HomeMy WebLinkAboutF2024-0213 - PermitsPaEWPORT City of Newport Beach IIIIIIIIIIIIIIIIIIIIII IIIIIIIIIII III II COMB Permit F2U24-0213
«, tY P P 9 F 2 0 2 4 0 2 1 3 A Community Development Department Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0045
Permit Counter Phone: (949) 718-1888 Issued Date : 05/0612024
�Cc newportbeachca.gov/civic Final Date: V
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
: 4695 MACARTHUR CT, SUITE 1650
Legal Desc : P BK 196 PG 40 PAR 2
Description:
COMM FIRE SPRINKLER TI -ADD 28 HEADS (F2024-0014)
Owner:
IRVINE COMPANY
Contractor: FIRE PROTECTION SPECIALISTS
Address :
110 INNOVATION DRIVE
Address : 2810 E MIRALOMA AVE
IRVINE, CA 92617
ANAHEIM, CA 92806
Phone:
(949)720-2000
Phone: (714)635-6500
Con State Lie : 464915
Lie Expire : 10/31/2024
Applicant:
MARK YAM
Bus Lie: BT30042894
Address :
392 N LEMAY CT
Bus Lie Expire : 05/31/2024
ORANGE, CA 92867
Phone:
(626) 757-2320
Workers' Compensation Insurance
Carrier: COMPWEST INS CO
Owner/Builder
:
Policy No: WCV5502952
Address :
W. C. Expire : 12/2/2024
Phone
Code Edition :
2022
Fire Sprinklers :
YES
Type of Construction :
Fire Hazard Zone :
NO
Occupancy Groups :
b
No of Units :
0
Bldg Height:
No of Stories :
1
Building Setbacks ;
Flood Zone :
X
Use Zone:
PC - Kell Center
PROCESSED BY
SPECIAL CONDITIONS:71
<` , C
Architect
Address
Phone :
State Lie
Engineer:
Address :
Phone
Designer: FIRE PROTECTION SPECIALISTS
Address: 2810 E MIRALOMA AVE
ANAHEIM, CA 92806
Phone: (714)635-6500
Construction Valuation : $2,800.00
Added/New/Tl 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 penalty of perjury that I am exempt from the Contractors' State License Law Tor the reasons) 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
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 Division 3 of the Business and
Professions Code) or that he or she is exempt from licensuro 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 1$500).
rl I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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 9mprovement 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 constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ I am exempt from licensure under hire 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 lei
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:IiVAvw.leginfo.ca.govlcalaw.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 7000)o Cr ' 'on 3 of the Business and Professions Code rid ease is In full force
and effect, License Class License No Date Contractor Signature
;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 ATTORNEYS FEES.
I,I hereby affirm under penalty of perjury one of the following declarations:
D I have and will maintain a certificate of consent to self-ineure for workers compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th1
liperfiarmance 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' compensatior
franca carrier and policy number are:
rier Policy Number Expiration Date
ne of Agent Phone #
certify that, inthe performance of the work for wi 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 agree
if I should become subject to the Alai co nation provisians. of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
returns of Appliean __.. _. ,,.... :._..._.____ _ Date L PLf _
•i AtlATkM1AI .CRA. Mir, 1 111CT. IIIM1AI I CKMIMl __ A2CA1f^V
I hereby affirm under penalty of perjury that theca is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Landers Address _
By my signature below. I certify to each of the following:
I am Ilia 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.
I agree to comply with all applicable city and comity ordinances and slate laws relating to building construction.
I authorize representatives of this city or county to enter he a I EMIR roperty for inspection purposes. �) 1 j� ,
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Y" �L14 65, r' .-. .
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
k REGULATIONS PART 61 OF TITLE 40 AND Ai RULE
_ 1403
PERMIT EXPIF.ED i SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLFD EPA _
PERMIT EXTFI QMD
PERMIT FINAL r.I �(j _q_�I ASBESTOS NOT11FICAlION IS NOT APPLICABLE TO
CERTIFICATE OF K.� C'G PROPOSED DEMOLITION
OCCUPANCYISSUEO SIGNATURE: