HomeMy WebLinkAboutF2023-0536 - PermitsEWr�: City of Newport Beach
Dc� tT�. Community 3avel�pmert Depar'mnrt Binding Division
pig! m 100 Civic Center Prive, Newpon Brach, �;A a2660
Q Permit Courier Phone(949) 718-'888
U r!e n ewportbeadicasov/dN c
Combination Type -
Work Class - Tenant Improvement
COMB Permit: F2023-0536
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Plan Check No : PC2023-2646
Issued Date : 06/2412024
Final Date:
Permit Status: Issued
Inspection Area : FIRE
PERMITS EXPIRE 181- 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
660 NEWPORT CENTER DR, 3RD FL
Legal Desc : P BK 295 PG 33 PAR 6 P.M. 295-33 PAR 6 POR OF PAR
Job Address :
TI WITH 3 HEADS
AT 3RD FL LOBBY (XC2023-0442)
Description: COMM FIRE SPRINKLER
THE IRVINE CO
Contractor: FIRE PROTECTION SPECIALISTS
UL
ArchitecArchitect:. MO MACDARTHUR CT #100 NEWPORT
Owner:
Address: 500 NEWPORT CENTER DR
Address : 2810 E IM, CA 928 6
A CA 9280fi
BEACH, CA 92660
NEWPORT BEACH, CA 92658
14) 635 ,
Phone : (714) 635-6500
Phone : (949) 863-9434
Phone : (949) 720-2400
Con State Lic : 464915
State Lic
Lic Expire : 10/31/2024
Bus Lic: BT30042894
Engineer
Applicant : MARK YAM
392 N N LEMAY CT
Bus Lic Expire : 05/31/2025
Address
Address :
ORANGE, CA 92867
Workers' Compensation Insurance
Phone
Phone : (626) 757-2320
Carrier: COMPWEST INS CO
Policy No : WCV5502952
Designer
Owner/Builder :
W. C. Expire: 12/2/2024
Address
Address :
Phone:
Phone
Fire Sprinklers : YES
Construction Valuation : $1,150.00
Code Edition : 2022
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg : 0
0
Type of Construction : I -A
No Units 0
Alteration sq. ft. Bldg :
Occupancy Groups : B
of
No of Stories : 16
Add/New sq. ft. Garage: 0
Bldg Height:
TOTAL sq. ft. 0
Building Setbacks
Flood Zone : X
Use Zone : PC - North Newport Center
PROCESSED BY:_
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SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the chickmark s') Lhsve placed 9tixt tq 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 51¢r17ture, pric- tC)ts issuaece, 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 (comroeocino with Rcctior (000) of 3tvsion 3 of the Business and
Professions Code) or that he or she is exempt from Iicensure 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 ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure iz not intenced or offered for sale (Section 7044,
Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds or im aroveu the-pmperiv, 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-Buhddr wid have the ouroeo of pmviig ?ha; 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
❑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).
1 am exempt from licensure under the Contractors' Stale License Law for the following reason: _
By my signature below I acknowledge that, except for my personal residence in which I must have resitled for at least one year prior to completion of the improvements covered by this
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 Bulsinessnnot andlBgalll
Professions Code, is available upon request when this application is submitted or at the following Web sfte:http:/hvww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION Date
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing Section tion 7 00) f Ivisio 3 the Business and Profe ro e, an lic s is in full force
and effect. License Class License No Date 3 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 16100.Wn. IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED 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 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 thl
JUYeDFsance Of the Work for which this permit is issued. Policy No. _
ha aand 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' crmpensatio
,ins ce carder antl policy number are:
iCartier Policy Number Name of Agent Expiration Date
Phone #
I certify that, in the performance of the work for lich his permit is issued. I shall not employ any person in any manner so as to become subject to to workers' compensation laws of California. and agre
that, if I should become subject ttfff� workers
pens lio rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature
of Applicant /yV� T/
DECLARATION RE, N CONSTRUCTION L DING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for to
y
Date —I
performance of to work for which this permit is issued (Section
Lenders Name
3097, Civic i de).
Lenders Address
By my signature below. I certify to each of the following:
I am the 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 county ordinances and state ws re In to building construction.
I authorize representatives of this city or county to enter ove= of ied pr a or inspection purposes.
Signature of Pro a Owner or Authorized Agent B Pro a Owner's or Authorized Agent's Nam
/..�
� G = '�
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
Dat
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED 01 SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMIT EXTENDED QMD
PERMITRAIAL j ILA 61 uS ASBE5TO5 NOTIFICATION IS NOTAPPUCABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCYISSUED �,.-.,._...._.