HomeMy WebLinkAboutF2023-0504 - Permitsfwro. City of Newport Beach
P: R�
Community Development Department- Building Division
y ; y 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
Combination Type -
Work Class - Tenant Improvement
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII����� Plan
OMBPermitPF2023-0504
Issued Date : 12/05/2023
Final Date:
Permit Status: Issued
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
Description :
4695 MACARTHUR CT, STE 355 Legal Desc : P BK 196 PG 40 PAR 2
COMM FIRE SPRINKLERS - 4 HEADS (XC2023-0418)
Owner:
IRVINE COMPANY
Address :
110IN TION DRIVE
IRVIN,OCA
Phone:
(949)720-2000
Applicant:
MARK YAM
Address :
392 N LEMAY CT
ORANGE, CA 92867
Phone:
(626)757-2320
Owner/Builder
Address :
Phone:
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: B
Bldg Height :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
X
PC - Koll Center
/�M
SPECIAL CONDITIONS:
Contractor: FIRE PROTECTION SPECIALISTS
Address : AILOMA V
NAHE MCA 92 06
Phone: (714)625-6500
Con State Lic : 464915
Lie Expire : 10/31/2024
Bus Lie: BT30042894
Bus Lie Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: COMPWEST INS CO
Policy No: WcPt000- 456goz
W. C. Expire: 12/2/202'4
Fire Sprinklers :
YES
Fire Hazard Zone :
NO
No of Units :
1
No of Stories :
16
Architect
i Address
Phone:
State Lie
Engineer:
Address
Phone:
Designer: FIRE PROTECTION SPECIALISTS
Address: ANAHEIM, CA 92806
Phone: (714)625-6500
Construction Valuation : $1,200.00
Added/NewlTI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 00
TOTAL sq. ft.
uvvrvcrS-nvls.utt't UbCLARATION
I hereby affirm under penalty of pegury that am exempt from the Contractors' Sate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 703 f.b, 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 fit¢ a sign¢d statement that fie 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 Codej or that he or she is exempt from Iicensure and the basis for the aAeged exemption. Any violation Of Seddon 703t.5 by any applicant far a permit subjhcts the applicant to a civil penalty bt
not more than (Iva hundrso dollars ( is ex
i as owner of the property, or my employees with wages as their sole compensation, will do r_) all of or [_) portions of the work, and the structure is not intended Or offered for sale (Section 7044,
Business and professions Coda 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 [hat 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 hulk or
improved for the purpose of sale).
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 Improvesthereon, and who contracts for the projects witha licensed Contractor pursuant la the Contractors' Stake License Law).
I 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 toast one year prior to completion of the improvements Covered
sell 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 d044 of the 6
Professions Code, is available upon request when this application is submitted Orat the following'A'eb site:hhp:liwV v.leginfo.ca,govlcaiaw.htmL ered by this permit, Y cannnot (egallj
Signature of Property Owner or Authorized Agent _ Business and
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury Brat I am licensed under provisions of Chapter 9 (commencing with Section 70Q0 Of Dfvisio 3 of the Business and Professions /J�^���� M
and effect. License Class License No L �yapl�!. d my II cis In lull force
NORKERS' COMPENSATION DECLARATION Data /ice
�— Contractor Signature
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE''.
'DST OF COMPENSATION, DAMAGES AS PROVIDED FORM SECTION 3706 OF THE LABOR CODE, INTEREST, ANO ATTORNEy'S FEES_
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a cerlitcato or consent to seff-insure for workers compensation, issued by the Director of Industrial Relations Ds provided for by section 3700 of the Labor Code, for th
)er rmance of the work for which this permit is issued. Policy No.
I have and will maintain workers' compensation insurance, as required by Section 9700 of the Labor Code,. for the performance of the work for which This permit is issued. My workers' compensatio
isurancB carrier and policy number are:
:arrler Policy Number
lame of Agent Expiration Date
]I certify that, in the performance of the worn for which this permit is issued. I shall not. employ an Phone n
fat, If I should become subject to the woT 6 milensatlon provisions of Section 3700 of the Labor Cade, I shall forthwith Comply with those provisions.
p y y person in any manner so as to become subject to the workers' compensation laws of California, and agre
ignalum of Applicant _
ECLARATION REGARDING C N LICTION LENDING AGENCY Date_�'y�T c,�C lereby 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).
ancIm s Name
Y my signature below, I Carlify to each or the (ollawing: LendeYs AHdress
I an, the property owner or authorized to apt on the properly Owner's behalf,
I have read this application and the information I have provided is correct.
I agree to comply Wth all applicable city and county ordinances Of state Taws relating to building construction.
I authorize representatives of this city or county to entert -
gnature of Prooertv nwnwr ri� A ih .a,na A___.idenlif operty for inspection purposes.
ACTION
DATE BY 'I ARATION OF COMPLIANCE WITH CODE OF FEDIE
I REGULATIONS PART 61 OF TITLE 40 AND ACINID RULF.
1403
PERM,T EXPIRED r
PERMIT CAA'CELCED I SUW A, TTEL ASBESTOS NOTIFICATION TO
......_i WEPv�
CERTIFICATE OF 'l,� ll ( ppASBESTOS DION 15 NOT APPLICABLE TO
p OSEDEMOLIT( r1
OCCUPANCYISSUEO
vier s or Authorized Ac
FOR OFFICE
LOT