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
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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: