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HomeMy WebLinkAboutF2022-0258 - PermitsdE'"c", City of :.;nwport Beach I II I I II I II I II I I II I I I II COMB Permit: F2022-0258 p� IS, Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1314-2022 U r Permit Counter Phone: (949) 644-3288 Issued Date : 0712022 Cq��F00.N�P Inspection Requests Phone: (949) 644-3255 : FIRE Inspection Areeaa :IRE newportbeachca.gov/inspections Combination Type - INSPECTOR Work Class -Tenant Improvement 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: 660 NEWPORT CENTER DR, 450 Description: COMM FIRE SPRINKLERS - 29 HEADS (X202 Owner: IRVINE CO Address : 550 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone Applicant: MARK YAM Address: 392 N LEMAY CT ORANGE, CA 92867 Phone: (626)757-2320 Owner/Builder: Address: Phone: Code Edition: 2019 Type of Construction : V-B Occupancy Groups: B Bldg Height: Building Setbacks: Flood Zone: X Use Zone : PC - North Newport Center PROCESSED BY: al SPECIAL CONDITIONS: Legal Desc °. P BK 295 PG 33`PAR 6 P.M. 29&33 PAR 6 POR OF PAR ?-1427) Contractor:' FIRE PROT SPECIALISTS ,: Architect Address : 2810E MIRALOMA AVE Address :. ANAHEIM, CA 92806 Phone: s- (714)635-6500 Phone: Con State Lie:, 46d915 State Lie Lie Expire.: :-10/311A2022 Bus Lie: BT30042894 °' Engineer: Bus Lic Expire: 05/31/2023 .;. Address Workers' Compensation Insurance Phone Carrier: COMPWEST INS CO Policy No.: :: WCV5502952 - Designer : ROBERT ANDERSON W. C. Expire: '12/2/2022 'Address: 2810 E Miraloma Anaheim, CA 92806 Phone: (714)625-6500 Fire Spnnklers�:, YES Construction Valuation: Fire HazardZone : NO Added/New/TI sq. ft. Bldg No of Units : 0 Alteration sq. ft. Bldg No of Stories ; 16 Added/New sq. ft. Garage: TOTAL sq. ft. Bldg $2,450.00 OWNER-BUILDERDEGLAKAIION I- 1 I hereby afirm tinder penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 io Rs 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 licensors And the Deals forthe 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 (5500). El 1, 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' State License Law does not apply to an owner of propertywho, 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 forthe purpose ofsale). 11 I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Seaton 7044, Business and Professions Code: The Contractors' State License Law ones 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). 11 1 am exempt from licensors 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 Issubmitted or at the following Web bite:blip:!/www.legint➢.ca.gov/calavthtml. Signature of Properly Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION. t hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700,Q) of lvt on 3 of the Business and Profess' ode, at 6y,'��Irll ns.�✓{, in full force and effect. License Class License No Bete / 2 Contractor Signature Qo WORKERS' COMPENSATION DECLARATION - WARNING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO MINIMAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ISiaD,p6at, IN ADDMION TO TH: COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN aECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 1.1 1 have andf thwill malnlain 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 gth pe anoe oe work for which this permit is Issued.. Policy No. ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this pewit is issued. My workers' compensatiol insurance carrier and policy number are: Carrier Policy Number Expiration Dale Name of Agent Phone # ©I certify that, in the performance of the work which this permit 1s issued, I shad not employ any person in any manner so as to become subject to the workers' compensation laws of Callfornia, and agro that, if I should become so 6 work mpe ati inns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of. GG__1I//17 Date /D �, DECLARATION REGAR 1NG CONSTRU DTtpN L.E. D NB AGENCY i hereby affirm under penalty of perjury thatthere is a construction lending agencyfor the performance of the work forwhiph this permit is issued (Section 3097, Civil Code), Lenders Name Lenders Address By my signature below, I certify to each of the following: I am the properly owner or authorized to act on the properly 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 Llawsop,elating to building construction. '. I authorize representatives of this oily or count t r [has ov -ids flrty for inspection purposes. / 51 nahrce of Property Owner or Authorized A on Print Pro a Ovrner's or Authorized Agent's Name N O(^� Date ACTION •^••• DATE BY DECLARATION dF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY • RESULATIONS PART 61 OF TITLE 40 AND AOMO RULE 1 •.•••• ••••• 1403 • PERMIi EXPIAtb•'Q f SUBMITTED ASRESTOS NOTIFKATION TO ••• PERMIT CAN[t4:LED EPA • PERMIT EXT�E?•tFJE� • � _ A4MD ____ fjAMiT FMA �� 1 SBEST05 NOT# TION IS T A PLICABLE TO CER71FlCA7eF �?•••• PROPOSED DEM VT •• tl[CUP4PICY IS5liAE1 SIGNATURE: •• es• 000cao o m e se aooe e e e •• s PERMIT FEE DETAILS FOR PERMIT F2022-0258 Fee Name Fee Amount Fee Paid Amount Transaction Date Payment Method Trans. Paid Amount Paid By Building Drawing Fee $2.00 $0.00 Fire Permit Fee - Ti Commercial Sprinkler $282.25c $0.00 Fire Plan Check Fee (Legacy) $178.00 $178.00 05/19/2022 CC EPL $178.00 EnerGov Solutions GRAND TOTAL: $462.25 $178.00