HomeMy WebLinkAboutF2023-0595 - PermitsEWeoRr City of Newport 3e3-h IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : F2023-0595
CF Community Development Depr 4mert- Bvilrinc Divis,on F 2 0 2 3 0 5 9 5
> y, 100 Civic Center Drive, Newport Bead1, uA 92h60 Plan Check No: PC2023-2987
U µm S
Permit Counter Phone: (349) 718-1838 Issued Date : 03/06/2024
newportbeachca.gov/civic Final Date:
0 ...... Combination Type - Permit Status: Issued
Work Class - Tenant Improvemin# 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 : 4675 MACARTHUR CT, 950 Legal Desc : P BK 196 PG 40 PAR 3
Description : COMM FIRE SPRINKLER TI (46 HEADS) "TALONVEST CAPITAL"'XC2023-0501'
Owner: IRVINE COMPANY
Address : 110INNOVATION 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
Contractor:
FIRE PROTECTION SPECIALISTS
Address :
2810 E MIRALOMA AVE
ANAHEIM, CA 92806
Phone:
(714)635-6500
Con State Lie
: 464915
Lie Expire :
10/31/2024
Bus Lie:
BT30042894
Bus Lie Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: COMPWEST INS CO
Policy No: WCV5502952
W. C. Expire: 12/2/2024
Code Edition : 2022 Fire Sprinklers : 6S
Type of Construction : I -A Fire Hazard Zone : NO
Occupancy Groups : No of Units : 0
Bldg Height: No of Stories : 1
Building Setbacks :
Flood Zone: X
Use Zone: PC - Kell Center
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone :
State Lie
Engineer:
Address :
Phone
Designer: FIRE PROTECTION SPECIALISTS
Address: 2810 E MIRALOMA AVE
ANAHEIM, CA 92806
Phone : (714) 635-6500
Construction Valuation : $3,300.00
Added/NewITI sq. ft. Bldg : 0
Alteration sq. ft: Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
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 be-ow,by the caerkmark(s) I have placed next to the applicable item(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, a, repair SOY xtmcture,..prior to its3ssuance, 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 0 ;camn,er ing with Secauo 7000) of Division 3 of the Business and
Professions 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure in nnl inle ded 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 e4o, I. builds or imps ovos 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-8ui;9e, wi:l have the Garden of proving that it was not built or
improved for the purpose of sale).
❑ 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).
❑ 1 am exempt from licensure under the Contractors' Stale 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 legal)
sell 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 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.oa.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 D1 Sion of the Business an4 Profe§st ocir npo is In full force
and effect. License Class License No Da - b 7- Contractor Slgna i
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN BECTON 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 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 IN
pe"Ilkance of the work for which this permit is issued. Policy No.
Prboe and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this pemlit is issued. My Workers' compensatio
in ance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
❑I certify that, in the performance of the work for ch his 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 agre
that, if I should become subjec orkers' pen it provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions.
Signature of Applicant tit Date ! -,
DECLARATION REGARDIN CONSTRUCTION LENDING AGENCY
I hereby affirm under penal 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).
Lender's Name Lenders Address
By 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 scat aw relating to building construction.
I authorize representatives of this city or coup r abov ide Ified r erty for inspection purposes. /' /
-
Si nature of Property Owner or Authorized A ent G 11--Pnn( PropertyOwner's or Authorized Agents Name 'N� �,C Z,l
ACTION
DATE
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OFTITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
LIEPA
PERMIT EXTENDED
UACMD
PERMITRIVAL
l{
MDYZ/A� ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE: