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HomeMy WebLinkAboutF2019-0415 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII II b4 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 4 1 5 Permit Counter Phone (949)644-3288 FIRE Permit F2019-0415 Project No : 1620-2019 Inspection Requests Phone (949)644-3255 Job Address: 180 NEWPORT CENTER OR NB St:.1 FI: 1 Unit: 158 Description: COMM FIRE SPRINKLERS 33 HEADS (X2019-0847) Inspector Area: FIRE Legal Description: P BK 52 PG 37 PARS Owner: IRVINE CO Contractor: KELLY FIRE PROT INC Architect: Address: 550 NEWPORT CENTER DR Address: 10141 THESEUS DR Address: NEWPORT. BEACH, CA 92660 HUNTINGTON BCH CA 92646 Phone: Applicant: KELLY FIRE PROT INC Address: 10141 THESEUS DR. HUNTINGTON BCH CA 92646 Phone: 714.907.7586 - Code Edit: 2016 Type of Construction:. V -B -SPR - Occupancy Group: B Added /New sq.ft. Bldg:. 0 Added/New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Flood Zone: Bldg Sprinklers: N Phone: 714-907-7586 Phone: Con State Lic: 878823 Lic Expire: 08/3112019 Bus Lic: BT30042225 Lic Exp Date: 0113112020 Worker's Compensation Insurance - Carrier: AMERICAN FAM HOM INS Policy No: 2EASWC000024603 Expire: 0411112020 Issued Date: 07/1812019 Setback- Front: Planning Counter Review: Rear: Left: $0.00 Right: m bm Engineer: Address: Phone: Designer: MCCLAIN WES Address: 645 NORTH ECKHOFF ORANGE, CA 92868 Phone: 951-453.9377 Special Conditions: eee• FEES o -aro-a Construction Valuation: $5,000.00 • r eoo o om eso<:. Fire Residential Alarm PC Fee: • • m o Building Overtime PC Fee: em Planning Counter Review: $0.00 Building Extention Fee : $0.00 • m bm INSPS e $0.00 mmom m e Fire Plan Check Fee: $202.00 o e $0.00 $0.00 •o n $272.00 e • soeeo Building Permit Fee: •e.emb State Lic: �e TOTAL FEE : $478.00 Plan Check Fee: $0,00 Fee Due at Permit Issuance : $478.00 omo•po oeeooe o n oemeon o mo o n State Lic; c c o e m m o Designer: MCCLAIN WES Address: 645 NORTH ECKHOFF ORANGE, CA 92868 Phone: 951-453.9377 Special Conditions: PROCESSED BY: Srp v — OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL : Is APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION . FEES Construction Valuation: $5,000.00 Building PC Fee : $0.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $4.00 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: $202.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee :. $272.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: $0.00 TOTAL FEE : $478.00 Plan Check Fee: $0,00 Fee Due at Permit Issuance : $478.00 PROCESSED BY: Srp v — OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL : Is APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION . OWNER -BUILDER DECLARATION 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 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). . 13I, as ownerof the..Jxoperty, 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 Prafegs ons 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 Qrtlhdq*ents areptPiMended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have theburden of proving that it was not built or im ro fed for the purpose of sale). •la aSowner 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 owns:°eproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). p°I.V exempt from 116ensure under the Contractors' State License Law for the following reason: Byy 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 Ie"Il� I stiucture ttldt I, 49ve 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 Pf fLssSions Code,.is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Sgnohlle of Property Owner or Authorized Agent Date CICENLED CQ%T-RACTOR'S DECLARATION lbareh)raffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 7000) of Division 3 of the Business a d Professions Code, and my license is in full force 3od�fjAct. �..� -icense Class .... License No Date Contractor Signatur _ NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NE HUNDRED THO AND DOLLARS 1 100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 8706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: :11 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 IN )eJformance of the work for which this permit is issued. Policy No. and will 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' carrier and policy number are: Policy Number is of Agent _ Date I certify that, in the performajice of the work for which this 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 agre that, if I should become subje to he workers' co pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi tons. Signature of Applicant ._Ci✓` Date DECLARATION REGAR9fNG CONSTRUCTIONG AGENCY I hereby affirm under pelaity of perjury that a is a cons ruction lending agency for the performance of the work for which this permit is issu/d(Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each e o lowing: 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 cou ty ordinances and state laws relating to building construction. I authorize representatives of this city or county a ler the above -i ntified pro arty for inspection purposes. Signature of PropertyOwner or Authorized Agent — Print Property Owner's or Authorized Agent's Nam G(—✓ 166rtit3 ate ACTION DATE BY DECLARATION OF COMPLIANCE 141TRCODEOF FOR OFFICE USED !Y FEDERAL REGULATIONS PART 89 OF TITLE40AND PERMiTEXPIRED -- AQMDRULE 1403. El t 5UBMTFEDASBESTOS L0TIFICATIONTO: PERMiTCANCEILED © EPA - PERMIT EXTENDED ❑ AQMD [3 ASBESTOS PERMITFINA! �) SSI_ M�12121 G PROPOSED OL/TlON.UONISNOTAPPLtCA8LET0 OCCUPANCYISSUED SIGNATURE