspection Area : FIRE
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DAIS
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 610 NEWPORT CENTER DR, STE 250 Legal Desc : P BK 295 PG 33 PAR 4
Description: COMM FIRE SPRINKER TI - 7 HEADS (XC2023-0112)
I N S 1! E�T 0
a�
Owner: 610 NEWPORT CENTER DR LLC
Contractor: FIRE PROTECTION SPECIALISTS
Architect
Address : 610 NEWPORT CENTER DR STE890
Address: 2810 E MIRALOMA AV
Address : - -----
NEWPORT BEACH, CA 92660
ANAHEIM, CA 92806
Phone: (949)720-2400
Phone: (714)625-6500
Phone: "
Con State Lic : 464915
State Lic
Lic Expire: 10/31/2024
Applicant : JESSICA SMARKER
Bus Lic; BT30042894
Engineer
Address : 4770 CAMPUS DR, STE 100
Bus Lic Expire : 05/3112024
Address
NEWPORT BEACH, CA 92660
Phone: (805) 444-8677
Workers' Compensation Insurance
Phone: "
Carrier: COMPWEST INS CO
Owner/Builder :
Policy No : WCV5502952
Designer: FIRE PROTECTION SPECIALISTS
Address :
W. C. Expire : 12/2/2023
Address: 2810 E MIRALOMA AV
ANAHEIM, CA 92806
Phone:
Phone: (714) 625-6500
Code Edition : 2022
Fire Sprinklers : YES
Construction Valuation : $1,350.0'
Type of Construction : V-B
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 : 18
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
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) Tri below by the checkmark(s) I have placed next to the applicable item(s)
coon 7031.5, Business and Professions Code: Any city or county That requires a permit to construct, alter, improve, demolti h, or repair any structure, prior to its issuance, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License La" (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fassions 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 paTialty of
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the vcrk, and the structure is not intended or offered for sale (Section 7044,
iness and Professions Code The Contractors' State License Law does not apply to an owner of property who, through eml loyees' or personal effort, builds or improves the property, provided that the
rovements are not Intended or offered for sale If, however, the building or improvement is sold within one year of completi n, the Owner -Builder will have the burden of proving that it was not built or
roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bu mess and Professions Code: The Contractors' Slate License Law does not
ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors Slate License Law).
J I am exempt from licensors under the Contractors' State License Law for the following reason _______.__
ry my signature below l acknowledge that. except for my personal residence in which I must have resided for at least one
all a structure that I have built as an ownor-builder if it has not been constructed in its entirely by licensed contractors. I u
'rofessions Code„ Is available upon request when this application Is submitted or at the following Web site:http:/lwww.legi
signature of Property Owner or Authorized Agent ,_____�_
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Se lion 7 0)
nd effect. License Class License No
COMPENSATION DECLARATION
FAILURE TO EB ..RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CF
�OMPENSAr10N, DA..AAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
he,nhy wflrm under penalty of perjury one of the following declarations:
have and AT maintaina certifroate of consent to selGinsure for workers' compensation, Issued by the Director of IT
Srmarce or the pork for which this permit is issued. Policy No.
have and will ,nair.tcin workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfr
larI carder Ei l pokey number are:
filar_ Policy Number
;e of Agent
:r r11fy that, in the performance of the for which this permit is issued I shall not employ any person in any manner so
if I should boom„ .>u��(a5jo the /wor ors' co ensalion provisions of Section 3700 of the Labor Code, I shall forthwith c
iawrd of AUUIi\l%dfkt / 'y kzl/ __ __
hereby affirm undei penalty of perjury that there is a construction lending agency for the performance of the work for which
endar'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 cart .
agree to comply with all a Ir ble city and county ordinances am tat laws relating to building construction.
authorize representative f Is city of county t��rT�a ;the a. 0 •Ides le,oroperty for inspection purposes.
ACTION DATE BY / I DECLARATION OF COMPLIANCE WITH CODE Or FEDERAL I FOR OFFICE
REGULATIONS PART 61 DF TITLE 40 AND AQMD RULE
PE.RM7 EXPIRED
LJ I SUBMITT€DASBFSTOS NOTIFICATION TO
PEAMii CANCELlEA
PER EXTFNDED
r®--I[PA
LJ AQMD
PCRM7T PlNAL
�3
,('r���4�'�l/'j�f LJ ASBESTOS NO11FICA'HON ISNOI APPLICABLE TO
CERTIFrCA7E OF
OCCUPANCY15SUED
/ , PROP05ED DEMOLITION
SIGNATURE:
to completion of the Improvements covered by this. permit, I.cannot
that a copy of the. applicable law, Section 7044 of the Business and
Date _
ysion 3 of the Buss and Prof is Coda? a d. rn tic se is in full force
'Z Cor r Signature
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS fS100,000). IN AODFTION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permitis issued. My workers
Dale
to become subject to the work mpensation laws of California, and agre
ply with those provisions.?
Date_ 7
permit is issued (Section 3097, Civil Code).
ONLY
2s ("'1—r�, 71,i-7/