HomeMy WebLinkAboutF2023-0077 - Permitso ,W � City of Nunity ewport Beevelopment pachnt-Building Division 11111111111111111111111111111111111111111111111111111111111111 JillCOMB Permit: F2023-0077
,F a ` , . n. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0313
U Permit Counter Phone. (949) 718-1888 Issued Date : 05/25/2023
.�„ newponbeachca.gov/civic Inspection Area : FIRE
°gcrFoaN Combination Type -
Work Class - Tenant Improvement
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
Iv(L
Job Address : 4675 MACARTHUR CT, 2ND FLR
Legal Desc : P BK.196 PG 40 PAR 3
Description : COMM FIRE SPRINKLER TI W/ 7 HEADS ***XC2023-0039***
Owner: IRVINE CO
Contractor: FIRE PROT SPECIALISTS
Architect
Address : 111 INNOVATION
Address : 2810 E MIRALOMA AVE
Address
IRVINE, CA 92618
ANAHEIM, CA 92806
Phone: (949)720-3100
Phone: (714)635-6500
Phone:
Con State Lie : 464915
State Lie -
Lie Expire : 10/31/2024
Applicant: FIRE PROT SPECIALISTS
Bus Lie : BT30042894
Engineer
Address : 2810 E MIRALOMA AVE
Bus Lie Expire : 05/31/2023
Address
ANAHEIM, CA 92806
Phone: (714) 635-6500
Workers' Compensation Insurance
Phone:
Carrier: COMPWEST INS CO
Policy No : WCV5502952
Designer: FIRE PROT SPECIALISTS
owner/Builder:
W. C. Expire : 12/2/2023
Address: 2810 E MIRALOMA AVE . ,
Address :
ANAHEIM, CA 92806
Phone: (714)635-6500
Phone:
„
Code Edition : 2022
Fire Sprinklers : YES
Construction Valuation : $1,350.00
Added/New/TI sq. ft. Bldg: 0 -
Type of Construction : I -A
Fire Hazard Zone : NO
0
Alteration sq. ft. Bldg :
Occupancy Groups : B
No of Units :
No of Stories : 15
Added/New sq. ft. Garage: 0
Bldg Height:
TOTAL sq. ft. 0
Building Setbacks
Flood Zone : X
Use Zone : PC - Koll Center
PROCESSED BY:
SPECIAL CONDITIONS:
III 1TiTME+7.'1
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicat(p,d below 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, demolish, or repair any structure, prior to its issuance, also requires the applicant for
he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State LiCensa Le (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
>rofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031S by any applicant for a permit subjects the applicant to a eMi penalty of
lot more than jive hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
tiprovements are not intended or offered for sale. It, however, ilia building or improvement is sold within one year of completion. the Owner-Suilder will have the burden of proving that it was not built or
rlproved for the purpose of sale).
1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, BL Suisse and Professions Code; The Contractors' State License Law does not
oply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor p, rsuant to the Contractors' State License Law),
Z I am exempt from licensors under the Contractors' State 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 yea r prior to completion of the improvements covered by this permit, I.cannot legall
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed Contractors. I undo stand that a copy of Ind applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web stte:hUp,flwwW.teginto. .gdvlcalaw.html.
.ignaturs of Property Owner or Authorized Agent _ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7003rof Sion 3 of the Business and Profess ia ode, an. my I rise is In full force
nd effect. License Class License No Date a Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE I AND CIVIL FINES UP TO ONE HUNDRED NOOSAMU DOLLARS t8100,00d. IN ADDITION TO THE
Car OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, ANDATTORNEYFEES,
hereby affirm ur.der penalty, of perjury one of the following declarations:
.1 1 ha i^ and Y,W maintain a certificate Of consent to Sdf.msum for workers' compensation, Issued by the Director of
e5lormance or his work ror which this permit is Issued. Policy No.
-tL lave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe
isuuance carrier end policy number are:
an'er Policy Number
ame of Agent
oPd;ly that, in the performance of the wv which this permit is issued. I shall not employ any person In any manner so
if 1 should become sutf�t-toythe works D mWiD ation provisions of Section 3700 of the Labor Code, I shall forthwith c
Igrudur„ of Applicart_ 9lrL,
`ECI FPATION RIBA Ot G CONSTR C Ni)kNG AOENCY
narabv affirm wider pen ty of perjury that there is a construction lending agency for the performance of the work for which
Under's Name Lender's Address
'.y my signature below, I certify to each of the fallowing:
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 co of
I agree to comply with all applicable city and coup rdananoes a St to laws relating to building construction.
I authorize representatives of this city of county tc err the quo a -id fed property for inspection purposes.
ACTION j DATE BY ' DECLARATION OF COMPLIANCE U170 CODE OF FEDERAL
li 1 REGULAT{ONSPART St OF TITLE 40 AND AQMD RULE
PERA41T EXPIREV Q I SUBMITTED ASBESTOS NOTIFICATION TO
PER/ C4NCELLED *PROPOSED
PA
PERMIT EXT W6-F-0 — 4M0
PERMIT EINAL ''� �?�®ASBESTOS NOTIF{CA110N 15 NOT F'LICABLE TO
CEAt1FICATE OF DEN1 I NDCCUPANCYiSSUED IIRF• 9,,v ._ .
Relations as provided for by Section 3700 of the Labor Code, for
Of the work for which this permit is issued. My workers,
Date
I to become subject to the workers' compensation laws of California., and afire
Iply with those provisions. /
i Date)�?ci Z
.permit Is issued (Section3097, Civil Cade).
FOR OFFICE LIJE ONLY