HomeMy WebLinkAboutF2024-0180 - Permitsa�WP0 City of Newport Beach 11111111111111p1111111111111111p1111111111p11111p111111p1jj COMB Permit: F2024-01 so
`� 1,,+ e Community Development Department- Building Division p 2 0 2 4 0 1 e 6
�' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0768
s Permit Counter Phone: (949) 718-1888 - Issued Date : 04/17/2024
wy, r newportbeachca.gov/civic Final Date:
94 ro ay ; 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: 620 NEWPORT CENTER DR, 100
Legal Dead: P BK 295 PG 33 PAR 1 PARCEL MAP 295-33 PAR 1 POR 0
Description: COMM FIRE SPRINKLER TI WITH (24) HEADS
- "LUGANO WORKSHOP" (XC2024-0021)
Owner: IRVINE CO
Contractor: FIRE PROTECTION SPECIALISTS
Architect
Address : 111 INNOVATION
Address : 2810 E MIRALOMA AV
Address:
IRVINE, CA 92618
ANAHEIM, CA 92806
Phone: (949)720-2156
Phone: (714)625-6500
Phone:
Con State Lic : 464915
State Lic
Lic Expire : 10/31/2024
Applicant : FIRE PROTECTION SPECIALISTS
Bus Lic : BT30042894
Engineer
Address : 2810 E MIRALOMA AV
Bus Lic Expire : 05/31/2024
Address
ANAHEIM, CA 92806
Phone: (714) 625-6500
Workers' Compensation Insurance
Phone:
Carrier: COMPWEST INSURANCE CO
Owner/Builder :
Policy No : WCP10007456802
Designer: FIRE PROTECTION SPECIALISTS
Address :
W. C. Expire: 12/2/2024
Address: 2810 E MIRALOMA AV
ANAHEIM, CA 92806
Phone:
Phone: (714)625-6500
Code Edition: 2022
Fire Sprinklers : YES
Construction Valuation : $2,200.00
Type of Construction : I-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg: 0 ,
Occupancy Groups : B
No of Units : 0
Alteration sq. ft. Bldg : , 11 ,
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
,
BY:
PROCESSED
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that t am exempt from the Contractors' Slate License Law for the reason(s) indicated helow by the checkmark(s) I have placednext to the applicable hems)
(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 Rcensure 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
not more than five hundred dollars ($500),
111, as owner of the property, or my employees with. Wages as their sole compensation, Will do L) all of Or U 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 properly, provided that the
Improvements 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
improved for the purpose of sale).
El T, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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),
I am exempt from licensure under the 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 legall7
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 theapplicable 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:Uwww,leginfo.ca.gov/calaw,html,
Signature of Property Owner or Authorized Agent A, _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) f D' isio 3 of the Business and Professi s ode., n my li r 's in full foFee
and effect. License Class License No Date ya 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 HUNDRE THOUSAND DOLLARS IE100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 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 for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
performance 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'
lance carrier and policy number are:
of Agent
certify that, in the performance of the
. if I Should become subieatte,the wo
Policy Number
Date
this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation lays of California, and agre
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant „„ /�A Date
CLARATION REGARD,N GCG CONS4U eNOIN�Y
!raby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Seotlon 3097, Civil Code).
ider's Name _ Lender's Address
my signature hplow, i certify to each of the following:
I Pm the property Owner or authorized to act on the property owner's behalf.
I have read thm application and the information I have provided is
agree to Comply with all applicable city and Co,n dinances d sta I ws relating to building constructon. \
authorize representatives A this city or cormt �r the e-ide property for inspection purposes. �/2� J /��
r eture of Enro-tr owner or Authorized Anent �+ \G /,(tj( Iy,(� — Print Prooertv Owner's or Authorized Aoent's Name Date C�/7
At -TAN DATE t BY / DECLARATION-OTICOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PARTBI OF TITLE40 AND AQMD RULE
1403
PFRMrTEXPIRED ( ISUBMITTEDASRF..STOSNOTIFICATIONTO
' 'rRrTEXTENDED LIAAQMo
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'fR'NIT FINAi ❑ASBESTOS NOTIFICAtION 15 NOT APPLICABLE TO
CERTIRCATEOf PROPOSED DEMOLITION
OCCUPANCY ISSUED E K• i SIGNATURE: