HomeMy WebLinkAboutF2023-0364 - Permits"Ev*Po", City of Newport Beach II II III II I IIII II III IIIII III II II COMB Permit : F2023-0364
0d Community Development Department- Building Division F 2 0 2 3 0 3 6 4
F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1860
>•? i Permit Counter Phone: (949) 718-1888 Issued Date : 12105/2023
.a. newportbeachca.gov/civic Final Date:
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 : 860 NEWPORT CENTER DR '5�- ( t)v Legal Desc : P BK 136 PG 22 PAR 1
Description: COMM FIRE SPRINKLER TI WITH 40 HEADSFOR "BURNHAM-WARD" (XC2023-0290)
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:
Contractor:
FIRE PROTECTION SPECIALISTS
Address :
2810 E MIRALOMA AV
ANAHEIM, CA 92806
Phone:
(714)625-6500
Con State Lic
: 464915
Lic Expire:
10/31/2024
Bus Lic :
BT30042894
Bus Lic Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: COMPWEST INS CO
Policy No: wcPl0oo'jN56$oZ
W. C. Expire: 12/2/2024
Architect
Address
Phone:
State Lic
Engineer:
Address
J'T.7Z,
Designer: FIRE PROTECTION SPECIALISTS
Address: 2810 E MIRALOMA AV
ANAHEIM, CA 92806
Phone: (714)625-6500
Code Edition :
2022
Fire Sprinklers :
YES
Construction Valuation :
$4,000.00
Type of Construction :
I -A
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg :
0
Occupancy Groups :
B
No of Units :
0
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
2
Added/New sq. ft. Garage :
0
TOTAL sq. ft. :
0
Building Setbacks
Flood Zone :
X
Use Zone :
PC - North Newport Center
PROCESSED BY:
-_
SPECIAL CONDITIONS:
`
d
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) I have placed next to the applicable items)
fSection 7031.5, Business at)d Professions Code: Any city or county that requires a permit to cons Inlet, 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 f oansure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
0 1, as owner of the property, or my employees with wages 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,
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).
El 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).
n 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 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 ontiroty by licensed contractors. I understand that a copy of the applicable law, Section 7044 ofthe Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:/lwuw.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _Date _
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of chapter 9 (commencing with Section 70 OZof Divis�pn 3 of the Business and Profession al m sa is In full force
and effect. License Class License No Date S'�-2 Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ISf D0,000), IN AVOmON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
'I hereby affirm under penalty of perjury one of the following declarations:
and will maintain a certificate of consent to selGinsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
'.a 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 # _
certify that, inthe performance of the work for 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 agree
if I should become subject to the �wJii�j�ke. mpensaben provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i
iature of Applicant M1,_^ Data
3reoy affirm under penalty of pert ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
idar's Name Lender's Address
my signature balow, 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 andthe information I have provided is correct.
I agree to comply with all applicable city and county ordinanc������jjjjjj and state laws relating to building construction.
I authorize representatives of this city or county to ante aye -Identified property for inspection purposes.
,nature of Prone" Owner or AWhodzad Aaan! si Print Pronertv Owner's or Authorized AnantSs Name
ACTION DATE BY DECLARATION
OF
COMPLIANCE 40ACODE
O EOF FEDERAL FOR OFFICE USE ONLY
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OCCUPANCY ISSUED SIGNA i
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