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Home My WebLink AboutF2022-0085 - Permitsr,ry City of Newport Beach - Building Division 'F2022-0085" FIRE Permit: F2022-0085 .p G 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0433-2022 �, ;?,; � Permit Counter Phone (949)644-3288 v �°ay#yzgs' Inspection Requests Phone (949)644-3255 Job Address: 610 NEWPORT CENTER DR NB St: 1 FI: It a Description: COMM TI -FIRE ALARM (34) DEVICES "CHIPOTLE" Inspector Area: FIRE Legal Description: P BK 295 PG 33 PAR 4 0o Owner: 620 NCD LLC Contractor: BUILDING ELECTRONIC CONTROLS Architect: Address: 620 NEWPORT CENTER DR Address: 2246 LINDSAY WAY Address:` NEWPORT BEACH, CA 92660 GLENDORA CA 91740 Phone: Phone: 909-305-1600 Phone: State Lic:^' Applicant: BUILDING ELECTRONIC CONTROLS Con State Lic: 729905 Engineer: Address: 2246 LINDSAY WAY Lic Expire: 11/30/2022 Address: GLENDORA CA 91740 Bus Lic: BT97025666 Phone: 909-305-1600 Lic Exp Date: 10/31/2022 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: TAYLOR •• "0O° Type of Construction: I-A-SPR Carrier: ZURICH AMERICAN Address: 2246 LINDSAY WAY • ° Occupancy Group: B Policy No: WC302951001 GLENDORA CA 91740 • ° ° ° Added /New sq.ft. Bldg: 0 Expire: 04101/2022 Phone: Added /New sq. ft. Garage: 0 ...... No of Stories: 18 Issued Date: 02/17/2022 Special Conditions: No of Units : 0 Setback- Front: °.° Flood Zone: Rear: °.o•• Bldg Sprinklers: Y Left: Right: O° ° . ° Construction Valuation: $39,600.00 FEES Building PC Fee : _ $0.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $4.00 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: $240.50 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee : $343.50 Public Works Traffic Plan Check Fee; $0.00 Building Permit as : $0.00 TOTAL FEE : $588.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $588.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: _. APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -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 L) 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 -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' 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 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.html. .Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm ung%Venalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and P fessions Code and�y license is in full force and effect. License Class • • • • License No Dat �'Z� 2�— Contractor Signature \�[' WORKERS' COMPENSATION DECLARATION WARNING: 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 r'•¢ST QF• COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm gVer p.*alty of perjury one of the following declarations: 141ave 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 the pvaance of Cie yM for which this permit is issued. Policy No. 'Male and will m aintain 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 "I once carrier and policy number are: • • • •: Policy Number Expiration Date e etAgent , Mify that, %tbe pj if I should become ature of ADDlicant ,ef-the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the work rs'`cPmr ensSion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provu R compensation laws of California, and )-712-2 ereby 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) lder's Name Lender's Address 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to _apbo,,vi�cec�� id tiff d p o e�rty for inspection purposes. % nature of Property Owner or Authorized Agent .�/1LJl msJ \ Print Property Owner's or Authorized Agent's Narpef {�..A D �^L�'�� `�Date ACDON DATE BY DECLARATION OF COMPLIANCE WTN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF TITLE40AND AOMD RULE 1407: PERMIT EXPIRED ❑ ISUBMfTTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AOMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS M071FICA770N IS NOT APPLICABLE TO PROPOSEDDEMOUTION. PERMITFINAL EJ CERTIFICATEOF SIGNATURE . OCCUPANCYISSUED