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Home My WebLink AboutF2019-0128 - PermitsCity of Newport Beach - Building Division Age 100. Civic Center Drive, Newport Beach, CA 92660 Fr Permit Counter Phone (949)644-3288 Job° Address: 520AMPSRT CENTER DR NB St: 1 FI: 2 Unit: 200 oommmm Inspector,4rea: FIftEm m o Legal Description: Owner:° `"'. THE IRVINE CO Contractor: AdpfeW. 111 INNOVATION Address: oom°.. IRV;9R CA 92612 . *F2019-0128* FIRE Permit: F2019-0128 Project No : 0503-2019 Inspection Requests Phone (949)644-3255 Description: COMM FIRE ALARM TI (X2019-0327) 4 DEVICES BUILDING ELECTRONIC CONTROLS Architect: 2246 LINDSAY WAY Address: GLENDORA CA 91740 Phtone:m m ° ... Phone: 909-305.1600 ° Dees Applicant: m KENDALWIBEC Con State Lie: 729905 Address: ° 2246 `INDSAY WY Lie Expire: 11/30/2020 ° ° GLMEID RA CA 91740 Bus Lie: BT97026666 P6@rLeo ° m ®. ° o Lie Exp Date: 10/31/2019 m ° Records Management: $6.00 Code Edit ; 20160m Worker's Compensation Insurance Type of Constructioa� ®° V-BSPR Carrier: AMERICAN FAMILY INS Occupancy Group; B Policy No: 2EA5WC900031000 Added /New sq.ft. Bldg: 0 Expire: 01/01/2020 Added /New sq. ft. Garage: 0 , ', No of Stories: 21 Issued Date: 03/07/2019 No of Units : 0 Setback- Front: �� e( a :) re Flood Zone: Rear: $172.00 .Bldg Sprinklers: Y Left: Building Permit Fee: Right: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: State Lic: State Lie: BALTAZAR-MORENO ARI 2246 LINDSAY WY GLENDORACA 91740 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Construction Valuation: $1,898.00 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: $136.00 Public Works PC Fee : $0.00 �� e( a :) re $0.00 Fire Permit Fee : $172.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: $0.00 TOTAL FEE : $314.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $314.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION IWNER-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) 1 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 re 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 'rofessions 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 of 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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 nprovements 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 thatjt,Was not built or e nproved for the purpose of sale). ' • • • e • •' •eweeo 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 Qcense Law does not e pply 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). • • • ;' ; e e •••eon I am exempt from licensure under the Contractors' State License Law for the following reason: Iy my signature below 1 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 perm, I canpdtl gaty ell 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 anti"600 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. "' • • • e • e o signature of Property Owner or Authorized Agent Date ...... e .ICENSED CONTRACTOR'S DECLARATION •"' •• e hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing withSection7000) of Division 3 of the Business and Professions Code, fa d my lic nse isI �fuM 0-10 nd effect.cense Class License No Date �J� %T Contractor Signaturg 4/ V 111�.11\'Q� \ v. e e e /ORKERS'COMPENSATIONDECLARATION —^ •••• 'ARNING: 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 ($10111,ggp), IN AUDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 IN �Vormance 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 Date ne of Agent —rnone s 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 su lett to thew rkers9' co sati np, provisions Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ) �7) /1 iature of ADDlicant � 9. Y =) W \I /V Date I -3 // 1" 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) Ender's Name Lender's Address ymy 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 count enter t j ove-i ntifi lop rty for insp@coon purposes. innafure of PrnnPrty nwner nr Aufhnrized Aaenf r t Prooertv Owner's or Authorized Aaent's Name ACTION I DATE rld.ft7ilY/� #76dt>rl�rl PERMIT FINAL CERTHFICATEOF OCCUPANCYISSUED BY utL.Lw faun ur wlwruHrv..r vain wucur FEDERAL REGULATIONSPART 61 OF TITLE40AND AQMD RULE 1603. ❑ ISUBMITTEDASBESTOSN071FlCATIONTO: ❑ EPA ❑ AQMD ❑ ASBESTOS M077 TCARONIS NOT APPLICABLE TO ZrP� C PROPOSED DEMOUTION. SIGNATURE: