HomeMy WebLinkAboutF2023-0499 - Permits�gwaogr City of Newport Beach IIIIIII III IIIIIIIIIIIIIIIIIIII II COMB Permit : F2U23-o499
Community Development Department - Building Division F 2 0 2 3 0 4 9 9
�y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2506
t+► i Permit Counter Phone: (949) 718-1888 Issued Date : 01/04/2024
a. newportbeachca.gov/civic Final Date:
C9�/F00.N�P 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
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Job Address : 450 NEWPORT CENTER DR, 5TH FLR Legal Desc : P BK 61 PG 10 PAR 1
Description: COMM FIRE ALARM TI (5 DEVICES) *XC2023-0411*
Owner: IRVINE COMPANY
Address: 110 INNOVATION DRIVE
IRVINE, CA 92617
Phone :
(949) 720-2000
Applicant:
MARK YAM
Address :
392 N LEMAY CT
ORANGE, CA 92867
Phone:
(626)757-2320
Owner/Builder
Address :
Phone
II6 A k
Contractor :
ADAMS GC CONSTRUCTION
Address :
8583 IRVINECENTER DR #179
IRVINE, CA 92618
Phone:
(949)340-4056
Con State Lic
: 1038888
Lic Expire :
05/31/2024
Bus Lic :
BT30074063
Bus Lic Expire : 01/3112024
Workers' Compensation Insurance
Carrier :
Policy No:
EXEMPT
W. C. Expire:
Architect :
MORFORD PAUL
Address :
4675 MACARTHUR CT #100 NEWPORT
BEACH, CA 92660
Phone:
(949)863-9434 •-
State Lic
Engineer
Address
Phone:
Designer Address : l.•
Phone:
Code Edition :
2022
Fire Sprinklers : YES
Construction Valuation :
Type of Construction :
V-A,II-B
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 :
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks
Flood Zone :
X
Use Zone :
PC - North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS:
$5,910.01-
0
0
0
OWNER -BUILDER
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 io the applicable items)
Ilion 7031.5. Business and Professions Code: Any city or county that requires a perrnit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applleant 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 7031.5 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 wages as their sole compensation, will do U all of or U portions of the work, and the structure is notintended or offered for sale (Section 7044,
,iness end 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
rovemenis 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
roved for the purpose of sale).
I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState License Law does not
ly to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
J I am exempt from licensure under the Contractors' Slate License Law for the following reason:
ty my signature belovr I acknowledge that, except for my personal festal an a In which I must have Tesided far at least one year prior to completion of tl
ell a structure that I have built as an ownor-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the
7ofesslorls Code., is available upon request when this application is submitted or at the following Web site:hitp://w y.leginfa.ca.gov/celaw.btmi.
l gnahrre of Property Owner or Authorized Agent
.ICEN.SED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 icommenc og with Sect' 70 D ivisi j 3 of the Business
Ad effect. License Class License No ate L, Contractorc
law, Section 7044 of the Business and
Date
Code, and my licenseisIn full force
VORKERS' COMPENSATION DECLARATION I (�()
!ARMING: FAILURE TJ Sd�URE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 70 ONE HUNDRED THOUSAND DOLLARS (5100,000j; IN ADDITION TO THE
OST OF cc MPENSATInr,, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
nereh,, -ifflrm under penalty of perjury one of the following declarations:
I have and will mafl,tam 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,
.9EL, 9 of the -vork for which this permit is issued. Policy No.
�L11 y III n,athtain 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' compensatior
COL c ier €.nd policy number are:
kan'fer Policy Number Expiration Date
lame of Agent Phone #
reomh, that, in the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to IN
t, if I should b erne pub' to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply Wth those provisions
A
e _IVR of AppR t _
C'_1.iATIGN RW!IiRaING CONSTRUG71 EfJ NG AGENCY
3mby 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
idei s Name Lenders Address
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 1 have provided is correct.
I agree to comply with all applicablecity and county ordinances and slate laws relating to building construction. /J
I authorize representatives of this city or countyltrj enter the abovek Identified property for inspection purposes. J
rrs' compensation laws of California, and agre
Civil Code).
Si nature of Property Owner or Authorized t I, V Print Property Owner's or Authorized Agent's Na e f :--
ACTION DATE B j DECLARATkON OF COMPLIANCE WIfft CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE
1 1403
PERMIT EXPIRED LJASkS�60
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCEdEO --- QEPA
------------
FER+v11T EXTENDED
/ _ _ tQM
PERIvVT FINAL !, ail r.(�A5 M I ICFTIU NOTAPPLICABLE 70
CERTIfICAYfOFI lMIOCCUPANCYISSUED ;