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Home My WebLink AboutF2021-0004 - PermitsErl}4� City of Newport Beach -Building Division II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II �+ 100 Civic Center Drive, Newport Beach, CA 92660 F. Permit Counter Phone (949)644-3288 u a r'�ZIYriY�'« Job Address: 500 NEWPORT CENTER DR NB St: 1 Ft: 8 Inspector Area: FIRE Owner: TINGLER DAVID S Address: 500 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: Applicant: MORFORD PAUL Address: 4675 MACARTHUR CT #100 NEWPORT BEACH CA 92660 Phone: 949-863-9434 Code Edit: 2019 Type of Construction: I-A-SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 9 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y Construction Valuation Building PC Fee: Building Overtime PC Fee Building Extention Fee: Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee: Building Permit Fee TOTALFEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $1,200.00 FIRE Permit: F2021-0004 Project No: 0031-2021 Inspection Requests Phone (949)644-3255 Description: COMM FIRE SPRINKLERS (4 HEADS) X2021-0029 Legal Description: IRVINE SUB LOT BILK 93 POR OF BILK Contractor: FIRE PROT SPECIALISTS Architect: Address: 2810 E MIRALOMA AVE Address: ANAHEIM CA 92806 Phone: 714-635-6500 Phone: State Lic: Con State Lic: 464916 Engineer: Lic Expire: 10/3112022 Address: Bus Lic: BT30042894 Lic Exp Date: 05131/2021 Phone: State Lic. Worker's Compensation Insurance Designer: ANDERSON ROBERT Carrier: COMP WEST INS. CO. Address: 2810 E MIRALOMA -Policy No: WCV5502952 ANAHEIM CA 92806 Expire: 1210212021 Phone: Issued Date: 0411512021 Special Conditions: Setback- Front: Rear: Left: Right: FEES $0.00 Fire Residential Alarm PC Fee: $0.00 $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee: $0.00 $0.00 $125.00 Public Works PC Fee : $0.00 $191.00 Public Works Traffic Plan Check Fee; $0.00 $0.00 $318.00 Plan Check Fee : $125.00 OTHER DEPARTMENT PLAN CHECKED BY:: APPROVAL TO ISSUE: Records Management Fee Due at Permit Issuance PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION r $2.00 $0.00 $0.00 $193.00 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 L) all of or (_) 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). ❑ 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 legall. 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 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 000) of Division 3 of the Business and Profes ions Code, and my license is in full force and effect. License Class License No Date ,9 1 Contractor Signature`�� WORKERS' COMPENSATION DECLARATION NARNING: 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 ($100,00D), 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: R] I 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 oe rmance of the work for which this permit is issued. Policy No. 4 ve 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' compensatioi nce carrier and policy number are: Policy Number of Agent Date 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 if I should become subjVt to tre Igo ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r Signature of Applicant LJ- Date DECLARATION REGAR ING CONSTRUCTION L DING AGENCY — I hereby 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). 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 owners 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 to e r th cah�ave-id tified property for inspection purposes. 1 `'� < Si nature of Property Owner or Authorized Agent i Jam- Print Property Owner's or Authorized Agent's Name u S7T�'r � e l --``/0.! Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULARONSPART 61 OF TITLE 40 AND AQMD RULE 1403. ❑ I SUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ElASBESTOS NORFICARON IS NOT APPLICABLE TO PROPOSED DEMOUT/ON. SIGNATURE: FOR OFHCE USE ONLY -- . PERMIT EXPIRED PERMITCANCELLED PERMITEXT€NDED PERMI7 FINAL Z CER77RCATEOF OCCUPANCYISSU€D