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City of Newport Beach II IIIIIIIIIII III IIII IIIIIIII�IIIII I II COMB Permit: F2023-0438A Community Development Department- Building Division F 2 0 2 3 0 4 3 8Per Divic Center Drive, Newport Beach, CA 92660 i9 Plan Check No : PC2023-224D
Permit Counter Phone: (949) 718-1888 Issued Date : 12122/2023
newportbeachca.gov/civic "` - " •"" '"": Final Date:
00.��P Combination Type - j 1,Wv d @ 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: 680 NEWPORT CENTER DR, 2ND FL
Legal Desc : P BK 295 PG 33 PAR 7 P.M. 295-33
PAR 7 AND FOR PAR
Description : COMM FIRE ALARM TI - 2 DEVICES (XC2023-0364)
Owner: IRVINE COMPANY
Contractor: SNYDER LANGSTON LLC
Architect:
Address : 110 INNOVATION DRIVE
Address : 17962 COWAN
Address:
IRVINE, CA 92617
IRVINE, CA 92614
Phone: (949)720-2000
Phone: (949)863-9200
Phone:
Con State Lic : 1019188
State Lic
Lic Expire : 10/31/2024
Applicant : MARK YAM
Bus Lic: BT30080475
Engineer
Address : 392 N LEMAY CT
Bus Lic Expire : 01/31/2024
Address
ORANGE, CA 92867
Phone: (626) 757-2320
Workers' Compensation Insurance
Phone:
Carrier: FEDERAL INS CO
Owner/Builder :
Policy No: 005430307906
Designer: BUILDING ELE ONIC CONTROLS
Address :
W. C. Expire: 4/1/2024
Address : 2246 LINDS WAY
GLEND CA 91740
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Phone:
Phone: (90 05-1600
Code Edition : 2022
Fire Sprinklers: YES
Construction Valuation : $6,033.00
Type of Construction : III -A
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : B
No of Units : 1
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 : PC - North Newport Center
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(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
is permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contraclors' State License Law (Chapter 9 (commencing with $action 7000) of Division 3 of the Business and
4ofessions Code) or that he or she is exempt from lcensure 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
of more than five hundred dollars ($500).
1, as owner of the properly, Or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
IusYness 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 properly, provided that the
nprovements 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
nproved 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
�rpfy 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),
J 1 am exempt from ficensure under the Contractors' Stale License Law for the following reason
ty 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 wvered by this permit IcaMot legall;
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site http:livrw ,leginfo.ce.govlcalaw.html,
;Ignatum of Property Owner or Authorized Agent - Date
.ICEN:SED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that € am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the Business and Prof ion' r, , an y lice se is in full force
nd effect. License Class. License No Date 2 Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37U0 OF THE LABOR CODE. INTEREST, AND A7TORNEY'S FEES.
hereby affirm under penalty of perjury one of the following dec€arations:
I I 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 in
erformance of the work for which this permit is Issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cede, for the performance of the work for whichthis permit is issued. My workers'
carrier and policy number are:
is of Agent
certify that, in the performance of the
if I should become subject to the wo
of Applicant
12DM1 17M
Date
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
adon prc�isicns of Section 3700 of the Labor Code, 1 shall forthwith comply With those provisions.
Date— IZ
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hereby 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).
ender's Name _ Lender's Address
y my signature below. I certify to each of the following:
I am the property owner or authorized to act on the properly owner's behalf.
I have read this application and the information d have provided is correct. r�
I agree to comply with all applicable city and county ordinance d state laws relating to building construction. Jl
I authorize representatives of this city or county to a the a o -Ida I led p perty for inspection purposes.
•ignature of Property Owner or Authorzed Agent Print Property Owner's or Authorized Adent's Name
I ACTION DATE i BY DECLARATION OF COMPLIANCE WITH CODE OP FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART e1 OF TITIE 40 AND AC}MD RULE
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