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Home My WebLink AboutF2022-0490 - Permits�Ewao�T City of Newport Beach II II I I II I II I II II III I II II F2022-0490 p� a Community Development Department- Building Division COMB PeCmlt: 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2338 Z Permit Counter Phone: (949) 644-3288 Issued Date : 09/20/2022 °gc,FonN'P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections E. T ewe - Inspection Area :FIRE Combination Type - S e E 5 -.,� a k Work Class - Other PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address Description : Owner: Address Phone 850 SAN CLEMENTE DR Legal. Desc : P BK:81 PG 8 PAR 2 P.M. 81-8 PAR 2 & FOR. OF PAR. 1 TWO WAY COMMUNICATION DEVICE (X2019-2738) VIVANTE NEWPORT CENTER LLC C t t WEST COASTFIRE & INTEGRATION 1 MACARTHUR PL STE300 SANTA ANA, CA 92707 Applicant: WEST COAST FIRE & INTEGRATION Address: 22405 LA PALMA AV YORBA LINDA, CA 92887 Phone: (714)957-5750 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2019 I-B a2;s3;b;r2.1;s1 X PC - San Joaquin Plaza SPECIAL CONDITIONS: on rac or: ArChlteCt . Address: 22405 LA PALMA AV '-Address: YORBA LINDA, CA 92887 , .:. Phone :. (714)c957-5750 Phone Con State Lie : 989173 State Lie Lie Expire : 12/31/2023 Bus Lie: BT30050007 Engineer: Bus Lie Expire : 02/28/2023 Address Workers' Compensation Insurance Phone • Carrier. ZURICH+AMERICAN+INSURANCE Y PolicY No: WC3907798 - - W. C. Expire: 1/15/2023 Fire Sprinklers : YES Fire Hazard Zone-.:-. NO No of Units : 0 No of Stories,: 6 COMPAN Designer: WEST COAST FIRE & INTEGRATION Address: 22405 LA PALMA AV YORBA LINDA, CA 92887 Phone: (714)957-5750 Construction Valuation : Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage: $21,306Q10°0 0 ° • ° 0 ° . ° °°. . ° • s ww• a•®ee• .° OWNER -BUILDER DECLARATION I herebyaffirm under penally of perjury that I am exempt from the Contractors: State LicenseLaw for -the reason(s) indicated below by the checkmark(s) I have placed next to the applicablettem(s) (Section 7031,5, Business and Professions Code: Any city or county that requires a: permit to construct, after, improve; demolish, or repair any structure, prior to its: issuance,: also requires the apphcamfor the permit to fife aligned statement that lie 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 vichilion of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penaty of not more than We hundred dollars (S500), I,..as owner of the property, or my employees with wages as their sole compensation; will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' Stale 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 withinone year of completion, the Owner-Suilder will haver the burden of proving that. if was not built or I, as owner of the property.. am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and: Professions Coder The Contractors' $late License. Law does not lyto an owner of property who builds or Improves. thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from ficensure-under the Contractors' State license Law for the following reason: _ ny signature below I acknowledge that; except for my personal residence in: which I most have resided for at least one year prior to completion of the improvements covered. by this. permit, I cannot legal aaStructure that I have built as an owner -builder if it has not been constructed in its entirety by licensed Contractors. l understand that a copy of the applicable: law, Section. 70" of the Business and assiohs Code, is available upon request when this application is submitted or at the following Web site:http:liwww.teginfo.ca.gov/calaw,html, iature of Property OwnerorAuthorized Agent., Date. 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 Professions Code, nd y baerise:is In full force Intl effect License Class License No. Date �20 ��7i Contractor Signature_ �.-�i PORKERS' COMPENSATiON DECLARATION fARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL., AND SHALL SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND VOLCARS (Si00.000j, IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES. AS PROVIDED FOR IN SECTION3706 OF THE LABOR CODE: INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 3 1 have and Will maintain a certificate of consent to:seft-insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th �arrarmance of the work for which this permit: is issued. Policy No.. al: have and will maintain workers' Compensation insurance as required by Section 3700 of the Labor Code, far the performance of the work for which this permit is issued. My workers' componential isurance carrier and policy number arei. :arrier Policy Number EXpfration Date lame of Agent Phoned 3I certify that, in the performance of the work for which this permit is issued. I shall not employ any person in anymanner: so: as to become subject to the workers' compensation lows Of California, and ogre rat, if I should become subject to then workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7 lignalure of Applicant dC U VA, Date— hereby affirm ur,WAe S4Jty-of perju are is a construction lending agency for the performance of the. work for which this permit is. issued (Section 3097, Civil Code).. rider s VMS, • • • • Lender's Address. �mg sigh store below, I: artily to each of the. following:: •i am mtha propelltp 6Wner orauthorized to act on the prop" owner's behalf: • Iltavair..d this applicafion and the Information I have provided: is correct. I agree to comply mct6 all applicable rattyand county ordinances and state laws relating to building construction. • l ouNrize reDrgeaent$tives of this city or county to -ardor the atjoveridendfied property for Inspection purposes .. • DATE BY f DECLARATIDY ORICOMPUANCE WITH CODE OF FEDERAL FOR • • REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE •sees• PERMIT JPIRFO Mr"F CANCELLELL PERMIT EXTENDED PL7r,LIIr FINAL €ERTIFICAtEOP OCCUPANCY ISSUED Im PERMIT FEE DETAILS FOR PERMIT F2022-0490 Fee Name Fee Amount Fee Paid Amount Transaction Date Payment Method Trans. Paid Amount Paid By Building Drawing Fee _:' $6.00 $0.00 Fire Permit Fee - Public Radio , $162.00 " _$0.00 Fire Plan Check fee - Public Radio $427.00 $427.00 09/18/2022 Check $427.00. WEST COAST FIRE & INTEGRATION GRAND TOTAL: $595.00 $427.00 3 C ,rp V V'v 3 J Q CO pV p J .uC p J J V. 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