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Home My WebLink AboutF2023-0567 - Permits�EWPoRT City of Newport Beach ��1111111111111111111111111111111lp 1111 COMB Permit : F2O23-o567 D�) @ Community Development Department- Building Division F 2 0 2 3 0 5 6 7 F / 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2814 G x Permit Counter Phone: (949) 718-1888 Issued Date : 11/20/2023 newportbeachca.gov/civic Final Date: CqC/Fp0.N\¢ 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: 5000 BIRCH ST, 9TH FLR -j-J, Legal Desc : P BK 181 PG 13 PAR 5 Description: COMM FIRE SPRINKLER TI'XC2023-9� 6 HEADS Owner: JOHN HANCOCK LIFE INSURANCE COMPANY Contractor: ALL PRO FIRE PROTECTION INC USA Address : 865 S FIGUEROA ST STE3320 Address : 179 ROYMAR RD LOS ANGELES, CA 90017 OCEANSIDE, CA 92058 Phone: (949)757-0397 Phone: (951)244-9836 Con State Lic : 629993 Lie Expire : 12/31/2025 Applicant: ALL PRO FIRE PROTECTION INC Bus Lie : BT30029935 Address : 179 ROYMAR RD Bus Lie Expire : 08/31/2024 OCEANSIDE, CA 92058 Phone: (951) 244-9836 Workers' Compensation Insurance Carrier: OAK RIVER INSURANCE COMPANY Owner/Builder : Policy No : 345573 Address : W. C. Expire : 3/1/2024 Phone Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : No of Units : Bldg Height: No of Stories Building Setbacks : Flood Zone : X Use Zone : PC - Koll Center PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: Address Phone: Designer: ALL PRO FIRE PROTECTIQN;INC Address: 179 ROYMAR RD ' OCEANSIDE, CA 92058 Phone : (951) 244-9836 YES Construction Valuation : $2,300.00 NO Added/New/TI sq. ft. Bldg : 0 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 t 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 items) Chian 7031.5, Business and Professions Code: Any city or county that requires a permit io construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for 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 fessions Code) or that he or she is exempt from licensure 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with swages as their sole compensation, will do (_} all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, hiness 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 movements 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 moved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project {Section 7044, Business and Professions Code: The Contractors' State License Law does not ) y 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 I am exempt from licensure under the Contractors' State License Law for the following reason ly 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 tl all a structure that I have built as an owner -builder it it has not been constructed in its entirety by licensed contractors. I understand that a copy of the 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ea.govlcalaw.htmL 'rlgnature of Property Owner or Authorized Agent ... ICENSED CONTRACTOR'S DECLARATION rents. covered by this permit, I cannot law, Section 7044 of the Business and Date hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commahcinp with Se n 700 f Division 3 of the Ousfne d Professions C 1de, and my Ilcen ' a full force nd effect. License Class C_-1 License No 4 L YY cy `/,j Da //-7.�- >`3 Contract Sign ture VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED THO AND DOLLARS (EtOO,000), IN ADDn]ON TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ]TDB OF THE I.ASOR CODE, INTEREST, Me ATTORNEPS FEES. hereby affirm under penalty of perjury one of the following declarations: 31 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, Forth aor�f° 'ante or file work for which this permit is issued. Policy No. § a 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` compansatia h nce carrier and policy number are: ami r Policy Number Expiration Date ama of Agent Phone # 'I carluy th t, inb,e �.term aace of the wdrk for which this permit is issued. shall not. employ any parson in any manner so as to become subject to the worker 'compensation laws of Celifomia, and ogre fat. if , Shaul a me subject tD the workers' compensation provisions ofSeclion 37U0 of the Labor Cod®, shall forthwith comply with (hose provisions. ignaNre of Ap E- A'iATC R I_A�D9N'G C S UCTItlN LENDING AGENCY hereby affirm under penalty of erjury that Thera is a construction landing agency for the performance of the work for which this permit is issued (Secilon 309Y Cfvll ode). Name _ _Lender'sAddress _try signature below, I certify to each of the following: I Lr the property owner or authorized to act on the properly owner's behalf. I have read finis apn ication and the information I have provided is correct. Pcree to comply with all applicable city, rid county ordinances and state laws relating to building construction. authorize representatives of this cil r county to enter the above -identified property for Inspection purposes. _ i nature of Pru etr Owner or Authori ed ant Print Property Owner's or Authorized A en' ma i) kvt 1„`�-� Data NCTION DATE. BY DEC ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I RF6 LATIONS PART 6t OF TITLE 40 AND ACIMD RULE PERMIT EXPIRED _I U I SUBMITTED ASBESTOS NOTIFICATION TO PERM17 CANCEI£ED `` CPA PERMIT EXTENDED OAOM D PERM77 FrhlAi" (S a� jl-t(,Y(j�,{ ❑ASBESTOS NOT IFICA I ION IS NOTAPPLICABLE TO CERTIFICATE OF S PROPOSED DEMOLITION OCCUPANCY ISSUED + SIGNATURE.