HomeMy WebLinkAboutF2023-0320 - Permits�OWPORT
City of Newport Beach
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F2023-0320
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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COMB Permit:
Plan Check No: PC2023-1546
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Permit Counter Phone: (949) 718-1888
Issued Date : 11/02/2023
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newportbeachca.gowcivic
Final
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 IN ALL AREAS
Job Address : 660 NEWPORT CENTER DR, 200 Legal Desc : P SK 295 PG 33 PAR 6 P.M. 295-33 PAR 6 FOR OF PAR
Description: COMM FIRE SPRINKLER TI WITH 38 HEADS. (XC2023-0234)
Owner: THE IRVINE CO
Contractor: FIRE PROTECTION SPECIALISTS
Architect
Address : 500 NEWPORT CENTER DR
Address: 2810 E MIRALOMA AV
Address
NEWPORT BEACH, CA 92658
ANAHEIM, CA 92806
Phone : (949) 720-2400
Phone : (714) 625-6500
Phone
Con State Lic : 464915
State Lic
Lic Expire: 10/31/2024
Applicant: MARK YAM
Bus Lic : BT30042894
Engineer
Address : 392 N N LEMAY CT
Bus Lic Expire : 05/31/2024
Address
ORANGE, CA 92867
Phone: (626) 757-2320
Workers' Compensation Insurance
Phone:
Carrier: COMPWESTINSCO
Owner/Builder :
Policy No: WCV5502952
Designer: FIRE PROT SPECIALISTS
Address :
W. C. Expire : 12/2/2023
Address: 2810 E MIRALOMA AVE
ANAHEIM, CA 92806
Phone:
Phone: (714)635-6500
Code Edition : 2022
Fire Sprinklers: YES
Construction Valuation : $2,900.00
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 : 16
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:
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed 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 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 lieensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
0 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 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 safe. 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 1, 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 who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure 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 legallt
sell a structure that I have built as an owner-6uildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable taw, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following ''A'eh site:httptlfvMnv.leginfo.ca,gov/calaeLhtml,
Signature of Property Owneror Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Div" ion 3 of the Business and ProfevI Cod , nd a y lill is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMP LOVER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I5100,0001, IN ADDITION To THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE. INTEREST. AND ATTORNEYS FEES.
ll hereby affirm under penalty of perjury one of the following doclaraliori
L0 1 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 th
Iperfformance 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. Myworkers'
ranee carrier and policy number are:
Policy Number
1e of Agent
Certify that, in the performance of the
t, if I should become sub'a •t to the wortr5ers `c�LZN06JNG
ions of Section 3700 of the Labor Code, s a o wl Game y p
nature of Applicant �,;j',_.�, ,.^ ,�— — .._. Date �J 2 Z
CLARATICIN Fit ING CONSTRUC'fWY
aFeby affirm under p ally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civi Codej.
ides s Name Lender's 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 cpp ect.
I agree to comply with all applicable city and coup dinances a. - slat) f�relaling to building construction.
I authorize representatives of this city or county r the o Iden' property for inspectlon purposes. / / �(o
mania of PioDertv Owner or Authorized AGenf � Print Property Owner's or Authorized Agent's Name n � L Date
Date
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
I h II f rth 'th I with those revisions
ACTION
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BY i DECLARATION.OF¢OMPLIANCE WITli CODF OF FEDERAL
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FOR OFFICE USE ONLY
PERMIT EXPIRED
16OBF11 FED ASBEST05 NOTIFICATION TO
PERMIT CANCELLED�PA
PERMIT EXTENDED
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CERTIFICATE OF
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