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Home My WebLink AboutF2024-0240 - Permits�EWPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III COMB Permit : F2024-0240 gggsQ'< @ Community Development Department- Building Division F 2 0 2 q 0 2 4 0 > y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0968 Permit Counter Phone: (949) 718-1888 Issued Date : 05/20/2024 'U newportbeachca.gov/civic Final Date: Cq</F00.N�P 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 : 1107 JAMBOREE RD Legal Desc : A TR IRVINE SUB BLK 55 IRVINE SUB BLK 55 FOR OF BL Description: COMM FIRE SUPPRESSION SYSTEM @ HYATT Owner: HYATT REGENCY NEWPORT BEACH HOTEL Address 92625 Phone Applicant: MARX BROTHERS FIRE EXTINGUISHERS COMPANY INC Address : P 0 BOS 23460 LOS ANGELES, CA 90023 Phone: (323)263-6954 Owner/Builder Address Phone: Code Edition : 202 Type of Construction : V-B Occupancy Groups: B Bldg Height: Building Setbacks : Flood Zone: X Use Zone: CV - Commerciel Visitcr-Serving PROCESSED BY: SPECIAL CONDITIONS: Contractor: MARX BROTHERS EXTINGUISHERS COMPANY INC Address: P O BOS 23460 LOS ANGELES, CA 90023 Phone : (323) 263-6954 Con State Lic : 298221 Lic Expire : 09/30/2025 Bus Lic: BT00004050 Bus Lic Expire: 12/31/2024 F I R E Architect : Workers' Compensation Insurance Carrier: AMERICAN FAMILY HOME INSURANCE CO DBA AFH INSURANCE CO Policy No: 2EA5WC000137801 W. C. Expire : 2/18/2025 Fire Sprinklers : YES Fire Hazard Zone : NO No of Units : 1 No of Stories : 1 Address Phone: State Lic Engineer: Address : Phone: So'T`C Designer: MARX BROTHERS FIRE EXTINGUISHERS COMPANY INC Address : P 0 BOS 23460 LOS ANGELES, CA 90023 Phone: (323) 263-6954 Construction Valuation : $0.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 0 Add/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 for the reason(s) indicated below by the checkmark(s) 1 have placed next to the applicable item(s) (Section 7031.5, Business end 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 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 more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wegas 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 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 '.. improved for the purpose of sale). El 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). ❑ I 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 residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, 1 cannot legally 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 lho 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:fhvww.leginfo.ca.govicalaw.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 previsions of Chapter 9 (commencing with Section 7000) qfElivislon 3 of the Business and Prot ssit� s Co f, and 'P,en In full force and effect. License Class License No Date Contractor Sign u / rL� NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE NUN D THOUSANDDOLLARS ($100,000), IN ADDITION TO THE nST 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: I h e 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 thi mer manse 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 permitis issued. My workers' carrier and policy number are: Policy Number Expiration Date Name of Agent Phone # ❑I Certify that, in the porter manee oft work f r which t ' permit is issued, I shelf not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agra that, if I should become subjec to th orke Compen n pr " " ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ 7�,, Signature of Applicant �� DatAm, S `�C% _ 7� DECLARATION REGARDIN STRUCTION L N -ING ACEN I hereby affirm under penalty erjury that there is a construction riding agency for the performance of the work for which this permit is issued (Section 3097,de). Lendor:s Name 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 owners behalf. I have read this application and the information i have provided is correct. I agree to comply with all applicable city and county or arc and to la relating to building construction. I authorize representatives of this city or county to n r bave i( operty for inspection purposes. _ Si nature of Pro. ertOwner or Authorized A ert ' Print Pro ertOwner's or Authorized Agent's Name Q Date ACTION DATE aY ECLARATION OF CO LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PA 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED j I El I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED META PERMIT EXFENDFD Q� Mp - CI J' S / r l � POSED DEMOLITION ION 15 NOT APPLICABLE TO ERTIFICATEOF PERMIT INAL (/( OCCUPANCY' ISSUED SIGNATURE: