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Home My WebLink AboutF2021-0252 - Permits0�ttti City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II FIRE Permit: F2021-0252 $` 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 2 5 2 Project No : 1398-2021 F,, `. Permit Counter Phone (949)644-3288 �:a ix°�,��> Inspection Requests Phone (949)644-3255 Job Address: 840 NEWPORT CENTER DR NB St: 1 FI: 4 Unit: 480 Description: COMM - TI FIRE ALARM (6) DEVICES FLEX WORKSPACE X2021-1591 Inspector Area: FIRE Legal Description: P BK 136 PG 22 PAR 1 .0.. Owner: IRVINE COMPANY Contractor: SIMPSON DAVID CONST CO INC Architect: Address: 111 INNOVATION DR Address: 17177 GILLETTE AVE#A Address: °e®° m 0•e°°° IRVINE CA 92617 IRVINE CA 92614 • • • ° Phone: Phone: 949-250-1348 Phone: State • ° ° Applicant: YAM MARK Con State Lic: 381149 Engineer: °•••°® Address: 392 N LEMAY CT Lic Expire: 03/3112023 _.. Address: �� 0° °°° •• ` ORANGE CA 92867 Bus Lic: BT00006013 °°O°00 °•°°° Phone: 626/757-2320 Lic Exp Date: 06/3012022 Phone: State`4io+ ° ° ° ° ° • • ° ° ° Code Edit : 2019 Worker's Compensation Insurance Designer: � ° 0 ° • 000c°o ® ° - Type of Construction: I-A-SPR Carrier: CYPRESS INSURANCE CO Address: • ® ° ° ` Occupancy Group: B Policy No: DAWCC222034 ° •� mOpOC° Added /New sq.ft. Bldg: 0 Expire: 05/0112022 Phone: o ° ° ° o • ° ° ° ° Added /New sq. ft. Garage: 0 No of Stories: 7 Issued Date: 07/30/2021 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: X Rear: BldgSprinklers: N Left: Right: FEES Construction Valuation: $5,353.00 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:. $177.50 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $252.50 Public Works Traffic Plan Check Fee: $0.00 Building Permit Fee : $0.00 TOTAL FEE : $434.00 Plan Check Fee: $173.50 Fee Due at Permit Issuance : $260.50 PROCESSED BY: OTHER DEPARTMENT: 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 7031.6, 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 RGt o property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not m apply to an o4p6gf property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ® -'Iam exempt frOpylicensure under the Contractors' State License Law for the following reason: By my.signatt:q 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 legalIN SPII 9itructure 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.htmi. Sigrmture of P,roperty.Owner or Authorized Agent Date LICENSED VONTRACTOR'S DECLARATION Ibe4pby affirrYlUnder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Profes s Code, a �il my lit a is in full force VV effect. ....' License Class License No Date �0 Contractor Signature •.0 NOE KERS' COMPENSATION DECLARATION gyyFINING: FAILURF TO JECURE 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 Ca*:)F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Mi' e y affi"endeo penalty of perjury one of the following declarations: h 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 a r ante of the work forwhich this permit is issued. Policy No. 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' carrier and policy number are: Policy Number )e of Agent certify that, in the performance of he work for wh' this if I should become subject tot workers' cam nsatioi lature of Applicant Date issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ns ofSectiop 3700 of the Labor Code, I shall forthwith comply with those provision4. - r -_ / — I ;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, 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 owners behalf. I have read this application and the information I have provid Is correct. I agree to comply with all applicable city and county ordinan a and state ws rel I g to building construction. I authorize representatives of this city or county to epter the vgjpepti drop tyfor inspection purposes. , ACTION DATE YBY v DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1403. PERM7TEXPIR€D ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED. DEMOLITION. PERMIT FINAL %Z�I.D CERTIF/CATEOF OCCUPANCYISSUED SIGNATURE::