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Home My WebLink AboutF2021-0316 - PermitsCity of Newport Beach - Building Division *F2021-0316* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 550 NEWPORT CENTER DR NS St: 1 Ft: 1 Unit: 150 Inspector Area: FIRE Owner: IRVINE COMPANY Address: 111 INNOVATION DR IRVINE CA 92617 Phone: Applicant: TAYLOR RICK Address: 2246LINDSAY WAY Address: GLENDORA, CA 91940 Phone: 909-305-1600 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: I -A -SPR B 0 0 FIRE Permit: F2021-0316 Project No : 1691-2021 Inspection Requests Phone (949)644-3255 Description: COMM FIRE ALARMS 3 DEVICES (X2021-1538) Legal Description: IRVINE SUB LOT BILK 93 POR OF BILK Contractor: BUILDING ELECTRONIC CONTROLS Address: 2246 LINDSAY WAY ZURICH AMERICAN GLENDORA CA 91740 Phone: 909-305.1600 Con State Lic: 729905 Lic Expire: 11/30/2022 Bus Lic: BT97025666 Lic Exp Date: 1013112021 Worker's Compensation Insurance Carrier: ZURICH AMERICAN Policy No: WC302951001 Expire: 04/01/2022 9 Issued Date: 08/04/2021 0 Setback- Front: Rear: N Left: Right: Architect: INP E"T e FEES Address: • Construction Valuation: $651.00 ° o Phone: State Lic: ••ee•• •e e e eoOee®o Engineer. • e Address: oeee Planning Counter Review: $0.00 e e o $0.00 0000e o ° o Phone: State Lic $0.00 ® m•eoo Designer: TAYLOR RICK ••oe oeoo•o Address: 2246 LINDSAY WAY Fire Permit Fee : $242.75 GLENDORA, CA 91940 • • • o m o Phone: Building Permit Fee : $0.00 °omoo° Special Conditions: m e oe°oO° 0 o °BO° PROCESSED BY: OTHER DEPARTMENT: v ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Construction Valuation: $651.00 Building PC Fee : $0.00 Fire Residential Alarm PC Fee : $0.00 Records Management : $0.00 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: $170.75 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $242.75 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $413.50 Plan Check Fee : $177.50 Fee Due at Permit Issuance : $236.00 PROCESSED BY: OTHER DEPARTMENT: v ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: 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 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 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). 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 exemplherm licensure under the Contractors' State License Law for the following reason: By my signature h6aw iacknowledge 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 seya.4rjlcture that IJVve 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, 1s�Ailable upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. Signature of Property wrier or Authorized Agent Date ;16WED CONtRACTOR'S DECLARATION I hereby affirm undeetparlalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession de, a my icense is in full force �IdeJfeCt. • • • • /tet ^fit/ I Ywrise Class •••• License No D �` f� 2� Contractor Signature!\ WPAKLRS' COMIDENSATION DECLARATION N(/yr 10 6FAILURE TUSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000), IN ADDITION TO THE GOSiGOMPENSA.TION"MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Thereby affirm LITWotp4ialty of perjury one of the following declarations: •�Lrg0e andyv211motain 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 thl performance of 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' compensatior j urance carrier and policy number are: Policy Number Date me of Agent Phone # I 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 the workers' compensation laws of California, and t, if I should becorfygsubject to the workers' cgMRengtion provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoseiRrjdvisions. of ti 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 provided is correct. I agree to comply with all applicable city and co ty ordinances and state laws relating to building construction. I authorize representatives of this city or co to entenrnth�i, �abn (dent fi roperty for inspection purposes. ��V/\/, �� p I , A nature of Property Owner or Authorized Agent - �1 Y `6/Jvt t' ,A7V�\ \ i v Print Property Owner's or Authorized Agent's Name /\ F�l�k��(YS.%�l ��Vi�� W� ge �!T l l AC77ON DATE BY DECLARATION OF COMPLIANCE MTN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TIRE 40 AND AQMD ROLE 1403. PERMITEXPIRED ❑ L SUBMITTEDASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENOED ❑ ASBESTOS NOTIFICAA7ION IS NOT APPLICABLE TO PROPOSED PROPOSED DEMOLITION, PERMIT FINAL CERTIFICATEOF OCCUPANCYtSSUEO SIGNATURE: