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Home My WebLink AboutF2020-0194 - Permitscityof Newport beacn - tsuuaing uivlsion -t-zuzu—u I a4- FIRE Permit: F2020-0194 eat- 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0764-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 450 NEWPORT CENTER DR NB St: 1 Ft: 4 Unit: 480 Description: COMM FIRE SPRINKLER TI (1 HEAD) X2020-1043 Inspector Area: FIRE Legal Description: P BK fit PG 10 PAR 1 $0.00 Planning Counter Review: Owner: IRVINE CO Contractor: FIRE PROT SPECIALISTS Architect: INSPECTOR Address: 550 NEWPORT CENTER DR Address: 2810 E MIRALOMA AVE Address: $0.00 NEWPORT BEACH, CA 92660 Public Works PC Fee: ANAHEIM CA 92806 $0.00 $176.00 Phone: Phone: 714.635.6600 Phone: State Lie: Applicant: ECKENROD ASHLEY Con State Lie: 464915 Engineer: $138.00 Fee Due at Permit Issuance : Address: 9850 IRVINE CENTER Lie Expire: 10/31/2020 Address: IRVINE CA 92618 Bus Lie: BT30042894 Phone: 714-337-2354 Lie Exp Date: 05/31/2021 Phone: State Lie: Code Edit: 2019 Worker's Compensation Insurance Designer: FIRE PROTECTION SPECIALISTS Type of Construction: Ii -A -SPR Carrier: COMP WEST INS. CO. Address: 2810 E MIRALOMA AVE Occupancy Group: B Policy No: WCV5502952 ANAHEIM CA 92806 Added /New sq.ft. Bldg: 0 Expire: 1210212020 Phone: 714-635.6500 Added /New sq. ft. Garage: 0 No of Stories: 6 Issued Date: 07/13/2020 Special Conditions: No of Units: 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: Y Lek: Right: Construction Valuation Building PC Fee: Building Overtime PC Fee Building Extention Fee: Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee: Building Permit Fee TOTALFEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $1,050.00 FEES $0.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $2.00 $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee: $0.00 $0.00 $0.00 $138.00 Public Works PC Fee: $0.00 $0.00 $176.00 Public Works Traffic Plan Check Fee; $0.00 $0.00 $316.00 Plan Check Fee: $138.00 Fee Due at Permit Issuance : $178.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmarke) I have placed next to the applicable itenr(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 file 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'7o0o) 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 far 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 L) all of or L) portions of the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professions Code: Ilia Contractors' Slate 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 notbullt or Erfor 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' Slate License Law does not apply to an owner of property 4o builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale 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 resided for at least one year prior to completion of the improvements covered by this permit, i cannot Iegalll sell a structure that I have built as an owner-builder if it has not been constructed in Its entirety by licensed contractors. 1 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:llttp:llwww.leg;nfo.ce.gov/calaw.htmi, Signature of Property Owner or Authorized Agent — Dale _ 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 Division 3 of Ih@ Bu Imass end_.Professions Co e, an my license is inftdl force and effect. -1 \tt�� , License Class License No Da % / "/ -:'z G� Contractor r natwe;sCL% 'fH'1nA.�.-m�— NORKERS'.COMPENSATION DECLARATION NARKING: FAILURE TO SECURE WORKERS' COMPENSATION covazAGE Is UNLAWFUL, AND SMALL SUMJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONr: FIUNDRED TUOUSANU DOLLARS (5100,0001, IN AUDITION TO TRE COSTOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LAaOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the fallowing declarations: 1 hi�ve 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 th )e rhiance of the work for which this permit is issued. Policy No. { t ve 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' compensalim net anre carrier and policy number are: ;arrier Policy Number_ Expiration Date dame of Agent Phone p . _ 31 certify Ilia[, In the performance of the work for which this permit is issued, I shell not employ any person in any manner so as to become su act to the workers' conmensalion laws of California, and agre Tat, if I sho7 b Some subject to the won ciu' bompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoee rovisions. $kj:/,¢ / / /fc / dnnahve of A'Tnlirn�Y Tc /� /.(�.h '/A 1 'Di./ i l: LI _ Hale 17/ ':'i / ') . lreby affirm 'under )Senalty, of perjury that there is a Construction lending agency for the performance of the work for which this pewit Is Issued (Scclion 3097, Civil Code). Iden s Name _ Lender's Address my signature below, I certify to each of file following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and (he 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 I authorize representatives of this city r county e. Dien the a EveIdenitFlod property for inspection purposes. / . y -t r nature of Property Owner or Author Agent �_ k ,��-- Print Property Owner's or Au j1 g &I Rxjzed Agent's Name'1`,.;(N ACTION A7E 8Y UECI_ARAiION OF COMPLIANCE WI i7i OF MR OFFICE USE ONLY --T-- FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1463. PERM!TEX.DIRED ❑ 1SUf3MITTF_DASOESTOS NOTiricATION TO: ❑ EPA ❑ AQMD PERM!TCANCELLED _ PE4MITEXTENDED -- ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMfT FINA[ — CERTIFICATE OF OCCUPAA'CY!S'SUED SIGNATURE: