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Home My WebLink AboutF2023-0559 - Permitsa-WPoRT City of Newport Beach IIIIII I II IIIIIIIII II II III IIII IIII IIII II II COMB Permit : F2023-0559 CF 1) 4 Community Development Department- Building Division F 2 0 2 3 0 5 5 9 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2776 Permit Counter Phone: (949) 718-1888 Issued Date : 11/15/2023 newportbeachca.gov/civic Final Date: `..... Combination Type - Permit Status: Issued Work Class - Other 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: 5000 BIRCH ST: 9TH FLOOR Legal Desc : P BK 181 PG 13 PAR 5 Description: COMM FIRE ALARM SYSTEM (20) DEVICES (XC2023-0350) Owner: JOHN HANCOCK LIFE INSURANCE COMPANY Contractor: FIRE SAFETY FIRST USA Address : 865 S FIGUEROA ST STE3320 Address : 1170 E FRUIT ST LOS ANGELES, CA 90017 SANTA ANA, CA 92701 Phone : (949) 757-0397 Phone: (714) 836-4800 x137 Con State Lie : 599761 Lie Expire : 08/31/2024 Applicant : FIRE SAFETY FIRST Bus Lie : BT00009906 Address : 1170 E FRUIT ST Bus Lie Expire : 06/30/2024 SANTA ANA, CA 92701 Phone: (714) 836-4800 x137 Workers' Compensation Insurance Carrier: REPUBLIC INDEMNITY COMPANY OF AMERICA Owner/Builder : Policy No: 2569801 Address : W. C. Expire : 11/1/2024 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 SPECIAL CONDITIONS: Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 1 No of Stories Architect : Address : Phone: State Lie Engineer: Address : Phone: Designer: FIRE SAFETY FIRST Address : 1170 E FRUIT ST SANTA ANA, CA 92701 Phone : (714) 836-4800 x137 Construction Valuation : $13,150.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 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 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). ❑ I, as owner of the property, or my employees with wages as their sole Compensation, will do U all of or (_) 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 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). ❑ 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 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). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below 1 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 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 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http9/wvAv.leginfo.ca.gov/calaw.htmi. 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 7000) of Division 3 of the Business and Profe si e, n y Ice se i in full force and effect. License Class License No Date X 1 f - I Contractor Signature NORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (N ,DWI. IN ADDITION TO THE COST 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: ❑ 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 �IiAormance of the Work for which this permit is issued. Policy No. and will maintain workerscompensation 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: io of Agent certify that, in the performance of the if I should become subject to the vo of Applicant Policy Number Date fOrJvhiCh t s ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree pe io provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �L Date K� hereby affirm under penalty of perjury that there is a r,'oristruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) enders Name V Lender's Address y 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 an� my ancesgn late laws relating to building construction. I authorize representatives of this city or c unty to r t a e ntlfed property for inspection purposes. ignature of Prooertv Owner or Authorized Aqe Print Property Owner's or Authorized Agent's Name / \ t CiL PERMIT EXPIRED PERMIT CANCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED Z�$ ZvI � I / X ` DECLARATION Ot C MPNANCE WITH CODE OF FEDEI REGULATIONS PA 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION