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Home My WebLink AboutF2024-0123 - Permits,;-.wpo,,;, City of Newport Beach p Community Development Department- Building Division r �.. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov°<Y " Combination Type/civic Work Class - Tenant Improvement COMB Permit : F2024-0123 Plan Check No : PC2024-0478 Issued Date : 04/12/2024 Final Date: Permit Status: Issued Inspection Area : FIRE PERMITS EXPIRE 1B0 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 ALARM SYSTEM 7 DEVICES (XC2024-0098) Owner: IRVINE COMPANY Address: 110 INNOVATION 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: DAVID SIMPSON CONSTRUCTION INC Address : 17177 GILLETTE AVE #A IRVINE, CA 92614 Phone : (949) 250-1348 Con State Lic : 381149 Lic Expire : 03/31/2025 Bus Lic: BT00006013 Bus Lic Expire : 06/30/2024 Workers' Compensation Insurance Carrier: CYPRESS INSURANCE COMPANY Policy No : DAWC426822 W. C. Expire: 5/1/2024 Code Edition : Fire Sprinklers : YES 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 - Koll Center PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: Address Phone Designer: H C I SYSTEMS INC Address: 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone : (909) 628-7773 Construction Valuation : $4,573.00 Added/NewlTl sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft, : 0 I hereby affirm under penalty of perjury that Pam exempt from the Contractors' Slate 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 .he 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 crofessions 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 fora permit subjects the applicant to a civil penalty of iot more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3uslness and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through employeesor personal effort, builds or improves the property, provided that the mprovements 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 of mproved 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 ,a�rply to an owner of properly who builds or improves thereon. and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). LJ I am exempt from licensure under the Contractors' Slate License Law for the following reasonBy 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 legall, 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 70" of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:liw ,leginfo.ca..govicalaw.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 70 of Div(Sion 3 of the Business and Prof2t lr C , and my license is in full force and effect. License Class License No Date lZ Z Contractor Signature ram--/ WORKERS' COMPENSATION DECLARATION. WARNING: PAILURE 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 37M 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 torworkers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th perfo lance of the work for which this permit is issued. Policy No. Nava and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for whichthis permit is issued. My workers' compensatio insurance carrier and policy number are: Policy Number Date is of Agent f1V1O " certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' Compensation laws of California, and agre If I should become subject to the workers•' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 lature of Applicant 1: -�,�4yt_�---,..._.,—_.,,._.-,.._....___..., Cate._,_, �/2,� ,.—-...._., ..__. _-11-- -----.... . ............. . ereby 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). ider's Name Lender's Address my signature below, i certify to each of the following: I am the property owner or authorized to acton 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. 1 authorize representatives of this city or county to enter thebove-identified property for inspection purposes. inaLue r f Ar.nedv Owner or Authorized C-t 1( _ Print Property Owner's orAuthorized Agent's Name ACTION DATE ( BY DECLARATION OF COMPLIANCE WIT14 CODE OF FEDERAL FOR OFFICE USE ONLY I 1 REGULATIONS PART 6E OF TITLE 40 AND AQMD RULE 1403 ^ERMIT EXPlRFD U I SUBMITTED ASBESTOS NOTIFICATION TO fERMfi CANrELLED F..RMIT EX7 ENDED gMITFINAl�. I EPA I" y ��p j OMD r�WTIa� NOTIFiCAYtON15 NOT APPLICABLE TO ^_TR7)FfCATt Of j nrcupANCYr551JE7 �CIASBEStOS / PROPOSED DEMQLITION I SIGNATURE: