HomeMy WebLinkAboutF2020-0057 - Permits16tyPn City of Newport Beach - Building Division100 Civic Center II�IIIIIIIIII'I'III�II�IIIIIIII�II'IIIIIIIIIIIIIIIIIII
Permit Counter Phone one (949)644-3288 Beach,ve, Newport CA 92660 tl
FIRE Permit: F2020-0057
Project No: 0247-2020
Inspection Requests Phone (949)644-3255
Job Address: 520 NEWPORT CENTER DR NB St: 1 FI: 14 Unit: 1450 Description: COMM FIRE SPRINKLER TI (1 HEAD) X2020-0313 "WELLS FARGO
Inspector Area: FIRE Legal Description
Owner: 520 NEWPORT CENTER DR
Contractor:
FIRE PROT SPECIALISTS
Architect:
Address: 550 NEWPORT CENTER DR
Address:
2810 E MIRALOMA AVE
Address:
NEWPORT BEACH CA 92660
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ANAHEIM CA 92806
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Phone:
Phone:
714-635-6500
Phone:
Applicant: YAM MARK
Con State Lie:
464915
Engineer:
Address: 392 N LEMAY CT
Lie Expire:
10/31/2020
Address:
ORANGE CA 92867
Bus Lie:
BT30042894
Planning Zoning PC Fee :
Phone:
Lie Exp Date:
05131/2021
Phone:
Code Edit : 2019
Worker's Compensation Insurance
Designer:
Type of Construction: I -A -SPR
Carrier:
COMP WEST INS. CO.
Address:
Occupancy Group: B
Policy No:
WCV6602952
Public Works Traffic Plan Check Fee;
Added /New sq.ft. Bldg: 0
Expire:
12/0212020
Phone:
Added /New sq. ft. Garage: 0
TOTAL FEE :
No of Stories: 21
Issued Date: 07/02/2020
Special Conditions:
No of Units : 0
Setback- Front:
Flood Zone:
Rear:
Bldg Sprinklers: Y
Left:
Right:
INSPECTOR
State Lie:
State Lie:
ANDERSON ROBERT
2810 E MIRALOMA AVE
ANAHEIM CA 92806
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Construction Valuation:
$1,100.00
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$0.00
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$0.00
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$0.00
Planning Zoning PC Fee :
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Building Investigation Fee:
$0.00
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$0.00
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Public Works PC Fee:
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Construction Valuation:
$1,100.00
+ mm
fano c
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Building PC Fee:
$0.00
Fire Residential Alarm PC Fee:
$0.00
Records Management: .... $2.00
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:
$138.00
Public Works PC Fee:
$0.00
$0.00
Fire Permit Fee :
$176.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee:
$0.00
TOTAL FEE :
$316.00
Plan Check Fee:
$138.00
Fee Due at Permit Issuance : $178.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
DWNER-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
mprovements 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 itwas not built or
5m roved for the purpose of sale).
l, as owner of the pmperty, 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).
I am exempt from licensure under the Contractors' Slate License Law for the following reason:
3y 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, -1cannot legali
;ell 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 orthe Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:httpJAvww.leginfo.ca.govycalaw.html.
Signature of Property Owner or Authorized Agent Date
-ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of D1 'a* 3 of the Bus nese and Pfe�ssions Erie, not my license is in full force
and effect.
.!cense Class .... License No D�S Contractor Stature a Ad -,V/
YORKERS°GQWtNSATION DECLARATION
lrLajJ�IG: FAILgpE Tg JWURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS IE10o,0xH, IN AnDMON TO THE
S FCOMPRNSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OFTHE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hejeby affim! Ender penalty of perjury one of the following declarations:
1 tpve and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section3700 of the Labor Code, for the
rfnance pfIddroght for which this permit is issued. Policy No.
ave 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' compensation
SW ce carper ep8 $ollcy number are:
:.M&
Agent
Policy Number
Date
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
I provisions of Section 3700 of the Labor Code, I shall forthwith comply with thaws provisions. .
ueby affirm under penalty of perjurythat there Is a construction lending agency for the performance of the work for which this permit Is issued (�;ectlon 3097, Civil Code),
iders Name Lender's Address
my signature below, I certlly 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 d sf�te laws relating to building construction.I authorize representatives of this city or county t �I the b e-idfntifi ji property for Inspection purposes. �
nature of Property Owner or Authorized nt +3 G Print Prope Owners or Authorized en' arae 'i
ACTION DATE' BY
FEDERAL REGULATIONS P RT61 OF TME40AND
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SIGNATURE.,
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PERMITEXPIRED
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