HomeMy WebLinkAboutF2019-0625 - Permits`neo City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 6 2 5
F, — - •, Permit Counter Phone (949)644-3288
Job Address: 1600 NEWPORT CENTER DR NB St: 1 FI: 2 Unit: 200
Inspector Area: FIRE
Owner: IRVINE CO
Address: 111 INNOVATION DR
IRVINE, CA 92617
Phone:
Applicant: SAVOY AUSTIN
Address: 2810 MIRALOMA AVE
ANAHEIM CA 92806
Phone: 714-625-6500
Code Edit: 2016
Type of Construction: III -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: X
Bldg Sprinklers: Y
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
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
$2,300.00
FIRE Permit: F2019-0625
Project No : 2542-2019
Inspection Requests Phone (949)644-3255
Description: COMM - FIRE SPRINKLERSITI 16 HEADS (X2019-2676)
2542.2019
Legal Description:
Contractor:
FIRE PROT SPECIALISTS
Address:
2810 E MIRALOMA AVE
ANAHEIM CA 92806
Phone:
714-635-6500
Con State Lie:
464915
Lie Expire:
10/31/2020
Bus Lie:
BT30042894
Lie Exp Date:
05/3112020
Worker's Compensation
Insurance
Carrier:
COMP WEST INS. CO.
Policy No:
WCV6502952
Expire:
12/0212019
Issued Date:
Setback- Front:
Rear:
Left:
Right:
$0.00
$0.00
$0.00
$0.00
$168.00
$221.00
$0.00
$393.00
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 :
OTHER
PLAN CHECKED BY:
APPROVAL TO ISSUE:
PERMIT EXP/RES 180 DAYS AFTER ISSUANCE OR LAST VALID
INSPECTQ
Architect:
Address:
Phone:
State Lie:
Engineer:
Address:
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Phone:
State Lie:
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Designer:
SAVOY AUSTIN
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Address:
2810 E MIRALOMA AVE
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ANAHEIM CA 92806
Phone:
714-625-6500
Special Conditions:
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$0.00
Records Management :
$4.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance :
$393.00
PARTME
PLAN CHECKED BY:
APPROVAL TO ISSUE:
PERMIT EXP/RES 180 DAYS AFTER ISSUANCE OR LAST VALID
WNER-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)
;action 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
it more than five hundred dollars ($500).
] I, as owner of the property, or my employees with wages as their sale compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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
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:
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 legally
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://www.leginfo.ca.gov/calaw.html. Date
ignature of Property Owner or Authorized Agent
.ICENSEQ CONTRACTOR'S DECLARATION
hereby anrv"ber penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pe ions Code, license is in full force
nd effect. , Date �� �g I� Contractor Signature ,r
.wonse Clg$s, . • License No
V6RKERS' COMPENSATION DECLARATION
[ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (8100,0001, IN ADDITION TO THE
OST OF COMPII DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hergby affirm unde4 penalty of perjury one of the following declarations:
31 have ap8 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 Cade, for th
V�+I. ance oT fhb work for which this permit is issued. Policy No.
xl• ve and will majntain 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
rO nce carrj§r�dpolicy number are:
rner Policy Number Expiration Date
laMme of Agent• • Phone #
JI 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 agre
nat, if I should become subject to theworkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply
with those provisions.
Signature of Applicant •ATL" Date 4 9
)ECLARATION REGARDING CONSTRUCTION LIENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is is Led (Section 3097, Civil Code).
.enders 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 city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or cou t t th��.ab i I�fiedrproperty for inspection purposes. Sa+'� J 5e0�g/ Da r/1�9i
Ignature of Property Owner or Authorized Agent^' !�I Print Property Owner's or Authorized Agent's Name Y )
ACTION I DATE ' I BY II FEDERAL
❑ f 5UBMfTTEDASBESTOS NOTIFICATION T0:
❑ EPA
❑ AQMD
❑ ASBESTOS N077FICAIION/S NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
OLCUPANCYISSUED