HomeMy WebLinkAboutF2023-0450 - PermitsDk�EwaoR� City of Newport Beach
A Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
U .a.. newportbeachca.gov/civic
�9crroa`'�" Combination Type -
Work Class -Tenant Improvement
iipiiiii0 II
COMB Permit: F2023-0450
Plan Check No: PC2023-2292
Issued Date : 0112412024
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 : 888 SAN CLEMENTE DR, 130 Legal Dose : A TR IRVINE SUB BLK 55 IRVINE SUB., POR OF BLOCK 5
Description: COMM FIRE SPRINKLER TI WITH 1 HEAD FOR SPEC SUITE (,V-2023-037-5)
Owner: THE IRVINE COMPANY
Address : 550 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
Phone: (949)720-2372
Applicant: HOLLY M GRAVES
Address : 18 MULHOLLAND CT
MISSION VIEJO, CA 92692
Phone: (949)697-9401
Owner/Builder :
Address :
Phone
Contractor:
FIRE PROTECTION SPECIALISTS
Address :
2810 E MIRALOMA AV
ANAHEIM, CA 92806
Phone:
(714)625-6500
Con 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 : WCP10007456802
W. C. Expire : 12/2/2024
Architect
Address
Phone:
State Lie
Engineer:
Address
Phone
Designer: FIRE PROTECTION SPECIALISTS
Address: 2810 E MIRALOMA AV
ANAHEIM, CA 92806
Phone : (714) 625-6500
Code Edition :
2022
Fire Sprinklers :
YES
Construction Valuation :
Type of Construction :
II -A
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg
Occupancy Groups :
B
No of Units :
0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
4
Added/New sq. ft. Garage:
TOTAL sq. ft.
Building Setbacks
Flood Zone :
X
Use Zone :
PC - North Newport Center
PROCESSED BY
SPECIAL CONDITIONS:
$1,050.00
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) 1 have placed next to the applicable item(s)
iection 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
to 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
'rofessions Code.) or that he or she is exempt from iicensure 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
of 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 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
nprovements 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
nproved for the purpose of sale).
1 I, 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
pply 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).
] I am exempt from iicensure under the Contractors' Slate License Law for the following reason
�y my signature below I acknawledge that, except for my personal residence in which I must have resided forat least one year prior to completion of the Improvements covered by this permit, t cannot legal)
ell 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
'rofessions Code, Is available Upon requestwhen this application is submitted or at the fallowing Web site:http://'A ,1W.leginfo.Ca.govicalaw.htmi.
ilgnature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of ivislon 3 of the Business and Profe Cod 6nmyda is in full force
Ind effect License Class License No Date 2 Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: 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 f$100,000),. IN ADDITION TO THE
05T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
3 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
eije'frnance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
Date
ll-altme of Agent Phone #
JI certify that, in the perfor ante of the work f itch this permit is issued, I si not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
Tat. d I should. become subject to works co sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions-
IECLAR of Appl'icent � Date
IECLARATION REGARDING _ STRUCTI N ENDING AGENCY
hereby affirm under penalty o perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, C' II Cod )
enders Name Lenders Address
3y my signature below, I certify to each of the following:
I am the property owner or authorized to acton the properly owner's behalf-
have read this application and the information 9 have provided is(idLna
ct.
I agree to comply with all applicable city and county ordinances ate elating to building cpnstruction.
I authorize representatives of this city or county to nt a�� ab vtifi� roperty for inspection purposes.
3i nature of Property Owner or Authorized Print Property Owner's or Authorized Ag
ACTION DATE BY DECLARATION O. OMPLIANCE WITH CODE. OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61. OF 71TLF 40 AND, RULE
PFRMiT'EXFIRED ', LJ. I SUBMITTFD ASBESTOS NOTIFICATION TO
"ERNI CANCIFOff) EPA
----i—
PGRMr'EX7ENOCB UAgMD
�" ERNf. FINAL L� Kk011 1..12t L1 ASBESTOS NOTIFICAS ION IS NOT APPLICABLE TO
'F`? 'SATE OF I ' PROPOSED DEMOLITION
nrCl°RNCY ISSUED I SIGNATURE:
Name