HomeMy WebLinkAboutF2023-0423 - PermitsQ ��WPOQT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIII II COMB Permit: F2023-0423
d Community Development Department- Building Division F 2 0 2 3 0 4 2 3
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2140
Permit Counter Phone: (949) 718-1888 Issued Date : 1210512023
U tea.. newportbeachca.gov/civic Final Date:
cg4eoaN�r Combination Type - Permit Status: Issued
Work Class - Tenant Improvement Inspection Area : FIRE
PERMITS EXPIRE 18D 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: 840 NEWPORT CENTER DR, 450 Legal Desc : P BK 136 PG 22 PAR 1
Description: COMM FIRE SPRINKLER TI WITH 4 HEADS FOR "OLYMPUS PROPERTY" (XC2023-0345)
Owner: IRVINE COMPANY LLC
Address : 111 INNOVATION DR
IRVINE, CA 92617
Phone : (949) 720-3100
Applicant:
MARK YAM
Address :
392 N N LEMAY CT
ORANGE, CA 92867
Phone:
(626)757-2320
Owner/Builder :
Address :
Phone:
Code Edition : 2022
Type of Construction : I -A
Occupancy Groups: B
Bldg Height:
Building Setbacks :
Flood Zone : X
Use Zone : PC - North Newport Center
PROCESSED BY: PM
SPECIAL CONDITIONS:
Contractor:
FIRE PROTECTION SPECIALISTS
Address :
2810 E MIRALOMA AV
ANAHEIM, CA 92806
Phone:
(714)625-6500
Can State Lie
: 464915
Lie Expire :
10/31/2024
Bus Lie:
BT30042894
Bus Lie Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: COMPWEST INS CO
Policy No: L0C17100014.5/o?I Z
W. C. Expire : 12/2/2024
Fire Sprinklers :
YES
Fire Hazard Zone :
NO
No of Units :
0
No of Stories :
2
itect :
Lie :
ress :
Qesigner : FIRE PROTECTION SPECIALISTS
ddress : 2810 E MIRALOMA AV
ANAHEIM, CA 92806
Phone: (714)625-6500
Construction Valuation : $1,200.00
Added/New/TI sq. ft. Bldg: 0
Alteration sq. ft. Bldg :
�`dded/New sq. ft. Garage: 0
TDTAL sq. ft. : 0
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable Items)
(Secflon 7031 5, Business and Professions Code: Any city or county that requires a permit to construct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the perrnit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from Iloeosure and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars I$SOD).
11 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure Is not intended oroffered 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. Ir, 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).
❑ 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 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 legally
salt a structure that I have built as an owner -builder if ithas 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 Web site: http:lf"w.leginfo.ca.gov/ce law. him).
Signature of Property Owner or 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 70 00)Qf Division 3 of the Business and Professions Cod y Iiaen In full force
and effect. License Class License. No Date ''L �3 Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING; 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 ADDMON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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 IN
perjprmance 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. My workers'
ranee carrier and policy number are:
Policy Number Expiration Date
of Agent Phone ff _
certify that in the performance of the wor or 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
L if I should become subject to thepwgLomldon5atior provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature Of Applicant _ __,._ _ Data�T'G3CIARATtON REGARDING CON N LENDft AGENCY
areby 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),
Ider's Name Lander'sAddress
any signature below, I cerlify 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 ordinance and state laws relating to building construction.
I authorize representatives of this city or county to enter ve-identified property for inspection purposes. o., p '7
nature of Property Owner or Aulharizad ADent Print Property Owner's or Authorized Apent's Name
�6re.) `�Le1 rADate
ACTION DATE BY-DEELARATION. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I suHmt TIED ASBESTOS NOTIFICATION TO
PERiM1T EXTENDED LJAo^A D
PERMIT FINAL 1ia,'> f (�/ I„( p IIASBESTOS NO11HCAI ION 15 NOT APPLICABLE TO
CERTIRCATE OF [ PROPOSED DEMOLITION
OCCUPANCYISSUEO [ S GNACL1NEz