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HomeMy WebLinkAboutF2023-0259 - Permits'aEW PpQT City of Newport Beach IIIII II IIIIII IIII IIIIIIIIIIIII IIII III IIIIII jj COMB Permit : F2023-0259 D� -1 6 Community Development Department- Building Division F 2 0 2 3 0 2 5 9 F is" a 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1365 Permit Counter Phone: (949) 718-1888 Issued Date : 07/27/2023 newportbeachca.gov/civic Final Date: Combination Type - Permit Status: Issued Work Class - Tenant Improvement 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 1N ALL AREAS Job Address : 610 NEWPORT CENTER DR, 430 Legal Desc : P BK 295 PG 33 PAR 4 Description: COMM TI -MODIFY (1) FIRE SPRINKLER HEAD (XC2023-0195) Owner: IRVINE CO Address : 550 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: (949)453-2330 Applicant: WENDYURIARTE Address : 19900 MACARTHUR BLVD, 200 IRVINE, CA 92612 Phone : (949) 656-2882 x705 Owner/Builder : Address : Phone: Contractor: FIRE PROTECTION SPECIALISTS Address : 2810 E MIRALOMA AV ANAHEIM, CA 92806 Phone: (714)625-6500 Con State Lie : 464915 Lie Expire : 10131/2024 Bus Lie: BT30042894 Bus Lie Expire : 05/31/2024 Workers' Compensation Insurance Carrier: COMPWEST INS CO Policy No : WCV5502952 W. C. Expire: 12/2/2023 Architect : DICKSON OI Address : 19900 MACARTHUR BLVD, 920 IRVINE, CA 92612 -- -' Phone : (949) 656-2882 State Lie Engineer: Address: 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 : Type of Construction : I -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : 2022 No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 18 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks: Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS $1,050.6 0 0 0 TION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated 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 is 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 Irofessions Code) or that he or she is exempt from fieens ire and the basis for the alleged exemption. Any violation of Section 703t5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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 nprovemene 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 nproved for the purpose of sale). I, 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 L,ply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), J I am exempt from wensure under the Contractors' State License Law For the following reason ty my signature below f 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 all a structum that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and !rofessions Code, is available upon request when this application is submitted or at the followfng Web site:http:liwww.teginfo.ca.govlcalaw.html, tignature 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 Sec. 7 o Divi on of th amass and Pr. Code d m I rise is In full torte rid effect. License Class License No Dat '1 Co actor Signature n //r.� VORKERS' COMPENSATION DECLARATION IARNING: FNLURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL P NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. hereby affirm ucd�rf enalty of perjury one of the following declarations: I I have and will Inelntaio 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 th, k,qa ru�nce of ;he u,cd, for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Dale ca Iffy that, ;n tire performance of 10 rk 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 Calffomfa, and agre '., f' she b me' subigct to the ork IS' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of bLam 27/2� 3 _ Cl.AtfAT ON�F� ,RDING C NS RUC ION LENDING AGENCY .ful,y affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). do's Name Lenders Address my signature oeluw, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the informalion I have provided is correct. I agree to comply with all applicable city and county ordinances apfl tale laws relating to building construction. I authorize representatives of this city o o ty t ex the do e= en' led property for inspection purposes. �r7� J I nature of Property Owner or Authorized nl xf k- Print Prooenv Owner's or Authorized ADen\t'si5ame i Jt.1//f-)��Daf / Data ACTION I DATE j FIT / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF l'ITI F. 40 AND AOMn RLILF 1403 PERMIT EXPIRED PERr�AiT CANCELLED PERiMiT FINAL 7J ��/(UASBESTOS NOTIFICATION 15 NOT APPLICABLE to CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE;