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HomeMy WebLinkAboutF2018-0122 - PermitsI, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiIII FIRE Permit: F2018-0122 a 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 1 2 2 Project No :0483-2018 Permit Counter Phone (949)644-3288 c'1t3nuc'°' Inspection Requests Phone (949)644-3255. Job Address: 608 ORCHID AVE NB Description: MFR FIRE SPRINKLERS 47 HEADS (X2016-4293) _ Inspector Area: 5 Legal Description: DEL MAR ELK. 642 LOT 10 OF PROJECT 939.82 LOCATED ON AP 10 Building PC Fee: $190.00 Fire Residential Alarm PC Fee: $0.00 Records Management: Owner: ALPHA PROPERTY DEV Address: 1607 HARBOR CREST Contractor: Address: MILLENNIUM FIRE PROTECTION 1227 FLYNN RD STE 307 Architect: Address:. $0.00 Building Extention Fee: $0.00 Planning Zoning PC Fee: ,y CORONA DEL MAR CA 92625 Building Investigation Fee: CAMARILLO CA 93012 • e •�^ s +�� Phone: 949.278-1327 Phone: 805-389-3056 Phone: State Lic: $0.00 $0.00 Fire Permit Fee : $0.00 Public Works Traffic Plan Check Fee; $0.00 Applicant: MILLENNIUM FIRE PROTECTION Con State Lic: 1003050 Engineer. Address: .1227 FLYNN RD STE 307 Lic Expire: 04/30/2019 Address: • 0 0 ° "' �: CAMARILLO CA 93012 Bus Lic: BT30053745 °. Phone: 805.389.3056 Lic Exp Date: 01131/2019 Phone: State Lic: ° ° Code Edit: 2016 Worker's Compensation Insurance Designer: NGUYEN VINCENT o Type of Construction: V-BSPR Carrier: ZURICH AMERICAN Address: 1227 FLYNN RD STE 307 0 0 ® • ` Occupancy Group: R31U Policy No: WC651376402 CAMARILLO CA 93012 e o ° o ° ° • 0 o r - Added/New sq.ft. Bldg: 0 Expire: 1010112018 Phone: 805-389.3056 ° Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 02/28/2018 Special Conditions: - o ° ° ° ° • o ° No of Units: 0 Setback -Front: o0 0 0°•000 Flood Zone:. Rear: • 0 0 ° 0 Bldg Sprinklers: N Left: Right: PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL 1 L./ APPROVAL TO ISSUE: e PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Construction Valuation: $6,300.00 Building PC Fee: $190.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $0.00 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: $0.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee : $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: $225.00 - TOTAL FEE : $415.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $415.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL 1 L./ APPROVAL TO ISSUE: e PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) 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 (_) 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 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 Im roved for the purpose of sale). 1, 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 structuW 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•Cto.V,ib available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Sign#ture of Prope�r),y Owner or Authorized Agent Date LtegNSED,tON;RACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing Sect' n 7000 of Division 3 of the Busin fessions de, and my license is in full force anrieffect. • _ AO IQ LiCdhse Class- , •' License No Dawitte [/�% 1 Contractor Sig 01 NOUKERS' COMPENSATION DECLARATION NAt2NING: FAILWljF&.TDSFCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMP YER TO CRIMINAL PE ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE EIaPOF CCOMP NBAVON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .hereby affirm uWer penalty of perjury one of the following declarations: Ell Veve anQ YvjIMintain 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 leyforrflance o the wdtk for which this permit is issued. Policy No. is and VIII.mai stain 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' lance carrieParrpolicy number are: - 'ler Policy Number Expiration Date to of Agent Phone # certify that, in the ance of t e ork for which this permit is issued, I shall not employ any person in any manner so as to become subject o the t, if 1 should b e I Ct to the works ' compen ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr Islons. nature of Applican � - Da CLARATION RE D CTI LEN ING AGENCY ueby affirm and r penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section Ider's Name Lender's Address my signature below, I certify to each of the follo ng: I am the property owner or authorized to act o the roperty owner's behalf. I have read this application and the informatio ai d is correct. I agree to comply with all applicable cit d hty rdinance hd state Is I authorize representatives of this city un t - n I Iec ACT70N I DATE t I BY PERMITEXPIRED PERMITFINAL C€RTIRCATEOF OCCUPANCYISSUED to building construction. Ir inspection purposes. Print Prooertv Owner's or Authorized Civil 0 ULCLARA 1101V Of& COMPLiANCL Mf H GULL OF FOR OFFICE FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMDRULE1403. ❑ OUBMTEDASBESTOSM017FIC4TIONTO., T ❑ AQMD 111/G ❑ ASBESTOS NOIIFICADONIS NOT APPLICABL.E TO PROPOSED DEMOLITION. SIGNATURE: laws of California, and U m w wzm d` m w w° A a G A_ ro° N u 044 a� N � tam Gr 1I "�°a;cio zl El El El El El El ro a e s CL CL N E 4 c N I:S=5 a co tu Q C Q w Q7 UO N CD pap ti aC CL Qs N NO w N w a n m Fu _ a a • 3 d , me• d� CL a cr v 3 o � ° 3 o ` O MI. �N v I w N ❑ ❑ 0 E ❑❑❑❑ to w a n m Fu JLU. ❑ ❑ 0 E ❑❑❑❑ to