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Home My WebLink AboutF2024-0257 - PermitsRr City of Newport Beach 1111111111111111111111111111111111111111111111111111111111111 COMB Permit : F2O24-o257 ��EW D @ Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-1005 6 T Permit Counter Phone: (949) 718-1888 Issued Date : 05/28/2024 yh cR newportbeachca.gov/civic Final Date: °gCyrFOPN`" Combination Type - .% ;� d ` ' a ` Permit Status: Issued Inspection Area :FIRE Work Class -Tenant Improvement %., y" 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: 2523 EASTBLUFF DR Legal Desc : P BK 49 PG 22 PAR 2 PM 49-22 PARS 2,3 & POR PAR 1. Description: COMM SPRINKLER TI "STARBUCKS" (XC2023-0475) Owner: IRVINE COMPANY Contractor: FIRE SAFETY FIRST Architect Address : 111 INNOVATION DRIVE Address : 1170 E FRUIT ST Address IRVINE, CA 92617 SANTA ANA, CA 92701 Phone: (949)720-2400 Phone: (714) 836-4800 x1 37 Phone: Con State Lic : 599761 State Lic Lic Expire : 08/31/2024 Applicant : FIRE SAFETY FIRST Bus Lic: BT00009906 Engineer Address : 1170 E FRUIT ST Bus Lic Expire : 06/30/2024 Address SANTA ANA, CA 92701 Phone: (714) 836-4800 x137 Workers' Compensation Insurance Phone: Carrier: REPUBLIC INDEMNITY COMPANY OF AMERICA Owner/Builder : Policy No: 2569801 Designer: FIRE SAFETY FIRST Address : W. C. Expire: 11/1/2024 Address : 1170 E FRUIT ST SANTA ANA, CA 92701 Phone: (714) 836-4800 x137 Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $4,400.00 .. . Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : N No of Units : 0 Alteration sq. ft. Bldg: 0 0 Bldg Height : No of Stories : 1 Add/New sq. ft. Garage: , TOTAL sq. ft. : 0 - Building Setbacks Flood Zone: X " Use Zone : CN - Commercial Neighborhood PROCESSED BY. , SPECIAL CONDITIONS:- 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 items) (Section 7031.5. Business and Professions Code: Any city or County that requires a. permit to conshubE 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 icensure 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 property, 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 Im roved for the purpose of sale), L as owner of the properly, 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). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below l 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 legail sell a structure that I have built as an owner -builder if fl 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, isavailable upon request when this application is submitted or at the following Web site:htip:l)w .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 700 ) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class License No Date TZ9if/2,Q Contractor Signature ��- WORKERS' COMPENSATION DECLARATION NARN ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE M UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDE p FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and wll€ 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' rance carrier and policy number are: Policy Number of Agent Date JI certify that, in the performance 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 iaL if I should become subject to the workers' .cormpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant ___.� y^,Lz'�,,,,._,. ,v&Z,``-___.-.,�.__,__..._. - -_— Date�/ZP/2 IECLARATiON REGARDING CONSTRUCTION LENDING AGENCY - 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 Nam Lender's Address y my signatu^n hr,low', I certify to each of the following: ' am the pmpe'iy 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes, T r njnature o`, Pros/ Owner or Authorized Agent `!/�/s %n/�� . _____ Print Property Owner's or Authorized Agent'; Name . I r' 0 ,n IC . ir�7�� Date `o Al 6Y ,ALTION I DATE I BY i DECLARATfONOF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY j REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 `PMIT EXPIREU 1 SUBMITTED ASBESTOS NOTIFICATION TO PEf MIT CAKELL `O FMIT EXTENDED E_PA LJAQMD P-RMIT FINAL CERPFICATEOF OCCUPANCY 155UEO 1,40 I �� / ASBESTOS NOTIFICATION IS NOT APPLICABLE TO / PROPOSED DEMOLITION SIGNATURE: '-Y oA_lrs/.