HomeMy WebLinkAboutF2019-0669 - Permitswro# City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II FIRE Permit: F2019-0669
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 6 6 9 Project No: 2865-2019
F m Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Job Address: 660 NEWPORT CENTER DR NB St: 1 FI: 5 Unit: 570 Description: COMM - FIRE SPRINKLERSITI 2 HEADS (X2019.4140)
Inspector Area: FIRE
Legal Description:
P.M. 295-33 PAR 6 POR OF PAR
Owner: IRVINE CO
Contractor:
FIRE PROT SPECIALISTS
Architect:
Address: 111 INNOVATION AVE
Address:
2810 E MIRALOMA AVE
Address:
IRVINE CA 92617
ANAHEIM CA 92806
Phone:
Phone:
714-635-6500
Phone:
State Lic:
Applicant: YAM MARK
Con State Lic:
464915
Engineer:
Address: 392 N LEMAY CT
Lic Expire:
10131/2020
Address:
......
ORANGE CA 92667
Bus Lic:
BT30042894
....
0
Phone: 626-675-9882
Lic Exp Date:
0513112020
Phone:
State Lic:
r o0
goo
o c
Code Edit : 2016
Worker's Compensation Insurance
Designer:
ANDERSON ROBERT
m
Type of Construction: I -A -SPR
Carrier:
COMP WEST INS. CO.
Address:
2810 E MIRALOMA AVE
Occupancy Group: B
Policy No:
WCV5502952
ANAHEIM CA 92806
Added /New sq.ft. Bldg: 0
Expire:
12/02/2020
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 16
Issued
Date: 02/1212020
Special Conditions:
No of Units : 0
Setback- Front:
°
000mc
Flood Zone:
Rear:
Bldg Sprinklers: Y
Left:
° mm
Right:
000o
0 0
°momco
c
000m
FEES
Construction Valuation:
$1,100.00
Building PC Fee :
$0.00
Fire Residential Alarm PC Fee :
$0.00
Records Management:
$2.00
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:
$140.00
Public Works PC Fee :
$0.00
$0.00
Fire Permit Fee :
$179.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$321.00
Plan Check Fee :
$140.00
Fee Due at Permit Issuance :
$181.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECT!
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)
fiction 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
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
ifessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do l_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
;iness 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
)rovements 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
)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
fly 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:
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
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
ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
nature of Property Owner or Authorized Agent Date
TENSED CONTRACTOR'S DECLARATION
ueby affirm undarpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and P,ofes/sions Code, and my license is in full force
i effect.
anse Class '� License No Date / 940 Contractor Signature
YYT'I-i.,T.TTTT
SRKYaRS' COMPENSATION DECLARATION
ZNIM. FAILURE T(1 SECUfRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE
IT OPCOMPENSA71aN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Abp affirm under penalty of perjury one of the following declarations:
and 4 iflaiitain a certificate of consent to self -insure for workers' compensation,
;e of the cork for which this permit is issued. Policy No.
and will.maiatain 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'
carrierWW'pojicy number are:
issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
Policy Number
Date
reof Agent ' ' Phone #
certify that, in the performanc 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
, if I should become subjecoo the workers; compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision.
of
CLARATION REGARDING CONSTRUCTION VENDING AGENCY
:reby 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).
Ider's Name Lender's Address
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 dinances and state laws relating to building construction.
I authorize representatives of this city or county a er ov identified property for inspection purposes. �U7 J A
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ACTION DATE BY
DECLARATION OF COMPLIANCEMTH CODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OFTITLE40AND
AQMD RULE 9403.
PERMIT EXRRED
I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERM/TCANCELLED
PERMITEYTENDED
[IASBESTOS NORRCATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERNIITFINAL OCL
CERURCAT€ OF
SIGNATURE:
OCCUPANCYISSUED