HomeMy WebLinkAboutF2023-0427 - PermitsCity of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
Combination Type -
Work Class - Tenant Improvement
IIIIIl1111111�11�II��Illlllll�llfl'v11�1�1[lm IsI1111Jill COMB Permit:F2023-0427
4 7
Plan Check No : F-C2023-2 19 1
Issued Date : 0910712023
Final Date:
Permit Status: Issued
Inspection Area: FIRE
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Job Address : 500 NEWPORT CENTER DR, 400 Legal Dese : P, BK 387 PG 41 PAR 2
Description: COMM FIRE ALARM TI WITH 5 DEVICES FOR "BANK OF AMERI I C I X'(XC2023-0126)
Owner: IRVINE CO
Contractors BUILDING ELECTRONIC CONTROLS
Architect
Address I I I INNOVATION
Address 2246 LINDSAY WAY
Address
IRVINE, CA 92618
GLENDORA, CA 91740
Phone (949) 720-3100
Phone: (909) 305-1600
Phone
State Lic
Con State Lic : 729905
Lic Expire: 1113012024
Applicant: KYNDALLTAYLOR
Bus Lic: BT97025666
Engineer:
Address
Address : 2246 LINDSAY WAY
Bus Lic Expire: 1013112023
GLENDORA, CA 91740
Phone: (909) 305-1600
Workers' Compensation Insurance
Phone:
Carrier: ZURICH AMERICAN INS CO
WC302951002
Designer: BUILDING ELECTRONIC CONTROLS
OwnerlBuilder:
Policy No:
W. C. Expire 4/1 12024:
Address 2246 LINDSAY WAY
Address
GLENDORA, CA 91740
Phone: (909) 305-1600
Phone:
2022
Fire Sprinklers.. No
Construction Valuation $5,550.00
Code Edition
I
Fire Hazard Zone: NO
Added/NewITI sq. ft. Bldg 0
Type of Construction -A
No of Units: 0
Alteration sq. ft. Bldg :
Occupancy Groups: B
No of Stories 9
Added/New sq. ft. Garage 0
Bldg Height:
TOTAL sq. ft. 0
Building Setbacks
a 0°
Flood Zone: X
Use Zone :
PROCESSED BY:
SPECIAL CONDITIONS:
'3 0 0
Q I
0 0
I hereby affirm under pe4ialty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) i have placer next to the applicable item(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, :prier to its issuance, also requires the applicant for
the permit to fife a signed statement that he or she is licensed pursuant to the provisions of the CanI State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions. Code or el'iat he or } she is exempt from licen ure, 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 fife hundred dollars i 0%
El 1, as owner of the property, p or my employees with wages as their sole compensation, vrifi do U 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 intondedIbr offered for sale, If, however, the building or improvement is scald Kithira one year of completion, the t urner-B afirier will have the burden of droving that it was not built or
unproved for the purpose of sale-,
0 I, as owner of the ro e`
p p°,I��rri exclusiveco with licensed Contractors to construct the project (Section 70>�4, Business and Prefessars Gods, The Contractors' State License Law does not
appf"r` to an owner of property arc builds or improves thereon, and who contracts for the Projects with a licensed Ccritmctor pursuant to the Contractors' State License Law).
t am exempt from l cerisur4wri er the Contractors` State License Law for the following reason,
By my signature below I ackrkow[eadge that, except for my personal residence in which I must have resided for at least one year prior to completion of the im roverrients covered b this permit, I cannot le all+
l� y fa g
seta a structure that I leave built e;s an ovmer-bultder if it has not been constructed in its entirety by licensed contractors, I understand that a copy of the applicable law, Section 70.44 of the Business and
Professions Cede, is available upon request when this application, Is submitted or.at the following Web srte:http i?u �vr.lec�infc�.ca.govldalavr.latf [.
Signature of Property Corner or Authorized Agent mate
LICENSED CONTRACTOR,iS, DECLARATION
1 hereby affirm under penalty of peiJury that I am ficansed and e $vf provisions ns of Chapter 9 (Commencing with Section 704 0 r•f Dlv'i�;'Jon 3 of the Business and Proles tar s Cct'e, � 3€c; ase Is in foil force
and effect. License Class hate 7 ntractor Signature
'ylt'tr RKERS' OMPE ` SA.TIf3 t � ATION
WARNING: FMI-URE TO SECURE W0RifERS' 00PAPENSATION COVERAGE is UNLAWFUL, AND SKALL SUBJECT AN EMPLOYER To GRWINAL i?ERALTW-S AND CiidTi. FLNES tiro O ONE HUNDRED THOUSAND DOLLARS {$140,000), 0.4 ADDMON TO THE
COST QFCOMPENSATION, P3AW131fi,£S AS ixRoi (L ; Ftiii i 7' SECT itt 37ffiS OF T> iE i Ai3OR Ci3€7E, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the folio. fng declarations;
I have and wilt mmin-Win a certificate Of consent to selAnsure for workem, Compensation, issued by the Director of Indus€riaf ReLlations as provided for by Section 3:700 Of the Labor Code, for IN
performance of the wor'x fttr which this permit is issued. Policy No,
That=e and will maintain workers` Compensation insurance, asrequired by Section 3700 of the Labor Code-, for the performance of the work for which this permit is issued, sty workers comperisat or
Iurance carrier and poticy� raurrlber are:
Carrier Policy Number expiration Date
Name of Agent Phone
1:1I certify that, in the perfrsrrnarice of the workf€ar wir'hich this permit is. issued, t shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and afire(
that, if 1 should become su t to the or rs rope ation provision of Section 3700 of the Labor Code, I shall forftlI comply with those provisions.
Signature of Applicant ,. ,._ .. bate
DECLARATION REGA[hi C S UC' ION LENDING.. ENCY
I hereby arm under penalty of pe-riury that there is a constructionlending agency for the performance of the work for which this permit is issued (;3ectian 3097, Civil Code),
Lender's fame 1 l Lenders Address
By racy signature be-1Ow,1 certify tb eiaoh of -the
1 am the property owner or authorized to act on the property owner's behalf.
I have read this application aaari *1: information 1 have provided is correct
i agree to comply with aff apolicab[6 city and county ordinances and state laws refacing to building construction.
I authorise represe6tai e : of Bali cry car county to r the ba nf' ae p y for inspection purposes.
,yq e sit�natiare of Property Owner orA"uthonlzed A ent Print t rope CJaranar`s or Authorized A ent's flame i7 t f
ACTION � BY � t3t C .ATioTN OF C0hA LIANC E VITH C ODE OF FEDERAL FOR OFFICE USE ONLY
r REGULATIONS PART 61 OF TITLE 40 AND AQ194D RULE
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