HomeMy WebLinkAboutF2024-0170 - PermitsCity of Newport Beach
O��EwiPORT
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
Combination Type -
Work Class - Tenant Improvement
F 2 0 2 4 0 1 7 0II COMB Permit: F2024-0170
Plan Check No : PC2024-0717
Issued Date : 04/09/2024
- Final Date:
Permit Status: Issued
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: 261 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR
Description: COMM FIRE SPRINKLER TI WITH 19 HEADS FOR **L SPACE** (XC2024-0049)
Owner: IRVINE COMPANY
Contractor: D C FIRE PROTECTION
Architect
Address : 110 INNOVATION DRIVE
Address : 14772 HARPER ST
Address
IRVINE, CA 92617
MIDWAY CITY, CA 92655
Phone : (949) 720-2000
Phone : (714) 309-0144
Phone:
Con State Lie : 584285
State Lie
Lie Expire: 01/31/2026
Applicant : D C FIRE PROTECTION
Bus Lie: BT30046894
Engineer:
Address : 14772 HARPER ST
Bus Lie Expire: 04/30/2024
Address
MIDWAY CITY, CA 92655
Phone: (714) 309-0144
Workers' Compensation Insurance
Phone:
Carrier: NATIONAL LIABILITY AND FIRE INSURANCE
CO
Owner/Builder :
Policy No: N9WC340866
Designer: D C FIRE PROTECTION
Address :
W. C. Expire: 6/7/2024
Address : 14772 HARPER ST
MIDWAY CITY, CA 92655
Phone:
Phone: (714)309-0144
Code Edition : 2022
Fire Sprinklers : YES
Construction Valuation : $1,900.00
Type of Construction : III-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : M
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 - North Newport Center
PROCESSED BY:
'SOS
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 checkrnark(s) 1 have placed next to the applicable items)
`Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter. improve, dernelish, 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
'rofessions 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
ict more than five hundred dollars 1$500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or f_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
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 or
mproved for the purpose of sale).
1, 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),
71 1 am exempt from licensure under the Contractors' State License Lawlor 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 legaih
sell a structure that I have built as an owner -builder if it has not been constructed in its entirely 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:/Iwww.leginfo.ca.gov/calavr.11,ml.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000). f Division 3 of the Business and Professi s Ca I(caaSe is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
rJARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES VP TO ONE HUNDRED THOUSAND DOLLARS ((6 U`O,e (e .3N ADDITION TO THE
COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 370$ OF THE LABOR CODE, INTEREST, MO ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
El I have and will mainlaun a cerliffcate 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
perforiesip9e of the work for which this permit is issued. Policy No. _
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'
carrier and policy number are:
Policy Number
Date
ame of Agent rnone IF
It certify that, in the perform 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 agre
tat, if I should become sub' of to t penal€on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Date
�ECt.ARATfON RIEOAROIN ONSTRUC LE O A NCY
hereby affirm under penalty of perjury that t is a c nstr on lending agency for the performance of the work for which tNs permit is issued (Section 3097, Civil Code).
enders Name _ Lenders Address
y my signature b-elow, I Certify to each of the following:
I am -ne 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.
( ag,ea to comply with all applicable city and county o antes and state laws relating to building construction.
I su.horize representatives of this city or county t nterth I #ied property for inspection purposes. �/�
liaoatu,e of ProLertv 0mier or Authorized Raent ft. % — Print Property Owner's or Authorized Agent's Name, t .2 VI I iA L Y,(2ct 2— Dale
ACTION I DATE
BY DECLARATION F CONI L ''E WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
RT REGULATIONS PA61 F F 40 AND AQMD RULE
j 1403
F Edih:T EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCEL LSD
EPA -
.ivfr7 FXTENDED .... _......
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MN PERFINAL
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ASBESTOS NOTIEICATON 15 NOT "APPLICABLE TO
CERTiFtCAi E OF
PROPOSEO DEMOLITION
OCCUPANCY15SUED
5IGNATURE: