HomeMy WebLinkAboutF2023-0594 - Permits�EWPORT City of Newport Beach COME Permit F2U23-U594
Community Development Department -Building Division F 2 0 2 3 0 5 9 4
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2987
Permit Counter Phone: (949) 718-1888 Issued Date : 02/01/2024
U newportbeachca.gov/civic Final Date:
Cq�IFp0.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
Job Address : 4675 MACARTHUR CT, 950 Legal Desc : P BK 196 PG 40 PAR 3
Description: COMM FIRE ALARM TI (5 DEVICES) "TALONVEST CAPITAL" *XC2023-0501*
Owner: IRVINE COMPANY
Contractor: PINNACLE CONTRACTING CORP
Architect
Address : 110 INNOVATION DRIVE
Address : 21800 BURBANK BLVD., #210
Address:
IRVINE, CA 92617
WOODLAND HILLS, CA 91367
Phone : (949) 720-2000
Phone : (818) 888-6548
Phone
Con State Lie : 665647
State Lie
Lie Expire : 03/31/2025
Applicant : MARK YAM
Bus Lie: BT30080811
Engineer:
Address : 392 N LEMAY CT
Bus Lie Expire : 02/29/2024
Address
ORANGE, CA 92867
Phone: (626) 757-2320
Workers' Compensation Insurance
Phone: '
Carrier: STATE COMPENSATION INSURANCE FUND
Owner/Builder : IRVINE COMPANY
Policy No : 9082064
Designer: H C I SYSTEMS INC
Address : 110INNOVATION DRIVE
W. C. Expire: 1/112025
Address : 1354 S PARKSIDE PL
IRVINE, CA 92617
ONTARIO, CA 91761
Phone: (949)720-2000
Phone: (909)628-7773
Code Edition : 2022
Fire Sprinklers : YES
Construction Valuation : $6,318.00
Type of Construction : I -A
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg: 0
Occupancy Groups :
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 1
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
Building Setbacks
Flood Zone : X
Use Zone : PC - Kot Center
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 ant exempt from the Contractors' State License Law for the reasori indicated below by the checkmark(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, 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 Coney or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031 S by any applicant fore permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500),
71 I, as ownerof the property, or my employees with wages as their sole compensation, will do f_) all of or (_) portions of the work, and the structure Is notintended 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
Improvemenis 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).
❑ 1 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 legal)
sell a structure that I I 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:hitp:/lwvnv.leginfo.ca.govlcalaw:html,
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 Sec' b 7000) f Dwisio 3 of the Business and P ofesi • C e, nd m 1141 'It-irrt»I1 force
and effect. Licen:EE Class License. No Da 2 Contractor Sig 5 Of
WORKERS' COMPENSATION DECLARATION
.F.N.NS. 1 AILURE TC SECJ'I,E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HIiNOREO THOUSAND DOLLARS 16100,0001, IN ADDITION TO THE
,ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
affirm under penally of perjury one of the following declarations:
and wilt r:i,+'..Ttain 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
'ce of the worl, ror which this permit is issued. Policy No.
and will oatni 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` comparl
carrier and policy number are:
Policy Number
Date
me of !,gent _ _ _ Phone 1t
snrliry that, in too perrormance of the work for which this permit is Issued. I shall not employ any person in any manner so as t0 become subject to the workers' mpensation laws of California, and agre
t. if I should coins subje t o the workers' compensaton revisions of Section 3700 of the Labor Code, I shall forthwith comply W'llh those provisions.
2
naWre of Appli - - Date
CIARATIO ARRING CONSTRUCTION LEN OENCY
3rahy affirm code penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued'. QSeclion 3097, Civil Code).
ider'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 comp€v with all applicable city and county ordinances and state laws relating to building. construction. '� /
I authorize representatives of this a or county t nter t above to n fired e for inspection purposes. �/ I' /j,� 7 �c
mature of Property Owner or Authanz oent Print Procenv Owner's or Aulho ed Oent's Name M4 r k r • t- � v l Q 1 date
ACTION ( DATE. I By j DECLARA ION OF PART PLIANCOF E 40 ANDODE OD RUDI ERAL FOR OFFICE USE 0
PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PEAMtT CANCELLED — LP_A_
PERMIT EXTENQEQ—
PEAlvP77 FINAL VMS € ASBESTOS NOT'IFICAT10'N IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYISSUEO I SIGNATURE: