HomeMy WebLinkAboutF2023-0179 - Permitsv°poRr
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City of Newport Beach
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
F 2 0 2 3 0 1 7 9COMB Permit: F2023-0179
Plan Check No: PC2023-0942
Issued Date : 04/25/2023
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 : 610 NEWPORT CENTER DR, 12TH FL Legal Desc : P BK 295 PG 33 PAR 4
Description: COMM - INSTALL (135) FIRE SPRINKLERS FOR "CHIPOTL " (XC2022-2120)
Owner: 610 NEWPORT CENTER DR LLC
Address : 610 NEWPORT CENTER DR STE890
NEWPORT BEACH, CA 92660
Phone : (949) 720-2400
Applicant: FIRE PROTECTION SPECIALISTS
Address: 2810 E MIRALOMA AV
ANAHEIM, CA 92806
Phone : (714) 625-6500
Owner/Builder :
Address :
Phone :
Contractor: FIRE PROT SPECIALISTS
Address : 2810 E MIRALOMA AVE
ANAHEIM, CA 92806
Phone :
(714) 635-6500
Con State Lic
: 464915
Lic Expire :
10/3112024
Bus Lic :
BT30042894
Bus Lic Expire : 05/31/2023
Workers' Compensation Insurance
Carrier: COMPWEST INS CO
Policy No : WCV5502952
W. C. Expire: 12/2/2023
Architect
Address
Phone:
State Lic:
Engineer: - Vl
Address : 1 I `l 3 � C' J
Phone :
Designer: FIRE PROTECTION SPECIALISTS
Address: 2810 E MIRALOMA AV
ANAHEIM, CA 92806
Phone: (714) 625-6500
Code Edition :
2022
Fire Sprinklers :
YES
Construction Valuation : $8,750.00
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 :
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:
,' o
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated Slow by fire checkmark(s) I have placed next to the applicable items)
Ilion 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
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law ( hapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from licensure andthe basis for the alleged axemptlon. Any violation of Soction 7 31.5 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do [_) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044,
ilness 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
Movements are not Intended or offered for sale, if, however, the building or improvement is sold within one year of completio , the Owner -Builder Will have the burden of proving that 11 was not built or
-roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct tare project (Section 7044, Bush ass and Professions Code: The Contractors' State License Law does not
fly to an owner of property who builds or improves thereon, and who contracts for the projects with a dlcensed Contractor pure iant to the Contractors' State License Law).
r 1 am exempt from licensure under the Contractors' Slate 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
all a structure that I have builtas an owner-bWlderif it has not been constructed in its entirety by liconsod contractors. I under
'rofessions Coda, is available upon request when this application Is submitted or at the fallowing Web. site:http9/www.teginfo.c
8gnature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION'.
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 1
f D
nd effect. License Class License No Date
VORKERS' COMPENSATION DECLARATION
!ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE la UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
DST OF COMPENSATION. DAMAGES AS PROvlOEO FOR IN SECTION 3706 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 self -Insure for workers' compensation, Issued by the Director of Inc
®a rmance of the work. for which this permit is issued. Policy No.
't�(Chave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfor
isurance carrier and policy number are:
arrier Policy Number
Ends of of Agent
certify that, in the performance of the wo or which this permit is issued, I shall not employ any person in any manner so
, if I should become su // the +/yark re ensation provisions of Section 3700 of the Labor Code, I shall forthwith c
latureorAoolicank �/L1NT .(=o
hereby affirm under penalty of perjury that there is a Construction lending agency for the performance of the work forwhich this
ender's Name Lenders Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I'. have provided Is cor cL
I agree to comply with all applicable city and courts ordinances ar a a laws relating to building consirucllon.
I authorize representatives of this city or county tha�Idif d proper e -a lty for inspection purposes,
ionature of Prnne�ty Owner or Authorized Ac ent ��A VA Print Property Owner's or Authoriz
PSXXT CANCELJ,ED
PERM,1T EXTENDED
Pttinf1T FINAL
CE:77FICATE GF
r'FOlPANCY ISSUED
REGULATIONS PART 61 OFTITLE40AND' AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
�ASBESTUF NOTIFICATION IS NOT APPLICABLE TO
rR0^OSEDDEIAOLT'ION
StuNATUR.E:
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
3 of the Business and Professl�yr �ode,ra d m Ilergnse Is in full force
Contractor Signature Jury �_•f .rlitA.�--
CML FINES UP To ONE
(S100,000), IN ADDITION TO
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit Is Issued. My workers
Date
become subject to the workers* compensation laws of California, and agre
with those provisions.
Dated
Tnit is issued (Section 3097, Civil Code).
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