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HomeMy WebLinkAboutF2022-0257 - Permitsa City of Newport Beach - Building Division FIRE Permit: F2022-0257 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 2 5 7 Project No : 1306-2022 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 660 NEWPORT CENTER DR NB St: 1 FI: BSMT Description: COMM FIRE ALARM TI - 4 DEVICES (X2022-0099) Inspector Area: FIRE Legal Description: P.M. 295-33 PAR 6 POR OF PAR Owner: IRVINE CO Contractor: BUILDING ELECTRONIC CONTROLS Architect: Address: 4343 VON KARMAN AVE #350 Address: 2246 LINDSAY WAY Address: NEWPORT BEACH, CA 92660 GLENDORA CA 91740 Phone: Phone: 909-305-1600 Phone: State Lie: Applicant: TAYLOR KYNDALL Con State Lic: 729905 Engineer: Address: 2246 LINDSAY WY Lie Expire: 11130/2022 Address: GLENDORA CA 912740 Bus Lie: BT97025666 Phone: Lie Exp Date: 10/31/2022 Phone: State Lie: Code Edit : 2019 Worker's Compensation Insurance Designer: MORENO ARI Type of Construction: V-B-SPR Carrier: ZURICH AMERICAN Address: 2246 LINDSAY WY Occupancy Group: B Policy No: WC302951002 GLENDORA CA 91740 Added /New sq.ft. Bldg: 0 Expire: 04/01/2023 Phone: Added /New sq. ft. Garage: 0 No of Stories: 16 Issued Date: 05/18/2022 Special Conditions: - No of Units : 0 Setback- Front: Flood Zone: Bldg Rear:9�� Sprinklers: Y Left:a��,' �' �t Right: FEES Construction Valuation: $2,200.00 Building PC Fee : $0.00 Fire Residential Alarm PC Fee : $0.00 Records Management : $6.00 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: $173.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $246.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $425.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $425.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: e OTI-r-RD�PARTMENT: i`PLA.N>GHECKED BY:: APPROVAL TO ISSUE: o-� po 0 0 ®`tl • -e - o 0 PERMIT EXPIRES 180 FJA {S AF)T9R aSVANCE` QR Io4ST VALID INSPECTION 9b bGB i ¢ dtl tl¢ BU9 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 U 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-Builderwill 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). ❑ 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 Iega11) sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, my I cense is in full force and effect. )/ $ f 2 Z. Contractor Si nature_ License Class License No y �Rtite e9 / 'T'-�}✓ � r � e �4l W� WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 have 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 Wormance of the work for which 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 of Agent Date certify that, in the performance of the work forwhich 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 if I should become subiectto type workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant 1 I v t `9-17 I uare r ' �� i CLARATION REGARD G CONST CTIONCY areby affirm under pen&y 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county o nter t L),o -1 en " dl ro y for inspection purposes. (nature of Property Owner or Authorized Agents ,V Print Property Owner's or Authorized Agent's Name ZVA ACTION DATE BY DECLARATION OF COMPLIANCE IMTH CODE OF FOR OFFICEUk ONLY . %Et}EtjAL RE0?IL4?I9NSFVW tV CF TITLE40 AND ; AQMD+RULE 1403.• • PERMITEXPIRED :ISUSMIi:EDA§$E$TOSNOdIACATION TO: ACT EPA ❑❑ ElAQMD PA0AOSrDTODr Ofd?1QN;ASBESS HON IS NOT APPLICABLE TO • • �. e PERMITCANCELLED PERMITEXTENDED PERMIT F[MAt CERTIFICATFOF OCCUPANCYJSSUED 5i GTURE: s o e? 0 0