HomeMy WebLinkAboutF2019-0117 - Permitswtro City of Newport Beach- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 4685 MACARTHUR CT NB
Inspector Area: FIRE
Owner: IRVINE COMPANY
Address: 550 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
Phone:
Applicant: ANDERSON ROBERT
Address: 2810 E MIRALOMA AVE
ANAHEIM CA 92806
Phone: 714-635.6500
�L Description: COMM FIRE SPRINKLERS (4) HEADS (X2018-3674)
Code Edit: 2016
Designer:
Type of Construction:
I -A -SPR
Occupancy Group:
B
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
15
No of Units:
0
Flood Zone:
X
Bldg Sprinklers:
Y
iiiliiil7 II
FIRE Permit: F2019-0117
Project No : 0479-2019
Inspection Requests Phone (949)644-3255
Lie Exp. Date: 0613012019
Phone:
�L Description: COMM FIRE SPRINKLERS (4) HEADS (X2018-3674)
Legal Description: P BK 196 PG 40 PARI
Designer:
Contractor: FIRE PROT SPECIALISTS
Architect:
Address:. 2810 E MIRALOMA AVE.
Address:
ANAHEIM CA 92806
Fire Permit Fee:
Phone: 714-635-6500.
Phone: State Lie:
Con State Lie; 464915
Engineer:
Lie Expire: 1013112020
Address:.
Bus Lie: BT30042894
Setback- Front:
Lie Exp. Date: 0613012019
Phone:
State Lie:
Worker's Compensation Insurance
Designer:
ANDERSON ROBERT
Carrier: COMP WEST INS. CO.
.Address:
2810 R MIRALOMA AVE
Policy No: WCV5502952
Fire Permit Fee:
ANAHEIM CA 92806
Expire: 12102/2019
Phone:
714-635-6500
Issued Date: 03/0412019
Special Conditions:.
Setback- Front:
$0.00 Fee Due at Permit Issuance :
$444.00
Rear:
Left:
Right:
FEES
Construction Valuation: $1,200.00
Building PC Fee :
$202.00
Building Overtime PC Fee:
$0.00
Building Extention Fee :
$0.00
Building Investigation Fee:
$0.00
Fire Plan Check Fee:
.$0.00
Fire Permit Fee:
$0.00
Building Permit Fee:
$240.00
TOTAL FEE i
$444.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
Fire Residential Alarm PC Fee
$0.00 Records Management i
$2.00
Planning Counter Review:
$0.00
Planning Zoning PC Fee :
.$0.00
- $0.00
Public Works PC Fee:
$0.00
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$444.00
• • • • 44
" � i • OTWER DEPART�IAEN 4:m
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APPROVAL TO ISSUE:
•r• • • Oma sa
• •°o o a c v m
PERMIT EXPIRES 180 DAYS AFTER it SUAYVCE•OR L;Q9F TALID,'INtgPECTION
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
is 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
'rofessions 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
of more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
n roved 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
only 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
y 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 lega11,
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html.
'signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 7000) of Division 3 of the Business and Pr fe Bions Co le, a d my license is in full force
nd effect.
!cense Class License No Date �' Contractor Signal
ur
1/ORKERS' COMPENSATION DECLARATION
ARNING: 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 1 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
�'formance of the work for which this permit is issued. Policy No.
workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers'
policy
1e of Age-`—` 'L ` i - 4M If
certify that, in the performance of the work for
if I should becomee subject /y'olrkers' c(q
lature of ADDIICantT�. r
Date
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
y,provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prqvisions.
i/.71Ai_ n.ro X 3- �/- /may'
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)
ender's 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 correct.
I agree to comply with all applicable city and county ordinances and st la relating to building construction.
I authorize representatives of this city or county V inteflh-0 aboverigrentifieq pr.gperty for inspection purposes.
of Property Owner or
ACTION
DATE BY
DECLARATION OFCOMPLtANCEMTN CODEOF
FOR OFFICE USE ONLY
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