HomeMy WebLinkAboutF2024-0083 - PermitsaEwPoRr City of Newport Beach II I�I�II��IIIIIIIIIII�III�IIIII II
C4 @ Community Development Department- Building Division F 2 0 2 4 0 0 8 3
100 Civic Center Drive, Newport Beach, CA 92660
r S Permit Counter Phone: (949) 718-1888
« newportbeachca.gov/civic
CgUFpPN�P Combination Type -
Work Class - Tenant Improvement
COMB Permit: F2024-0083 ;
Plan Check No : PC2024-53 5
Issued Date : 02/14/2024 '
Final Date:
Permit Status: Issue
Inspection Area
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 : 4100 NEWPORT PLACE DR Legal Desc : P BK 270 PG 29 PAR 1
Description: COMM FIRE HOOD SUPPRESSION SYSTEM "DANDELION" *XC2023-0490*
Owner: NEWPORT CORPORATE TOWER LLC
Contractor: EDISON FIRE
Architect:
Address: 7 CORPORATE PLAZA D !'
Address : 3621 EAGLE ROCK BLVD
Address
NEWPORT BEACH, CA 92660
LOS ANGELES, CA 90065
Phone :
Phone : (323) 259-9999
Phone
Con State Lic : 569185
State Lic
Lic Expire : 05/31/2025
Applicant : EDISON FIRE
Bus Lic : BT30069740
Engineer
Address : 3621 EAGLE ROCK BLVD
Bus Lic Expire : 11/30/2024
Address
LOS ANGELES, CA 90065
Phone: (323) 259-9999
Workers' Compensation Insurance
Phone:
Carrier: STATE FUND
Owner/Builder :
Policy No : 9066898
Designer: EDISON FIRE
Address:
W. C. Expire: 8/1/2024
Address : 3621 EAGLE ROCK BLVD
LOS ANGELES, CA 90065
Phone:
Phone: (323) 259-9999
Code Edition :
Fire Sprinklers : NO
Construction Valuation : $2,500.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups :
No of Units : 1
Alteration sq. ft. Bldg:
Bldg Height:
No of Stories : 0
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks
Flood Zone : X
Use Zone: PC - Newport Place
PROCESSED BY:
SPECIAL CONDITIONS
OyyNEq_B1ALDE'x D CLARFTf?N
I hereby affirm nndei ner all of pequ.y t`lat I am exempt from the Contractors' State License Law for the reason(s) indicated below by the cheoklnark(s) I have placed next to the applicable Items)
(Section 7011,5, Rus9hes4 a, id Prcfessic is Code: Any city or courtly that requires a permit to construct, alter, improve, demolish, or repair any structure, prior toils issuance, also requires the applicant for
the permit to file a signed statement trial he or she is licensed pursuant to the provisions of the Contractors' Stale License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure 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 mere than five hundred dollars ($500).
❑ 1, at ewne, or the oropertv, or my Lml loyees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
BLISIOP.SS and Professions Ccde: The Cortra^.(ors' 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 rip'. iitend,,d or offered fat _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).
❑ I, 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
appiy 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).
0 1 am exempt from licensure under the Contractors' Slate License Law for the following reason:
By my signature below I acknowledge that, except for my personal rosid ante in which I must have resided For at least one year prior to completion of the improvements covered by this permit, I cannot lega11)
sell a structure Thai I have built as an own or -builder if it has not been constructed in its on rely by Iloonsad 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:flwww.legmfo.ca.gov/ca law. 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) of DiyI i n 3 of the Business and Profe si ns od , a o license is In full force
and effect. License Class License No Date �'Z /f'1�%I 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 DO LARS t$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
'`rmance 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 Code, for the performance of the work for which this permit is issued. My workers'
carrier and policy number are: _
Policy Number
of Agent
Date
certify that, in the performance of the work for which this permit is issued.. I shall notemploy any person in any manner so as to become subject to the workers' compensation taws of California, and ague
If I should beconrsub) t �l�s'LwJo1rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lature of AppllGan�Date
areby affirm under penalty of pilirjury that there Is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
Ider's Name Lenders Address
my signature below, I certify to each of the following:
I am the property owner or authorized 10 act on the property owner's behalf.
I have read this application andthe information I have provided is correct.
I agree to comply with all applicable city and county ordmanc s nd state laws relating to building.. construction.
I authorize representatives of this city or coun�y� ,o en rt o -Ida tifled property for inspection purposes. �/ j �)�J
nature of Prooertv Owner or Authorized AaeotlC Print Property Owner's or Authorized Agent's NarnXe "'O" � c• d
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
P€RMIT EXTENDED
PERINIF FlNA1
CERTIFICATE OF
OCCUPANCYIS5UEO
1403
OF COMPLIANCE W1711 CODE OF FEDERAL
PART 61 OF TITLE. 40 AND AQMD RULF.
NOTIFICATION TO
L..i ASBESTOS NO'r9NCATION 15 NOT APPLICABLE 'tO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY