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Home My WebLink AboutF2019-0392 - Permitsr oty of enter Drive, Newport Beach - Building floDvision IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Permit Counter Phone (949)644-3288 Job Address: 620 NEWPORT CENTER DR NB Inspector Area: FIRE Owner: IRVINE COMPANY Address: PO BOX 3450 NEWPORT BEACH, CA 92660 Phone: Applicant: CLAPP ANDREW Address: 2615 CENTENIAL CIR CORONA CA 92882. Phone: 951-396-0408 Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Flood Zone: Bldg Sprinklers:. N 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: FIRE Permit: F2019-0392 Project No : 0933-2019 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance Description: COMM REMOVE & REPLACE (E) EMERGENCY GENERATOR (X20 3,151 r?I Legal Description: TRAVELERS CASUALTY Address: Policy No: WCUC66438666 P BK 295 PG 33 PAR 1 Expire: 11/01/2019 Contractor: Address. ABM ELECTRICAL POWER SERVICES LLC 720 S ROCHESTER AVE #A Architect:- Address: y Setback- Front: ONTARIO CA 91761 VALUATION Rear,. Phone: 951-522-6656 Phone: State Lie: Con State Lie: 969000 Engineer: YOUSSEF NABIH F. Lie Expire: 12/31/2019 Address: 5430 TRABUCO RD Bus Lie: BT30065556 IRVINE CA 92620 Lie Exp Date: 01/31/2020 Phone: 949/852-1491 State Lie: S-002026 Worker's Compensation Insurance Designer: Carrier. TRAVELERS CASUALTY Address: Policy No: WCUC66438666 Fire Residential Alarm PC Fee : Expire: 11/01/2019 Phone: Issued Date: 07/11/2019. Special Conditions: SEE X2019.1316 FOR FULL Setback- Front: $0.00 VALUATION Rear,. $228.00 Public Works PC Fee: Left: $209.00 Public Works Traffic Plan Check Fee; Right: $0.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: Eli PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 0000 a o oaon : n ea® cPeasc P oe s 0 0 00 0o u P eoa 000 0 o e oc m c c,oc�,co coouo a c omocu C CPC 00 0 4 O O PpQt6P O uooea c $0- 00 oaoanU $0.00 $0.00 $437.00 FEES $2,000.00 $0.00 $0.00 Fire Residential Alarm PC Fee : $0.00 Records Management: Planning. Counter Review: $0.00 $0.00 Planning Zoning PC Fee : $0.00 $0.00 $228.00 Public Works PC Fee: $0.00 $209.00 Public Works Traffic Plan Check Fee; $0.00 $0.00 $437.00 Plan Check Fee: $0.00 Fee Due at. Permit Issuance OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: Eli PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 0000 a o oaon : n ea® cPeasc P oe s 0 0 00 0o u P eoa 000 0 o e oc m c c,oc�,co coouo a c omocu C CPC 00 0 4 O O PpQt6P O uooea c $0- 00 oaoanU $0.00 $0.00 $437.00 )WNER-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 :he 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 (_) all of or (� portions of the work, and the structure is not intended r offered for sale (Section d7044, tha In employees' or personal effort, builds or improves the property, provided that the Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throug 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' Stale License Law does no 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). ❑I 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 legal) 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.htmi. Date Signature of Property Owner or Authorized Agent 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/Professio Co e, and my license is in u force lrbAqo� ct. Data / r Contractor Signatu;e Class License No ERS' COMPENSATION DECLARATION : FAILURERO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E700,0001, IN ADDITION TO THE CrOMPENSA416R,'bAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 'bffirm ujlde,r"14ty of perjury one of the following declarations: ve 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 thl ance of theWork for which this permit is issued. Policy No. e, and wKl•nlaimtain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this perrAit is issued. My workers' compensatior ce carrier and policy number are: Expiration Date „+••+ Policy Number oti 0 irlld' Rf Agent 1 11 a subject 11certily that, in the performance oft ork 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 ogre at, if 14hould 02cGfrFzsub' ct to th o kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with provisions a,,,. ,J Dated / II ;Qat:; of Apglk�p ECLARATION R&� 13ING C�Ir6S/f UCTION LENDING AGENCY iereby 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). mder's Name Lender's Address V 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 ordinan and state laws relating to building construction. I authorize representatives of this city or county t enter t a ve-identified property for inspection purposes. < G (o I Date % - fir' ionature of Property Owner or Authorized Agent /I Print Property Owner's or Authorized Agent's Name ACTION DATE I BY OCCUPANCYISSUED OFTITLE40AND 0 I SNBMITTEDASBESTOS NOTIFICATION: TO: EPA Q AQMD ❑ ASBESTOS NOTtRCAAONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: