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Home My WebLink AboutF2019-0168 - Permits�w1r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII II p 100 Civic Center Drive,Newport Beach, CA 92660 F 2 0 1 9 0 1 6 8 1: Permit Counter Phone (949)644-3288 FIRE Permit: F2019-0168 Project No : 0729-2019 Inspection Requests Phone (949)644-3255 Job Address: 1200 NEWPORT CENTER DR NB St: 1 FI: 1 Unit: 100. - Description: COMM FIRE SPRINKLERS TI - (X2019.1049) 23 HEADS Inspector Area: FIRE Legal Description: IRVINE SUB BLK 93 POR OF BILK Owner: IRVINE CO Contractor: FIRE PROT SPECIALISTS Architect: Address: 550 NEWPORT CENTER DR Address: 2810 E MIRALOMA AVE Address: Planning Counter Review: NEWPORT BEACH CA 92660 0 Expire: 1 210 21201 9 ANAHEIM CA 92806 714-635-6500 Phone: Phone: 714-635-6500 Phone: Applicant: YAM MARK Con State Lic: 464915 Engineer: Address: 392 N LEMAY CT Lie Expire: 1013112020 Address: Right: ORANGE CA 92867 Bus Lia BT30042894 Phone: Code Edit: 2016 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added/New sq. ft. Garage: No of Stories: No of Units: Flood Zone: Bldg Sprinklers:. Construction Valuation State Lica. Lie Exp Date: 0513112020 Phone: State Lie: Worker's Compensation Insurance Designer: ANDERSON ROBERT III-ASPR Carrier: COMP WEST INS. CO. Address: 2810 E MIRALOMA AVE B Policy No: WCV5502952 Planning Counter Review: ANAHEIM CA 92806 0 Expire: 1 210 21201 9 Phone: 714-635-6500 0 2 Issued Date: 07102/2019 Special Conditions: $0.00 0 Setback- Front: Public Works Traffic Plan Check Fee; $0.00 Rear: Y Left: Plan Check Fee : $182.00 Fee Due at Permit Issuance Right: Building PC Fee: Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee: Building Permit Fee: TOTAL FEE PROCESSED BY: { OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: 1 APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 0000 0000 0 ooa a 0oe000 o m o •o m eo u v °oom0 e o °. .o 0 0 0 000°u om o momo . $2:00 000000 000000 O G ° •0$0'00 0000aoo $0.00 0 0 0 °.m®o $244.00 FEES $2,250.00 $0.00 Fire Residential Alarm PC Fee : $0.00 Records Management $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee: $0.00 $0.00 $182.00 Public Works PC Fee: $0.00 $242.00 Public Works Traffic Plan Check Fee; $0.00 $0.00 $426.00 Plan Check Fee : $182.00 Fee Due at Permit Issuance PROCESSED BY: { OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: 1 APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 0000 0000 0 ooa a 0oe000 o m o •o m eo u v °oom0 e o °. .o 0 0 0 000°u om o momo . $2:00 000000 000000 O G ° •0$0'00 0000aoo $0.00 0 0 0 °.m®o $244.00 OWNER -BUILDER DECLARATION I, 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 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 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 wages as their sole compensation, will do (_) all of or (_) 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). 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 ap ly 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 legall) 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 Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.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 (comm ing with Sec' n 7000) of Division 3 of the Busin sand Prof si de, and my license is in full force and effect. (/ License Class License No Da G� 7 q ContractpF§i afore NORKERS' COMPENSATION DECLARATION / NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES PTO ONE HUNDRED THOUSAND DOLLARS ($100,000), 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 penally of perjury one of the following declarations: I have and wlll,rpaintain 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 the 3ertQrmapce of ffieyvpjll'for which this permit is issued. Policy No. and will maielein 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' carriet grid policy number are: Policy Number Expi Agent .... Phor Y that, intREperRhance ofth ork for which this permit is issued, I shall not employ any person in any manner so as to become :hq,uld betoip object WAKE ker ' co pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with the Date to the workers' compensation laws of California, and Signal eofA want D ie__1 04021 1 c2 1161 REGARDING CONSTRUCTION ENDING AGENCY I j e2by upQyr gp=lalty of perjury that there is a construction lending agency for the performance of the work for which this permit i ' sued (Section 3097, Civil Code). Lender's Name • Lender's Address By my signature below, l certify to each of the following: T 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 ootp nces and state laws relating to building construction. I authorize representatives of this it) r count o rite -gb11 e -identified property for inspection purposes. Signature of Property Owner or/jy1 r ent . ,)/ }fe� Print Property Owner's or Authorized A me31V'I MN CIC � ACTION DATE BY DECLARATION OF CO P NCODE FOR OFFICE U EO LY FEDERAL REGULATIONS PART 61' OF TOLE NO AQMO RULE 1403. PERMITEXPIRED I SiIBMffFEDASBESTOS NOTtF1CATION TO: ❑ EPA ❑ AQMD PERMITCANCEttED PERMITEXTENDED ASBESTOS PROPOSED DEMOLITION.77ONIS NOTAPPLICABLE TO PERMITFINAL �aZ �` (, O CERTIFICATE OF OCCUPANCYISSUED SIGNATURE: