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Home My WebLink AboutF2021-0048 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIFIRE Permit: F2021-0048 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 0 4 8 Project No : 0261-2021 '- Permit Counter Phone (949)644-3288 Y`y terra'+' Inspection Requests Phone (949)644-3255 Job Address: 800 NEWPORT CENTER DR NB St: 1 Ft: 4 Unit: 450 Description: COMM FIRE ALARMS (X2021.0244) 2 DEVICES Inspector Area: FIRE Legal Description: P BK 136 PG 22 PAR 1 Owner: IRVINE COMPANY Contractor: SIMPSON DAVID CONST CO INC Architect: Address: 111 INNOVATION DR Address: 17177 GILLETTE AVE #A Address: IRVINE CA 92617 IRVINE CA 92614 Phone: Phone: 949-250-1348 Phone: State Lic: Applicant: YAM JUDY Con State Lic: 381149 Engineer: Address: 392 N LEMAY CT Lic Expire: 03131/2021 Address: ORANGE CA 92867 Bus Lic: BT00006013 Phone: 626-757-2320 Lic Exp Date: 06130/2021 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: M.S./TRL SYSTEMS INC Type of Construction: I -A -SPR Carrier: OAK RIVER Address: 9531 MILLIKEN AV Occupancy Group: B Policy No: DAWC016550 RANCHO CUCAMONGA CA 91730 Added /New sq.ft. Bldg: 0 Expire: 05101/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 7 Issued Date: 03/0412021 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: X Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $2,250.00 ' Building PC Fee: $0.00 Fire Residential Alarm PC Fee: $0.00 Records Management : $4.00 Building Overtime PC Fee: $0.00 Planning Counter Review: $0.00 Building Extention Fee : $0.00 Planning Zoning PC Fee: $0.00 Building Investigation Fee: $0.00 $0.00 Fire Plan Check Fee: $164.50 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee: $234.50 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: $0.00 TOTAL FEE : $403.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $403.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: CE6 9 O c- mo m a e• m m PLAN CHECKED BY:: it u i u o APPROVAL TO ISSUE: ccc a mom mm PERMIT EXPIRES 180 D+AY,�^. AFTc Z ISuUANCE OR LAST VALID INSPECTION m neo `ov °me u o u�o �n lip )WNER-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) 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 ie 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 'rofessions 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 got 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 n 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 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' State License Law for the following reason: ly 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 legally ell a structure that 1 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof s' ns Code, nd y ense is in full force effect. is icense Class License No Date )) Contractor Signi3,SH { ' YORKERS' COMPENSATION DECLARATION IARNING: 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 1$100,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37US OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 the erfgrmance of the work for which this permit is issued. Policy No. have 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' rance carrier WB Dolicv number ace% - I,n is of Agent p certify that, in k performance Clifile work for if I should become ubje to th or�ke/rs' cc lature of Applicant A 1. Expiration Date ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoserprovisions. 1 1 Ireby affirm under penalty of perjury 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 Lender's Address 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 prove Is Cgt1 agree to comply with all applicable city and county ordina c s anelating to building construction. I authorize representatives of this city or county t ante above-perty for inspection purposes.��nature of Pronertv Owner or Authorized Acent�X�Print Pronertv Owners or Authorized Agent's Name L AC77ON DATE I BY I PERMITEXPLRED I I . I I PERMITCANCELLED I I I PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED AWMU KULt 14UJ. • s • • • • • • • ❑'SUBMITITl*lES1-0SVdFlrAT/f.>jIIT0; ❑ EPA' • • • •.• ❑ AQMD ❑ ASBESTOS M07IRCA710MISNOT APPLLCAMETO PROPOSEDDWLWgV SIGNATURE. « • s i • • • • i .. ..... .. .. ...