HomeMy WebLinkAboutF2024-0122 - Permits�EWPov City of Newport Beach II III IIIIIIIIIII IIIIIII IIIII IIIIIIIIIIIII IIIII II COMB Permit: F2U24-U122
O �) �.@ Community Development Department- Building Division F 2 0 2 4 0 1 2 2
F ,n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0478
Permit Counter Phone: (949) 718-1888 Issued Date : 05/03/2024
S 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 : 4675 MACARTHUR CT, 1500 Legal Desc : P BK 196 PG 40 PAR 3
Description : COMM FIRE SPRINKLER SYSTEM 1 HEAD (XC2024-0098)
Owner: IRVINE COMPANY
Address : 110 INNOVATION DRIVE
IRVINE, CA 92617
Phone : (949) 720-2000
Applicant: FIRE PROTECTION SPECIALISTS
Address: 2810 E MlRALOMA AV
ANAHEIM, CA 92806
Phone : (714) 625-6500
Owner/Builder :
Address :
Phone
Code Edition : 2022
Type of Construction : I -A
Occupancy Groups: Q-
Bldg Height:
Building Setbacks :
Flood Zone : X
Use Zone : PC - Koll Center
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor:
FIRE PROTECTION SPECIALISTS
Address :
2810 E MIRALOMA AV
ANAHEIM, CA 92806
Phone :
(714) 625-6500
Con State Lic
: 464915
Lic Expire :
10/31/2024
Bus Lic :
BT30042894
Bus Lic Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: COMPWEST INSURANCE CO
Policy No : WCP10007456802
W. C. Expire: 12/2/2024
Fire Sprinklers :
YES
Fire Hazard Zone :
NO
No of Units :
0
No of Stories :
1
Architect:
Address :
Phone: t"'a
State Lic : I ''
Engineer:
Address :
Phone:
Designer: FIRE PROTECTION SPECIALISTS
Address: 2810 E MIRALOMA AV
ANAHEIM, CA 92806
Phone: (714) 625-6500
Construction Valuation :
Added/New/TI 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 penally 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(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
'ithe 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 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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 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
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).
111, 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 al least one year prior to completion of the improvements Covered by this permit, I cannot legally
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.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000 f Division 3 of the Business and Professions C , and mvJieense is in full force
and effect. License Class License No Date '�i 1 Contractor Signature l�
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL 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 SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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 the
performance of the work for which this permit is issued. Policy No.
have 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'
rance carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the 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
if I should become subject the worke�ensation provision of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
Signature of Applicenl� �`Z ��
Date
DECLARATION REGARLIN CONSTRUCTION LENDING AGENCY
—7
I heleb/ a;fl. m under panalty 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).
Lenders Name Lender's Address
By my sigbature below. I certify to each of the following:
1 am [no property owner or authorized to act on the property owner's behalf.
I nave read this application and the information I have provided is correct.
i agfae to comply with all applicable city and county ordinances and state laws relating to building construction.
i dd6iorize repla�untaEves of this city or county to enter the a ove-ident" d property for inspection purposes.
11
Si I,aibra of Property
ro erl Owner or Authorized Age irt Print Property Owner's or Authorized Agents Name
`12, ,,,,, Sp Date 3 ��
AC1 ION
DATE
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PER6:1, FIRED
_
I SUBMITTED ASBESTOS NOTIFICATION TO
_
PERMIT CANCELLED
LJEPA
PERMIT EXTENDED
QAQMD
PERMITFINAL
LASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF
PROPOSED DEMOLITION
OCCUPANCY155UEO
SIGNATURE: