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HomeMy WebLinkAboutF2019-0175 - Permitst City of Newport Beach - Building Divisiot, IINIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIII II ..100 Civic Center Drive, Newport Beach, CA 92660 = Permit Counter Phone (949)644-3288 FIRE Permit F2019-0175 Project No : 0771-2019 Inspection Requests Phone (949)644-3255 J 1, State Lic: Phone: 626-757-2320. Lic Exp Date: 06130/2019 Phone: State Lic: Job. Address: 680 NEWPORT CENTER DR NB St: 1 Ft: 1 Unit: 150 */00 Description: COMM FIRE SPRINKLERS 19 HEADS (X2019.1107) ANDERSON ROBERT Type of Construction: II -B -SPR Carrier: COMP WEST INS. CO. SEE 0771-2019 2610 E. MIRALOMA AVE Inspector Area FIRE Legal Description: P.M. 295-33 PAR 7AND FOR PAR 6 ANAHEIM, CA 92806 Owner: IRVINE CO : Contractor: FIRE PROT SPECIALISTS Architect: Address: 550 NEWPORT CENTER DR Address: 2610 E MIRALOMA AVE Address: Special Conditions: NEWPORT BEACH, CA 92660. C ANAHEIM CA 92806 �ammbo Phone: Phone: 714-635-6500 Phone: Applicant: YAM MARK Con State Lic: 464915 - Engineer: Address:. 392: N. LEMAY CT Lic Expire: .1 013 112 02 0 Address: ORANGE, CA 92867. - Bus Lia BT30042894 J 1, State Lic: Phone: 626-757-2320. Lic Exp Date: 06130/2019 Phone: State Lic: Code Edit: 2016 Worker's Compensation Insurance Designer:. ANDERSON ROBERT Type of Construction: II -B -SPR Carrier: COMP WEST INS. CO. Address; 2610 E. MIRALOMA AVE Occupancy Group: B Policy No: WCV5502952 i, ANAHEIM, CA 92806 Added /New sq.ft. Bldg: 0 Expire: 12/02/2019 Phone: 714-635.6500 Added /New sq. ft. Garage: 0 0 mm Def u No of Stories: 3 Issued Date: 0512212019 Special Conditions: PERMIT UPDATED 07-02-19 No of Units : 0 Setback- Front: Flood Zone: Rear. Bldg Sprinklers: N Left: eea ° Right: Construction Valuation: Building PC Fee: Building Overtime PC Fee Building Extention Fee ; Building Investigation Fee. Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee II TOTAL FEE : PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $1,700.00 $0.00 $0.00 $0.00 $0.00 $170.00 $224.00 $0.00 $394.00 FEES Fire Residential Alarm PC Fee Planning Counter Review: Planning Zoning PC Fee: Public Works PC Fee: Public Works Traffic Plan Check Fee; Plan Check Fee $0.00 $0.00 $0.00 $0.00 $0.00 $394.00 OTHER DEPARTMENT: PLAN CHECKED BY:: Records Management aooa . m Dasa eea ° b aaccic o < C om 0 bG i, m mabo 0 mm Def u C oo= o0 �ammbo c ° ° o m CC cooboo o, c e Oona oeoC $0.00 $0.00 $0.00 Fee Due at Permit Issuance $0.00 APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION - IWNER-BUILUtK UtULAKAI IUN I hereby affirm under 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) lection 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 le 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). I, 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 nproved for the purpose of sale). 7 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 pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legall) 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 th `t a copy of the applicable law, Section 7044 of the Business and 'rofessions QW, is,evailable upon request whenthis application is submitted or at the following Web site:http://www.leginfo.ca.gov/c law.html. signature of Pmp6lty Owner or Authorized Agent Date J(;0ISED CONTRACTOR'S DECLARATION aaaa���� hereby affirr! ander penalty of perjury that I am licensed under provisions of Chapter 9 (comme c with S tion/00) of Divi ' n of the Business and s Code, and my license is in full force nd elect. !came Class _ _ __ License No (Da 7 MI6 c C tor Signature .. VORISERS'rQMA`ENSATION DECLARATION 'ARNING: FAILURE.TO WURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (§700,000), IN ADDITION TO THE ,OSS= QF COMPEBSATION}DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 0grjeP9 affirm under penalty of perjury one of the following declarations: 11 --ave 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 erlormance oAthd WOQc for which this permit is issued. Policy No. and wig maintain 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' carri6Y4ra policy number are: Policy Number Expiration Date e of Agent :ertify that, int erformance of the work for which this permit is issued, I shall not employ any person in any manner so as to if f shavid loadome subjed6 tha wgoc�ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit ender's Name Lender's Address y 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 citya county ordinances,and state laws relating to building construction. I authorize representatives of this ty� cr' ounty to enter bio -Identified property for inspection purposes. �\ innahrte of Pronerfv Owner or Auth riA z6d Anent Print Pronertv Owner's or Authorized Apf subject to the workers' compensation laws of California, and as provisions. / / issued (Section 3097, Civil Code). ACTION DATE BY UrULa rJVJT Ur UUlnr"AUVn CVVirn �Ur FEDERAL REGULATIONSPART61OF T/TLE40.AND AQMDRULE1403. PERMITEXPIRED ❑ ISU13MfTiEDASBESTOSNO71FICATIONTO. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTEIVDED ❑ ASBESTOS M07IRCA710MIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL i Q12 CERTIFICATEOF SIGNATURE. OCCUPANCYISSUED