HomeMy WebLinkAboutF2020-0122 - Permits� yntop� ityvCenter
Drive,
of Newport Beachpea- Building Division
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Permit Counter Phone (949)844-3288
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Job Address: 660 NEWPORT CENTER DR NB St: 1 FI: 8
Inspector Area: FIRE
Owner: IRVINE CO
Address: 550 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
Phone:
Applicant: YAM MARK
Address: 392 N LEMAY CT
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:
FIRE Permit: F2020-0122
Project No: 0542-2020
Inspection Requests Phone (949)644-3255
I e: E
State Lie:
State Lie:
Worker's Compensation Insurance Designer: O.S.IB.E.C.
V -B Carrier: INS OF THE WEST Address:. 2246 LINDSAY WAY
B Policy No: WSD504197100 GLENDORA CA 91740
0 Expire: 0710112020 Phone:
0
6 Issued Date: 05/0112020
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:
TOTAL FEE :
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
$0.00
FEES
$0.00
Description: COMM FIRE ALARM TI - (X2020-0726) 3 DEVICES
$0.00
0792.2020
$0.00
Legal Description:
P.M. 295-33 PAR 6 POR OF PAR
-
Contractor:
PACIFIC TUSK BUILDERS CORP
Architect:
Address:
1100 QUAIL ST #213
Address: n
$426.00
NEWPORT BEACH CA 92660
Phone:
213-999-5696
Phone:
Con State Lie:
946368
Engineer:
Lie Expire:
04/30/2022
Address:
Bus Lie:
BT30038640
Lie Exp Date:
03131/2021
Phone:
I e: E
State Lie:
State Lie:
Worker's Compensation Insurance Designer: O.S.IB.E.C.
V -B Carrier: INS OF THE WEST Address:. 2246 LINDSAY WAY
B Policy No: WSD504197100 GLENDORA CA 91740
0 Expire: 0710112020 Phone:
0
6 Issued Date: 05/0112020
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:
TOTAL FEE :
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
$0.00
FEES
$0.00
Fire Residential Alarm PC Fee
$0.00
Planning Counter Review:
$0.00
Planning Zoning PC Fee:
$0.00
$193.00
Public Works PC Fee:
$229.00
Public Works Traffic Plan Check Fee;
$0.00
$426.00
Plan Check Fee:
OTHER
Special Conditions:
$0.00 Records Management.
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance
PLAN CHECKED BY-; .
APPROVAL. TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID
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$426.00
OWNER-91LIH-UhK UCGJ-JkKAI fuK -
I hereby atimn under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the chockmark(a) I have placed next to the applicable item(s).
Sectloin 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its fssuanca; also requires the applicant for
a permit to file a signed.staterlent that he orshe 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) ax that he or she isexempt from licensure and the basis for the siteged exeinplion. Any violation of Section 7031.6. by any applicant fora perm it subjects the applicantto a civil Penalty of
it more than five hundred, dollars ($600).
] I, as owner of the property, or my employees with wages as their sole compensation; w40 do ro all. of or W portions gh the work; s' or pe structure is not intended in offered -pr salepert (section 7044,
usiness and Professions Code: The Contractors' State License Law does not apply to an Dwner of properly who, through employees' or personal effort; builds or improves the -property provided thatthe
nprovements are not intended or offered for sale. If, however, the.buitdingor Improvement is sold wfthin one year of completion, the Owner•Builoer will have the burden of proving that it was not built Or
nprovedfor the purpose ofsale).
I, as owner of the property, am exc(usNeiy contracting with licerised Contractors to construct the project (Section 70.44, Business and Professions Code: The Contractors' State License Law does not
pply to an owner of prupertywho builds .or Improves thereon, and who contracts for the projectswith a licensed Contractor pursuant to the Contractors' State: Uosnse Law).
] lam exempt from licensure underthe Contractors' State License Law for the following reason:
y. my signature. below l acknowledge that, except for my personal residence in which i must have resided for at legal one year prior to completion of the Improvements covered bythis permit, I cannot legall
ell a structure: that I have built as an owner -builder if it has not been constricted in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and
Tofessions Code, is available upon request when this application Is submitted or at the following Web site:fitt i/ANww.leginfo.ca,govicalow.htmi. Date
ignature of Property Owner orAuthorlzed Agent
ICENSED C.ONTRACTOWS DECLARATION
hereby affirm under penalty of peAW that 1 am licensed under provisions of Qgaptgf 8 (c,Q�'Imencing with Section of ' is on of the Business end P Ion da, an y�l a is in full force
ndefffect. License Class n __License No ��a4+* "S(1 Dat Contractor Sig natu
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YORKERS' COMPEN$ATION DECLARATION
'ARMING; FAILURE TO SECURE WORKERS' COMPENSAT16M COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES up TO ONE HUNDRED THOUSAND DOLLARS ($100.0001, IN ADDITION TO THE
OSTOF COMPENSATION, DAMAGES AS PROVIDED FOiriN SECTION 3700 OF THE LASORCOoa, INTEREST, ANDATTORNefs Fes.
hereby affirm under penalty of perjury ona of the following declarations:
] 1 have ariMl ntairdein a certificate of consent to self -Insure for workers' compensation, Issued by the Director of Industrial ReletiDns as provided for by Section 3700 of the Labor Code, for IN
ante o??a*e o.rk for which this permit is Issued. Policy No.
4 e ana•���1 maintain workers' oompensaidar insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatlo
nce caAier Sild policy number are, ,gyp -4-111 d.pa=4
Lsriier SytSUhe.atP �M'If_'f' 0� Policy Number �v_(-Expiration Date „
Phone #
large of AgegP'' `
Iroer. ify thaati-�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 ofCaiifomia, and agree
Illr&begefge s bject to a warkets'_ compnensation provisions of Section 3700 of the Labor Code, I shalfforthwlth comply with those provisions. -- -- I
Bal. if I she �C�i�RT.A.P�
• • Dais
IieRature of ADnlicen
Name
5UNZ l'rajb I IVR LL:I9uu�V noc,�u,
pedury that there is a construction.lending agency for the performance of the work for which this permit Is Issued (Section 3097, Civil Code).
Lender's Address
1 am the psop*4owner or authorized to act on the property ownees'behalf.
1 have read this application and the mformaucn l have provided is correct
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorizexepresentatives of this city, or coin o ent qR� aboy,p-idenyfe property for inspection purposes.
CERTIPIG47 OF i"I I �I6�
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REGULATIONS PART 61 OF TITLE 40 ANO AO,MO RULE
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I SUBMtTT£0 ASBESTOS NOTIFICATION TO
PA
QMD
ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
USE ONLY