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HomeMy WebLinkAboutF2023-0179 - Permitsv°poRr @ /a, � , u City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 a''.� Inspection Requests Phone: (949) 644-3255 °gc�con> 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). ISrl:ial��C�l1�ii�tli!IU