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Home My WebLink AboutF2022-0307 - PermitsCity of Newport Beach Community Development Department- Building DivisionCOMB 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 nnewportbeachca.gov/inspections 0Q. Combination Type - Work Class - Tenant Improvement Permit:F2U22-03�7 Plan Check No : 1550-2022 Issued Date : 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 : 4601 JAMBOREE RD Legal Desc : A TR IRVINE SUB BLK 50 LOT 138 IRVINE SUB LOT 138 BLK 50 FOR OF LOT Description: COMM FIRE ALARM TI @ HARBOR JUSTICE CENTER. 25 DEVICES t—:�-L-r-VP jD t2 Mau 11J6"l,+} Owner: COUNTY OF ORANGE Contractor: FIREST FIRE ALARM SYSTEMS Architect Address : Address : 5947 BURCHARD AV, 200 Address SANTA ANA, CA 92702 LA, CA 90034 Phone: Phone: (323)965-9300 Phone: Con State Lic : 541227 State Lic: Lic re' 09/30/2024 ELic INS1 OR Applicant: MICHAELGOURGY Bus BT30079695 Engineer: IECT Address: 6000 VENICE BLVD Bus Lic Expire : 09/30/2023 Address: LA, CA 90034 Phone: (323) 402-1226 Workers' Compensation Insurance Phone: Carrier: SECURITY NATIONAL INS CO Owner/Builder : Policy No: SNP1394698 Designer: YAHOODA ROSHANZAMIR Address : W. C. Expire : 7/8/2023 Address: 5947 BURCHARD AV, 200 LA, CA 90034 Phone: Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $12,550.00 Type of Construction : V-B 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 : 1 Added/New sq. ft. Garage : 0 Building Setbacks Flood Zone : X Use Zone : PC - Koll Center PROCESSED BY: SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable iterr(s) ,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 the permit to file a signed statement that ho 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 lieensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a Civil penalty of not more than five 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, Business 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 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 buitt or mEroved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). El I am exempt from lieensure under the Contractors' Stale 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, 1 Cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its antiroty 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 sOe:httpalwww.leginfo.ca.gov/calaw.html. f �I Signature of Property OW Fir or Authorized Agent �� .� ` C� LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the Business and a Io Code, and my license is to full force and effect. License Class License No D 7 — 7 Contractor Signalur -- tNORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRNINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS N000,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3906 OF THE LABOR CODE, INTEREST, AND ATTORNEP$ FEE$_ 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, for rormance of the work 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 Date certify that, inthe performance of 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 Caltforia, and , if I should become subject to the workers' Compensation previsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of areby affirm under penalty dfperjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). ider's Name Lenders Address my signature below, 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 information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. / I authorize representatives of this city or county to e)Iter the above -identified property for inspection purposes. \ T ACTION DATE. BY t/ DECLARAT*N OF COMPLIANCE WITH CODE OF FEDERAL FOROFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE j 1403 PERMIT EXPIRED I I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED I rnQNryD PCRMI7 FINALIy3G ASBESTOS NOTIFICATION IS NOT APPLICABLE 70 _ CERTIFICATE OF i PROPOSED DEMOLITION OCCUPANCY ISSUED i SIGNATURE.