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Home My WebLink AboutF2024-0080 - Permits�2E =FORT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : F2U24-��8U Community Development Department- Building Division F 2 0 2 4 0 0 8 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0308 N't = Permit Counter Phone: (949) 718-1888 Issued Date : 02/14/2024 newportbeachca.gov/civic Final Date: cgGicOFN�r 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 : 320 SUPERIOR AVE, 290 & 295 Legal Desc : N TR 8737 BLK LOT 1 Description: COMM FIRE SPRINKLER TI W/ (3) HEADS. (XC2024-0020) Owner: NEWPORT MEDICAL ARTS BUILDING Contractor : SUPERIOR FIRE PROTECTION INC Architect Address : 23 CORPORATE PLAZA DR STE150 Address : 18120 ROWLAND STREET Address : • • , NEWPORT BEACH, CA 92660 ROWLAND HEIGHTS, CA 91748 , Phone : (949) 645-7172 Phone : (626) 965-6900 Phone : , • - , Con State Lic : 664427 State Lic Lic Expire : 02/28/2025 Applicant: SUPERIOR FIRE PROTECTION INC Bus Lic : BT30083635 Engineer Address : 18120 ROWLAND STREET Bus Lic Expire : 02/28/2025 Address ROWLAND HEIGHTS, CA 91748 Phone: (626) 965-6900 Workers' Compensation Insurance Phone: Carrier: SECURITY NATIONAL INSURANCE COMPANY Owner/Builder: Policy No: SWC1448395 Designer: SUPERIOR FIRE PROT—PCTAQN INC' Address : W. C. Expire: 6/21/2024 Address: 18120 ROWLAND STREET ROWLAND HEIGHTS, CA �1748 Phone: Phone: (626) 965-6900 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $7,042.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 3 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks : Flood Zone : X Use Zone : OM - Office --Medical PROCESSED BY: SPECIAL CONDITIONS: 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 checkmark(s) I have placed next to the applicable item(sl (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 Dhision 3 of the Business and Professions Code) or that he or she is exempt from licensors 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). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work; and the structure is not Intended or offered for sale (Section 7044, Business and Professions Code: The ContractorsState License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves 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 -Builder will have the burden 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). F1 I am exempt from licensors 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 legally still a structure that I have built as an owner-buildor if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of theapplicable 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:lfwvnv.leginfo.ca,gov(calaw.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 Section 000) f Divi ion a of the Busl ss and Profess jnry C an icsnses In full forc8 and effect. Licenss Cluss License No Contr or Signature WORKERS' COiAPFNSATION DECLARATION NhKN,NG, rAIW RE TL SECJ�rE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOU ANO DOLLARS (E100,000), IN AOOTTION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706. OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES. III--h�ereby. ffirm under, penalty of perjury one of the following declarations: L,.t I have and wil; 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 th, p rfem;ance, of the work for which this permit is issued. Policy Nc. have and wit, ,ramtem workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this .permit ' issued. My workers' compensation Ins ranCL Ca tier and p�':cy umber ors: n I I j r (/ Carrier -��i� Policy Number Sl�w�� `S�b� Expiration Dats � 2� � Name of Agent , _ Phone If �'. ccIt f, that, inthe psrformanc of e 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 agrej that, if I snou d becon a subject orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply Alh those provisions. Signature of AppliC DECLARATION R�ROING C UCTION LENDING AGENCY I hereby affirm under penalty of p jury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on theproperty 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 cowrty r nces and state laws relating to building construction. 1 I authorize representatives oLiAls city or count. ter the. Bova -identified property for inspection purposes. d fn w �f p...,.on, rn,,,,Rr „r Ihnr��arl ate.,„I OHM Prnncm, n,,,,,. r c nr, A, ah,,rr,.H n„.,n��,., it v7� � Q ACTION ( DATE. BY G Rl:UtRA DONS OF COMPLIANCE b.t LIAN F 4ITH CODE OF RUDE AL I FOR OFFICE USE ONLY PERMIT PERMIT EXTENDED__" LJAW_vt0__.._..__..._.. PERMir FfNAt v _- L,,,I ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCU➢ANCY 15SUEA r, SIGNATURE;