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Home My WebLink AboutF2020-0056 - Permitsw, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 0 5 6 Permit Counter Phone (949)644-3288 Job Address: 520 NEWPORT CENTER DR NB St: 1 FI: 14 Unit: 1450 Inspector Area: FIRE Legal Description Owner: 520 NEWPORT CENTER DR Contractor: Address: 550 NEWPORT CENTER DR Address: NEWPORT BEACH CA 92660 Phone: Applicant: YAM MARK Address: 392 N LEMAY CT ORANGE CA 92867 Phone 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: I -A -SPR B 0 0 Phone: FIRE Permit: F2020-0056 Project No: 0247-2020 Inspection Requests Phone (949)644-3255 Description: COMM FIRE ALARM TI (2 DEVICES) X2020-0313 "WELLS FARGO COASTLINE DEVELOPMENT INC 13911 ENTERPRISE DRIVE GARDEN GROVE CA 92843 714.265-0250 Con State Lic: 485187 Lic Expire: 01/3112022 Bus Lic: BT30053651 Lic Exp Date: 01/31/2021 Worker's Compensation Insurance Carrier: BENCHMERK INSURANCE Policy No: CST5018184 Expire: 01/01/2021 21 Issued Date: 06/0912020 0 Setback- Front: Rear: Y Left: Right: Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: State Lic: State Lic: TAYLOR RICK 2246 LINDSAY WAY GLENDORA CA 91940 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: % PLAN CHECKED BY::� FIRE APPROVAL: �l`� APPROVAL TO ISSUE: �. PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES • Construction Valuation: $1,617.00 •ea Dom • • • e • ®+y • m • �8 • o o c $0.00 Building Overtime PC Fee: • m Planning Counter Review: eee• o Building Extention Fee : o e mo $0.00 ° ° ° e• ocom 00 ° 0 oe000 00 0 0••000 e e • m o 0 $0.00 Fire Permit as : omem omom0a e ° Damm ° mmmo PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: % PLAN CHECKED BY::� FIRE APPROVAL: �l`� APPROVAL TO ISSUE: �. PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Construction Valuation: $1,617.00 Building PC Fee : $0.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $0.00 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: $191.00 Public Works PC Fee : $0.00 $0.00 Fire Permit as : -- $226.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $417.00 Plan Check Fee : $191.00 Fee Due at Permit Issuance : $226.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: % PLAN CHECKED BY::� FIRE APPROVAL: �l`� APPROVAL TO ISSUE: �. PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 'NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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) :tion 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 permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and lessions 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 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 rovements 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 roved 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 ly to an ogAM66fproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I tm exem¢ff}dm licensure under the Contractors' State License Law for the following reason: ny signature-letbp 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) a Structure thatl 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 'essions Code, is available upon request when this application is submitted or at the following Web site:http:llw .leginfo.ca.gov/calaw.html. isture of PrQggV Owner or Authorized Agent Date GNSED CP.KTRACTOR'S DECLARATION � rab'y affirm under eenalty of perjury that I am licensed under provisions of Chapter 9 (commencing/RTO Beon 7000) of Division 3 of the Business and Prof dsions Code, and my license is in full force ,effect. . . • 44�� Anse Class •"' License No DataV Contractor Signature l JiKERS' CdMPENSATION DECLARATION NINP: FAILUIeTOdEBURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE i O COMPENSAfION,-DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. fib){ affirm unalar-p nalty of perjury one of the following declarations: have and 411iA 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 the ormance 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 to of Agent vnone s certify that, in the performs 6e of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to he workers' compensation laws of California, and if I should become subje9f to thejArkeA§; compt setion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi ons. - _ nature of Applicant CLARATION REGARD G ST TION LENDING AGENCY :reby affirm under pe Ity perjuryhat there is a construction lending agency for the performance of the work for which this permit is Ider's Name Lender's Address my signature below.11 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 ha,e provided is correct. I agree to comply with all applicable city and count rdinances and state laws relating to building construction. I authorize representatives of this city or countyrty for inspection purposes. t er t ov ntified ro nature of Prooertv Owner or Authorized ADent Print Property Owner's or Authorized Agent ACTION DATE V BY uci,uuw nvvwr rn v n a . w FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMDRULE1403. PERIVGTEXPIR€D I SUBMITTEDASBESTOS NOTIFICATION T0: ❑ EPA ❑ AQMD PERMfTCANCELLED PERMITEXTENDED F1ASBESTOS NOTIRCARONIS NOTAPPLICABLETO PROPOSED DEMOLITION. PFRMfTF1NAL ra CERT0CATEOE SIGNATURE: OCCUPANCYISSUED (Section 3097, Civil Code). r fd77#4110.141A