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Home My WebLink AboutF2021-0084 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111IIp1IIp1111111/1111111 ivy 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)6443288 FIRE Permit: F2021-0084 Project No: 0501-2021 Inspection Requests Phone (949)644-3255 Job Address: 620 NEWPORT CENTER DR NB St: 1 FI: 2 Unit: 200 Description: COMM TI FIRE SPRINKLERS (X2021-0553) 2 HEADS Inspector Area: FIRE Owner: 620 NCD LLC L Address: PO BOX 2450 NEWPORT BEACH, CA 92658 Phone: Applicant: YAM MARK Address: 392 N LEMAY CT Address: ORANGE CA 92867 Phone: 626-757-2320 Code Edit : 2019 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: I -A -SPR B 0 0 Legal Description: P BK 295 PG 33 PAR 1 Contractor: FIRE PROT SPECIALISTS Address: 2810 E MIRALOMA AVE $0.00 ANAHEIM CA 92806 Phone: 714.635-6500 Con State Lic: 464915 Lic Expire: 10/31/2022 Bus Lic: BT30042894 Lic Exp Date: 05/31/2021 Worker's Compensation Insurance Carrier: COMP WEST INS. CO. Policy No: WCV5602952 Expire: 12/02/2021 16 Issued Date: 05/14/2021 0 Setback- Front: Rear: Y Left: Right: 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: $1,100.00 FEES $0.00 Fire Residential Alarm PC Fee: $0.00 Planning Counter Review: $0.00 Planning Zoning PC Fee $0.00 $121.00 Public Works PC Fee: $184.50 Public Works Traffic Plan Check Fee; $0.00 Engineer: $307.50 _ Plan Check Fee OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Architect: Address: Phone: State Lic: .... Engineer: Y •°tlC• Address: ° °°° *•••°� • O O [. fro ° Phone: State Lic: b I <) Designer: ANDERSON ROBERT Address: 2810 E MIRALOMA AVE ANAHEIM CA 92806 .... o mm.m° Phone: oeec° Special Conditions: soo° mYnmYo m c o 00°Op° emYY m $0.00 Records Management: $2.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $121.00 Fee Due at Permit Issuance : $186.50 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION VNER-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) action 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 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 Ifessions 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 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, ainess 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 )rovements 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 )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 )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: 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 I 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 Ifessions Code -is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of ProperklOwner or Authorized Agent Date :�IlSED CONTRACTOR'S DECLARATION :rebftffirm OrKley'p2nalty of perjury that I am licensed under provisions of Chapter 9 (commencing wl QS�ection 7000) of Division 3 of the Business and Prooffe�/ss�ssi�on¢s Code, and my license is in full force anis Class License No Da ) �!' Contractor Signature 3RKf RS' O&N?PgNSATION DECLARATION RNING: 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 ($100,000), IN ADDITION TO THE TAF COMPENSIM*4, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1QVaffirm undbr penalty of perjury one of the following declarations: I t)ere 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 rmance ofAtTe work for which this permit is issued. Policy No. .. a�¢, and wilj, mair>jain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatior .xeRce carrierentl policy number are: Tier Policy Number Expiration Date me of Agent Phone # certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to th compensation laws of California, and agree I, if I should become sub'ect Ahe workers' om sensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prows) nature of ADolicant /7"^ U"��""�i Date �5 //�4(b CLARATION REGARCING CONSTRUCTION LENDING AGENCY )reby 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 )der'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 provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to rte abo� iden^tified property for inspection purposes. nature of Prooertv Owner or Authorized Agent. - 7 Print Property Owner's or Authorized Agent's Name did ACTION I DATE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL OCCUPANCYISSUED BY UC4LAi 1 JUN 4r LUI1VUAIVI.C". I i I LVVL V, FEDERAL REGULATIONS PART 61 OF TIILE40 AND AQMD ROLE 1401 ❑ /SUBMITTED ASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD WA C 0 OASBES OS N 1T ON. TION/S NOT APPLICABLE TO SIGNATURE:. Civil Cade). I. FOR