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HomeMy WebLinkAboutF2024-0075 - Permits�EWPORr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit F2U24-o�%5 C� d Community Development Department- Building Division F 2 0 2 4 0 0 7 5 >� y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0285 n Permit Counter Phone: (949) 71 B-1888 Issued Date : 0211212024 u 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 : 1075 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR Description: COMM FIRE SPRINKLER TI WITH (20) HEADS. "AMERICAN VINTAGE" (XC2023-0125) Owner: IRVINE CO Address : 111 INNOVATION IRVINE, CA 92618 Phone: (949)720-3100 Applicant: LUIS GARCIA Address : 14772 HARPER STREET MIDWAY CITY, CA 92655 Phone: (714)309-0144 Owner/Builder : Address : Phone: Contractor: D C FIRE PROTECTION Address : 14772 HARPER ST MIDWAY CITY, CA 92655 Phone: (714)309-0144 Con State Lie : 584285 Lie Expire : 01/31/2026 Bus Lie: BT30046894 Bus Lie Expire : 04/30/2024 Workers' Compensation Insurance Carrier: NATIONAL LIABILITY AND FIRE INSURANCE CO Policy No: N9WC340866 W. C. Expire: 6/7/2024 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : III-B Fire Hazard Zone : NO Occupancy Groups : M No of Units : 0 Bldg Height : No of Stories : 1 Building Setbacks : Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer Address Phone Designer: D C FIRE PROTECTION Address : 14772 HARPER ST MIDWAY CITY, CA 92655 Phone: (714)309-0144 Construction Valuation : $4,200.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/ w sq. ft. Garage: 0 TOTAL(. ft. 0 U W 0. co 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 chockmark(s) I have placed next to the applicable Item(s) section 7031_5, Business and Professions Code: Any city or county that requires a pamilt to construct, alter. Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that he or she is liconsad 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 ficensure 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). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, IU91n SSS and Professions Code: the Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort., huilds or improves the property, provided that the nprovemants are not intended or offered for sale. It, however, the building ortmproverment Is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or aproved for the purpose of sale). 1 1, 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 .poly 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 I am exempt from licensure under the Contractors' State License Law for the following reason _ iy 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 oil 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 70" of the Business and 7ofesslons Code., is available upon request when this application is submitted prat the following Web site:http:/IAmvo.leginfo.ca,gov/calaw.html. signature of Property Owner or Authorized Agent Date ACENSED CONTRACTOR'S DECLARATION 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 Pr as s Cede, a d my license is In full force' nd effect. License Class License No Date Y 7-'I2-24 Contractor Signature VORKERS' COMPENSATION DECLARATION^r DARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN AOOnION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR cons, INTEREST, AND ATTORNEYS, FEES, hereby affirm under penalty of perjury one of the following declarations: I I 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 tnl DFftrmance 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 ye of Agent Phone M 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 L if I should become subject to the orker90N__L_EN_0_1NG 'saticn provisiairs of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant._ r 1k 2�i�'oZ�f Ct.ARATtON REGA CCN5TRU AGENCY Ireby 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 3097, Civil Code). )der's Name Lender's 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 I have provided is correct. I agree to comply with all applicable. City and county ordinances and state Laws relating to building. construction. I authorize representatives of this city or county 0 enter the above -Identified property for inspection purposes. nature of Property Owner or Authorzec ApentX �/� Print Property Owner's or Authorized Aoenl's Name /,vS lriarCrin Data a-'f.�--1 y ACTION ! DATE BY- �DECLbMkT(ON OF COMPLIANCE wini CODE OF FEDERAL POROFftCEUSEONLY REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE j 1403 PERMIT EXPIRED I QI SUBMITTED ASBr,STOS NOTIFICATION TO PERMIT EXTENDED PERMIT FINAL ° UASBEST Os NOII FICA I I ON IS NO] I APPLICABLE TO CERTIffCA7'E OF PROPOSER DEMOLITION OCCUPANCVISSUED j SIGNATURE: