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Home My WebLink Aboutf2022-0146 - Permits, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIII II FIRE Permit: F2022-0146 v. 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 1 4 6 Project No : 0699-2022 0��h w , n Permit Counter Phone (949)644-3288 r�zixrlu�+ ' Inspection Requests Phone (949)644-3255 Job Address: 610 NEWPORT CENTER DR NB St: 1 FI: 12 "-"i' Description: COMM FIRE ALARMS W/ (6) DEVICES. (X2022-0782) Inspector Area: FIRE Legal Description: P SK 295 PG 33 PAR 4 Owner: 610 NEWPORT CENTER DR LLC Contractor: PACIFIC TUSK BUILDERS CORP Architect: Address: PO BOX 2450 Address: 1100 QUAIL ST #213 Address: NEWPORT BEACH, CA 92658 NEWPORT BEACH CA 92660 Phone: 949-720.2400 Phone: 213-999-5696 Phone: State Lic: Applicant: YAM MARK Con State Lic: 946368 Engineer: Address: 392 N LEMKY CT Lic Expire: 04130/2024 Address: ORANGE, CA 92867 Bus Lic: BT30038640 Phone: 626-767-2320 Lic Exp Date: 0313112023. Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: TAYLOR RICK Type of Construction: I-ASPR Carrier: INS OF THE WEST Address: 2246 LINDSAY WAY Occupancy Group: B Policy No: WSD504197103 GLENDORA CA 92617 Added /New sq.ft. Bldg: 414 Expire: 07/01/2022 Phone: 909-305-1600 Added /New sq. ft. Garage: 0 No of Stories: 18 Issued Date: 0510612022 Special Conditions: X2022-0782 No of Units : 0 Setback- Front: Flood Zone: X Rear: Bldg Sprinklers: Y Left: Right: 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 TOTAL FEE:, -. $2,165.00 FEES $0.00 Fire Residential Alarm PC Fee : $0.00 .,. Records Management $0.00 Planning Counter Review : $0.00 $0.00 Planning Zoning PC Fee : $0.00 $0.00 $177.50 Public Works PC Fee: $0.00 $252.50 Public Works Traffic Plan Check Fee; $0.00 $0.00 $430.00 Plan Check Fee : $177.50 Fee Due at Permit Issuance PROCESSED BY: �� /r �`�� Q•G •• •••OT.F1F•RDF2Tc-7'JT: • • o ZONING APPROVAL: e e e • o • ° • apL AN CHEtKEC+6::: FIRE APPROVAL: APPROVAL TO ISSUE: '•° • oco 00 o ® o o•o 00 0 • o 0 PERMIT EXPIRES 180 DAYS AF76 ISSUANCE ORL4iT V.6LI`•h INSPECTION a ®ee a« ua • • ma• •. $0.00 $0.00 $0.00 $252.50 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 improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill 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 legally 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://w .leginfo.ca.gov/calaw.htmi. 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 7000) of Division 3 of the Business and P fes ion de, an lic se is in full force and effect. C License Class License No Date J 2 Contractor Signature WORKERS' COMPENSATION DECLARATION ✓DARNING: 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 ($100,000), 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: 111 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 performance of the work for which this permit is issued. Policy No. have 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' rance carrier p licy number t/^,� ,or ... 1 f^PTul�:v IJ�hiShar Exoiration Date 1e of Agent certify that, in the pI if I should become lature of Applicant 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 ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p��rp visions. Z. 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). enders Name Lender's Address ly 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 orrect. I agree to comply with all applicable city and county rdi a ces nd sta a laws relating to building construction. authorize representatives of this city or county to to h a ve , 0 le roperty for inspection purposes. $ /7 . ;,.., + ire „f or.,..oa., n—nor nr A„fhnri>=rl Anunf Print Prnnerty Owner's or Authorized ADent's Nam9' W`r `• ACTION OATS BY DECLARATION OF COMPLIANCE WITH CODE OF FOROFFICEU ONLY RSLE40AND GULATIONSPAVT6FOFTIT •.FEDERAL •• PERMITEXPtRED • ,91QMJRJVLCIJ03, ❑• 1S4/6h1>VTIVDIAS$E:Slp-'CNOT7RCATtONTO:. • M. EPA ❑ AQMD'. ❑ ASBESTOS IVOTIRCAT10NISNOT APPLICABLE TO •4080POSED(DEMBt TW S"VATURE. PERMIT CANCELLED ' •' PERMIT.EXTENDED PERMIT FINAf CERTIFICATEOF o OCCUPANCY'ISSUED c o o 00 00 0�0