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Home My WebLink AboutF2023-0473 - Permits�EWPORT City of Newport Beach 1pi 1111111111111111p11111111111111111111104 7�� 111JillCOMB Permit: F2023-0473 D� @m Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2403 Permit Counter Phone: (949) 718-1888 Issued Date : 10/02/2023 r newportbeachca.gov/civic Final Date: °g4roCombination 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 IN ALL AREAS Job Address : 500 NEWPORT CENTER DR, 400 Legal Desc : P BK 387 PG 41 PAR 2 Description : COMM TI FIRE SPRINKLERS (11 HEADS) *XC2023-0126' Owner: 500/550 NEWPORT CENTER DRIVE LLC Contractor: FIRE PROTECTION SPECIALISTS Architect Address : P.O. Box 2450 Address : 2810 E MIRALOMA AV Address NEWPORT BEACH, CA 92658 ANAHEIM, CA 92806 Phone : (949) 453-2330 Phone : (714) 625-6500 Phone Con State Lic : 464915 State Lic Lic Expire : 10/31/2024 Applicant; FIRE PROTECTION SPECIALISTS Bus Lic : BT30042894 Engineer Address : 2810 E MIRALOMA AV Bus Lic Expire : 05/31/2024 Address ANAHEIM, CA 92806 Phone: (714) 625-6500 Workers' Compensation Insurance Phone: Carrier: COMPWEST INS CO Owner/Builder : Policy No: WCV5502952 Designer: FIRE PROTECTION SFECIALISTS , Address : W. C. Expire : 12/2/2023 Address: 2810 E MIRALOMA AV ' ANAHEIM, CA 92806 Phone: Phone: (714) 625-6500 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $1,550.00 Type of Construction : I -A 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 : Added/New sq. ft, Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable ilerl (Section 7031.5, Business and Professions Code: Any city or county that requires a permR 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 licensure, 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). 1, 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 70", 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 built or improved for the purpose of sale) - El I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not ra�iply 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). LJ I am exempt Item licensure under the Contractors' State License Law for the fallowing 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 coveted by this permit, I cannot legal) soil a structure 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 the Business and Professions Code, is available upon request when this application is submitted or at the following'Neb site:http:llwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized AgentDate LICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with SlaQtion 700 ) f 'vision 3 of the Bu ss and Prof s Co , a d. I' Feels In full farce and effect License Clasa License No Cor r Signature WORKERS'COMPENSATION DECLARATION WAnNING: FAILURE TO S2bbHE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE I RED THOUSAND DOLLARS t$IODM 6i, IN AUCTION TO THE COST OF COMPENSATIIf', ONMAGES AS PROVIDED FOR IN SECTION 3706. OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. Ih'I�re7y affirm under penalty of perjury one of the following declarations: [11 have and will r,L,i.l ain 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 po. 6man.:e of the r. 01 for which this permit is issued. Policy No. e•,P and will malnta-n 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' Compensation Vnsu , ce carrier ai,L poli.y number are: CPrnPr _ _ Policy Number Expiration Date Nzma of hgent _ _ Phone N CI ca,fi:y that, in the performance of thew 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 agre that, 'f' ;hGuld b6•come Rita to the we ers' -om motion provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions. Signature of App "c• _ _ _ D ta�B DEGLARATiO G DING _l _ ION LEN6IN AGENCY herahy affirm un r penalty of pertury that there is a construction lending agency for the performance of the work for which this permit is issued. (Section 3027, Civil ode . Lender's Name Lender's Address By 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 tout ordinances and a e laws relating to building construction. I authorize representatives of this city counde fie property for inspection purposes. rSi nature of Property Owner or Authorized Date e Z ACTION DATE by DECLARATCON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGULA'rIONS PART 51 OF TITLE 40 AND AQMD RULE i 1403 PERMIT EXPfRED _ ISUBMITT€D ASBESTOS NOTIFICATIONTO PERMIT CANCELLED i LJEPA PERItitIT EXTENDED _ )_ _ IIA4MD __ _ CERITIFCA EOF._._.__. (alr7 /T7� PROPOSEDDEMOLIITk DEMOLITION IS NDY APPLICABLE �i0 OCCUPANCY 155UED u/ G SIGNATURE: