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HomeMy WebLinkAboutF2019-0482 - Permitsx�I+Q City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIilllll�llllllilllllllllll FIRE Permit: F2019-0482 100 Civic Center Drive, Newport p Beach, CA 92660 F 2 0 1 9 8 4 8 2 Project No: 18792019 Permit Counter Phone(949)644-3288 .Inspection Requests Phone (949)644-3255 Job Address: 620 NEWPORT CENTER DR NB St: 1 FI: 4 Description: COMM FIRE ALARM TI (X2019--2634) 2 DEVICES / b Inspector Area j7- Legal Description: P BK 295 PG 33 PAR 1 Owner: IRVINE COMPANY Contractor: PACIFIC TUSK. BUILDERS CORP Architect: Address: ,PO BOX 2450 :. ' Address: 1100 QUAIL ST #213 Address:. NEWPORT BEACH, CA 92658 NEWPORT BEACH CA 92660 Phone: Phone. 213-999-5696 Phone: State Lic Applicant: MARK YAM Con State Lic 946368 Engineer. Address: 392N LEMAY CT #100 Lic Expire: 04/30/2020 Address: 'ORANGE CA 92867 Bus Lic: BT30038640 o e Phone. - 626.757-2320 -.. Lic Exp Date: 0313112020 Phone: State Lic: Code Edit 2016 Worker's Compensation Insurance Designer TAYLOR RICK 00000® o orae ° '< Type. of Construction', I-A-SPR Carrier : INS OF THE WEST Address: .22646 LINDSAY WAY Occupancy Groupe B. Policy: No: WSD504197100 GLENDORA CA 91940` Added /New sq.ft. Bldg: 0 Expire: > 07/01/2020 Phone. o. Added /New sq. ft. Garage: 0 °CC No of Stories: 16 Issued Date: 10/30/2019 Special Conditions °`°O°° - ' No of Units : `0 Setback- Front ° O p ° o -0" " Flood Zone: Rear E °Oc' Bldg Sprinklers: N teff. Right: C aooii.. FEES ° Construction Valuation: :.$1,327.00 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. $191.00 Public Works PC Fee $0.00 $0.00 Fire Permit Fee : - $226.00 '' Public Works Traffic Plan Check Feb; ' $0.00 Building Permit Fee $0.00 TOTAL FEE : $417.00 Plan Check Fee: $191.00 Fee Due at Permit Issuance : $226.00 PROCESSED BY: c- OTHER DEPARTMENT: ZONING APPROVAL:/ PLAN CHECKED BY::.. FIRE. APPROVAL: ! T1 APPROVAL TO ISSUE:. LAB 1r�IlI� PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons indicated below b the checkmark s I.have laced next to the applicable item(s) P Y P 1 ry P O� Y O P PP O (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 (Chapter9 (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). El I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (•_).portions of the work, and the structure 1s 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 orimproves 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 im roved for the purpose of sale) 1, 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). ❑ 1 am exempt from licensure under the Contractors' State 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 Iegali sell 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 theBusiness and Professions Code, is available upon request when this application is submitted or at the following Web site:http.//www.leginfo.ca.gov/calaw.htm]. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm VInder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wi Section 7000 of Division 3 of the Business rofessions Code d my license is in full force and eff2bf.' • • o / 6icense q;Iv- License No Dat f Contractor Signet e WORKESS:eOMPENSATION DECLARATION WARNING: FAIJ URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE •ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.. +thereby affirm :oder penalty of perjury one of the following declarations: ;•' 1 have apdwilt 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 ormaRc. pl jf2 work for which this permit is issued. Policy No.. ..+Ckhave 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' compensato * ante carrier andpolicy number are: Ca.prier • °' : Policy Number Expiration Date ,. Name of Agept • Phone# • ©I certify t 1l, trf the perfo nce of or w h this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California,. and agre that if I should become su ct a workers' co ns the provisions of Section 3700 of the Labor Code I shall forthwith comply with those provision r q '- Signature of Applicant. Date / �� DECLARATION REGAR IN STRU ION LE G CY I hereby affirm under pe4alty of perjury that there Is a construction ending agency for the performance of the work for which this permit is Issued (/action 3097, Civil Code).: Lender's Name.. Lender's Address By',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 have3rovHad i5 correct - I agree to comply with all applicable city and coin dinances an tate laws relating to building construction. , I authorize representatives of this city or county t e ter the bo -1 tified property for inspection purposes Signature of Property Owner or Authorized A ant Print Property Owners or Authorized Agent's N e O UikV6 c( ate T 'ACTION :....DATE BY DECLARATIONOFCOMPLfAiVCEWITHCODEOF FOR OFFICE USE &Y FEDERAL REGULATIONS PART 61OF TITLE40.AND IPERMITEXPIRED ARMDRULE1403. ❑ 1 SUBMITTEDASBESTOS N071FICATION TO: !PERMIT CANCELLED ❑ EPA P€RMITEXTENDE➢ ❑'-.AQMD ❑ ASBESTOS NOTIHCATIONIS .NOT APPLICABLE TO PERMIT FINAL 0Z WA PROPOSED DEMOLITION. C€R7/FtCATEDf SIGNATURE: OCCUPANCYISSUED