HomeMy WebLinkAboutF2020-0045 - Permitswrr�� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 0 4 5
Permit Counter Phone (949)644-3288
FIRE Permit: F2020-0045
Project No : 2828-2019
Inspection Requests Phone (949)644-3255
Job Address: 500 NEWPORT CENTER DR NB St: 1 FI: 9 Unit: 910 Description: COMM FIRE ALARM k211 DEVICES (X2019.4099)
Inspector Area: FIRE
Owner: 500 8 550 NEWPORT CENTER
Address: 550 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
Phone:
Applicant: JENKINS ANNA
Address: 9850 IRVINE CENTER DR
IRVINE CA 92618
Phone: 949-449.1727
Code Edit : 2016
CASCO CONTRACTORS INC
Type of Construction:
I -A -SPR
Occupancy Group:
B
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
10
No of Units :
0
Flood Zone:
X
Bldg Sprinklers:
Y
Construction Valuation: $2,300.00
Legal Description: IRVINE SUB LOT BILK 93 FOR OF BILK
Contractor:
CASCO CONTRACTORS INC
Architect:
Address:
9850 IRVINECENTER DR
Address:
Building Extention Fee :
IRVINE, CA 92618
Planning Zoning PC Fee : $0.00
Phone:
949-679-6880
Phone:
Con State Lic:
790706
Engineer:
Lic Expire:
01131/2021
Address:
Bus Lic:
BT30041027
Lic Exp Date:
10/3112020
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
SENTINEL
Address:
Policy No:
72WEAAE3W83
Expire:
01/01/2021
Phone:
Issued Date: 01/2812020
FIRE APPROVAL:
Special Conditions:
Setback- Front:
Rear:
Left:
Right:
FEES
Building PC Fee:
$0.00
Fire Residential Alarm PC Fee: $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
Fire Plan Check Fee:
$229.00
Public Works PC Fee: $0.00
Fire Permit Fee:
$283.00
Public Works Traffic Plan Check Fee; $0.00
Building Permit Fee:
$0.00
TOTAL FEE :
$512.00
Plan Check Fee : $0.00
PROCESSED BY:
r
\
.OTHER DEPARTMENT:
°
ZONING APPROVAL:
= • ° ° Q ° ° ° PLAN CHECKED BY::
FIRE APPROVAL:
> ° mea °
APPROVAL TO ISSUE:
z
1tl
rn
State Lic: 0
i
0
State Lic: X
TAYLOR RICHARD
22461 LINDSAY WAY -
GLENDORA CA 91740
909-305-1600
Records Management
Fee Due at Permit Issuance
° p°• mo
PERMIT EXPOF1 180 DA&/S`Af*req &SUA &E OR LAST VALID INSPECTION
009 000 000 i • •00 Oi
$0.00
$0.00
$0.00
$512.00
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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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-Builderwill have the burden of proving that it was not built or
improved 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
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 legalli
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect.
(License Class License No Date` 1 'ZContractor Signatu
WORKERS' COMPENSATION DECLARATION
WARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I 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
pe rmance of the work for which this permit is issued. Policy No.
I ave and wijloTrrafnain 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' compensatiol
Date
is of Agent _We!A!! , l J'(® �Y-� rnune *
certify that, in the performance 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 subject to the workers' compensqati"Trovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
U
:reby affirm underypenaI y qfj ry 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above-identifiedp y Inspection purposes.
mature of Prooertv Owner or Authorized Aqent r '� � Print Property Owner's or Authorized Agent's NaRK Ln
ACT70M DATE BY DE LA'W1ONOFCOMPUANCEMTHCODEOF FOR
F€DERAL R€GULATIONSPART 61 OF TfRE40 AND
PERMITEXPfRED
AQMD RULEJ4".:• • • 0. ... .
f SU�ttjTF.L5A58E9TGT5 Npi1FlCA710N•d0o
PERMITCANCELLED [I ' SPA • • • • i • -
PERMIT EXTENDED ❑ AQMD• • • . I • a
❑ ASBESTOS NOTIFTC4TIONIS NOT APPLICABLE TO
PERMIT FINAL a L) p PROPOSED.U.EAJq q T1ON.
CERT1FfCA7E OF SIGNATURE.."' .� �•� i•• �•• •:•
OCCUPANCYiSSUED . . - - _