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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: