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Home My WebLink AboutF2023-0092 - PermitsCity of Newport Beach IIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIII Community Development Department -Building Division F 2 0 2 3 0 0 0 q 100 Civic Center Drive, Newport Beach, CA 92660 > _ Permit Counter Phone: (949) 644-3288 .�.Inspection Requests Phone: (949) 644-3255 C4C/F00.N\� newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement 9 2 II COMB Permit: F2023-0092 Plan Check No: PC2023-0377 Issued Date : 03/08/2023 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 : 5000 BIRCH ST, 1000 Legal Desc : P BK 181 PG 13 PAR 5 Description: COMM TI - INSTALL13 FIRE NOTIFICATION DEVICES (XC2022-2118) Owner: JOHN HANCOCK LIFE INSURANCE COMPANY Contractor : FIRE SAFETY FIRST Architect USA Address : 865 S FIGUEROA ST STE3320 Address : 1170 E FRUIT ST Address LOS ANGELES, CA 90017 SANTA ANA, CA 92701 Phone : Phone : (714) 836-4800 x137 Phone Con State Lic: 599761 State Lic Lic Expire : 08/31/2024 Applicant: FIRE SAFETY FIRST Bus Lic: BT00009906. Engineer: Address : 1170 E FRUIT ST Bus Lic Expire : 06/30/2023 Address SANTA ANA, CA 92701 R *• ? `.!LJ 9 +-d t Phone: (714) 836-4800 x137 Workers' Compensation Insurance Phone: it Carrier: BERKSHIRE HATHAWAY HOMESTATE INS Owner/Builder: CO Policy No: BRWC331969 Designer: Address : W. C. Expire: 11/1/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $19,875.00 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 : 11 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone: PC - Koll 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 Low 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, dernolish, or repair any structure, 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 Licenso Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7. 31.5 by any applicant for a permit subjects the applicantto a civil penalty of not more than five hundred dollars ($500). El 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of of U portions of the wrk, 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 empl yees' 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 compledor, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construetthe project (Section 7044, Busn ass and Professions Coda: The Contractors' State License Law does not apply to an owner of propertywho builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate Lleanse Law). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my persenal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legaly sell astructure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that copy of the. applicable law, Section 704A ofthe Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http:/lwww.leginfo.cajgov/calaw.html. Signature of Property Owneror Authorized Agent Date — LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 000) f Divi i n 3 of the Business and Pr a ns a Ind y ease is in full force and effect. License Class License No \e —g'-2 > Contractor Signatu WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES O CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ( t00,000I, IN ADDITION TO THE COST OF COMPENSATION„ DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 ¢etformance, of the work for which this permit is issued. Policy No. i and will maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the pedorlilance of the work for which this permitis issued. My workers' carrier and policy number are Policy Number of Agent Date certify that, in the performance of the war r is lhira; issued, I shall not employ any person in anymannerso a to become subject to the workers' compensation laws of California, and agre t, if I should become subject to the worker a atons of Section 3700 of the Labor Code, I shall forthwith con ply Alin those provisions. H nature of Applicant Date - CLARATION REGARDING CON RU TION areby affirm under pIty of perjury that there is a con r tion lending agency for the performance of the work for which this permit Is issued (Section 3097, Civ Code). en tder's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the properly owner's behalf. I have read this application and the Information I have provided is c ct I agree to comply with all applicable city and county I a as sia a Laws relating to building. construction. I authorize representatives of this city or county at t ao -ids hied property for inspection purposes. nature of Property Owner or Authorized Agan.l _—s�l Print Property Owner's or Authori ed Agent's NarA I \ram'-1yQ.��F Date.3 ACTION DATE ( BY V REGU RATI0NO COMPi TITLE 4ITAN ODE OFD AQMD RULE FEDERAL FOR OFFICE USEjONLY PERMIT EXPIRED PER,bf1T EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED I SUBMITTED ASBESTOS NOTIFICATION TO U ASBESTOS NOT1 FICA I [ON 15 NOT APPLICABLE TO PROPOSE DEMOLITION SIGNATURE: