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HomeMy WebLinkAboutF2023-0235 - Permitsk�tiWPoRT City of Newport Beach IIIIIIIIIIIIN���I�III�III�II�III��I II COMB Permit: F2U23-0235 Community Development Department -Building Division F 2 0 2 3 0 2 3 5 y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1179 Permit Counter Phone: (949) 718-1888 Issued Date : 05/1312023 w. newportbeachca.gov/civic 1 py 1 R7 r7 r -a,,—� r-y Inspection Area : FIRE "uFoaN" Combination Type - , F : ., 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 SA IURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 2230 NEWPORT BLVD, Legal Desc : N TR 16594 BLK LOT 1 UN HOLD LOT 1 OF TRACT 16594; HOLD PARC EL FOR CONDO Description: COMM FIRE SPRINKLER TI WITH 13 HEADS (XC2022-2121) Owner: PENINSULA VILLAGE LLC Address : 220 NEWPORT CENTER DR, 11 NEWPORT BEACH, CA 92660 Phone : (714) 818-8034 Applicant: PACIFIC FIRE SUPPRESSION INC Address : 249 E EMERSON #G ORANGE, CA 92865 Phone : (714) 283-0211 Owner/Builder : Address : Phone Contractor: PACIFIC FIRE SUPPRESSION INC Address'. 249 E EMERSON #G ORANGE, CA 92865 Phone : (714) 283-0211 Con State Lic : 423418 Lic Expire : 11130/2023 Bus Lic : BT03042109 Bus Lic Expire : 03/31/2024 Workers' Compensation Insurance Carrier: EVEREST NATIONAL Policy No: 5300004928211 W. C. Expire: 9/17/2023 Architect Address Phone: State Lic Engineer Address Phone Designer: PACIFIC FIRE SUPPRESSION INC Address : 249 E EMERSON #G ORANGE, CA 92865 Phone : (714) 283-0211 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $1,4W.OU ' , Type of Construction : V-A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : A,B No of Units : 0 Alteration sq. ft. Bldg : I.". Bldg Height : No of Stories : 3 Added/New sq. ft. Garage: 0 ' TOTAL sq. ft. : 0 Building Setbacks Flood Zone : Use Zone : AE, 8 FT; X MU-W2 - Mixed -Use Water PION NOISE N11�t Na coNs�Ruc� PROCESSED BY: 3 SPECIAL CONDITIONS: HIGH DENSITY ZONE WEEKEND THE OA1 I hereby affirm under penalty of perjury that f am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business arid 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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not 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 L) portions of the work, and the structure Is nol Intended proffered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' ar 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 completion„ the Owner -Builder will have the burden of proving that It was not built or Improved for the purpose of sale). 111, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and %he contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensors under the Contractors' State License Law for the following reason By my signature below I acknowledge that. except for my personal residence in which I must have resided for at least one year prior to completion of the Improvements covered by this. permit, I cannot legally soli a structure that I have built as an owner -builder if it has notbeen constructed in its onfirety by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:/fwrwr.leginfo.ca.govtcaiaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter S (commencing with Section 7 00,14 n. 3 of the Business and Prof ,��r,,^.�.�-,—,,.�•• and. my license is in full force and effect License Class License No Date 3 Contractor Signature lJA' WORKERS' COMPENSATION DECLARATION IV WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINES UP TO' ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORAI FEES. I hereby affirm under penalty of perjury one of the following declarations. © 1 h ve 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, for tm pertoanee of the work for which this permit Is Issued. Policy No. 'have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior Fence carder and policy number are: ,ter Policy Number Expiration Date is of Agent Phone # certify that, in the performance o the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree , if I should becosr +/eject a workers c:ompensaticn provisions of Section 3700 of the Labor Code, I shall forthwith comply Win those provisions. nature of AppIlica :if 9t:,., ., n.,....,,.,.,,...........,.,....,r.,,.,,. Date A•la.l== hereby affirm under penkyof perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Seotion3097, Civil Code). Hinders Name Lenders Address ,y ra; „ id„ature ba:c n, , certify to each of the following: �® I am the proprody Lwier of authorized to act on the property owner's behalf. 1 Cave read this application and the information I have provided is correct. I agree to comply will all applicable city and utity ordinances and state laws relating to building construction. I nuthnnze representctives of this city or cc i - nt above-adanflfied property for inspection purposes. rt o;h I ' ,Rmature of Prooery Or mer or Authorized Ada Print Pr000ertv owner's er AuthhwRd Anent'c Noma 4_-6M-r ,^6 yxki ACTION + DATE 1 BY � r DECLARATION OF COMPLIANCE WITH CODE OK FEDERAL REGULATIONS PART Sl OF TITLE 40 AND AOMD RUL F. 1403 FOR OFFICE USE ONLY PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PE7MITCAM10ELLE1' .......l.,m PERMIT fXTENOED 7—rEPA t� r rnpMD PERUtT FINAi , 3 OO 12IE�ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CER11RCAIE OF PROPOSED DEMOLITION OCCUPANCY1551)EL SIGNATURE:. 23,