HomeMy WebLinkAboutF2020-0145 - Permitst'� City of Newport Beach - Building Division *F2020-0145* FIRE Permit: F2020-0145
d 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0613-2020
`x Permit Counter Phone (949)644-3288
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- °ug.�*y}* Inspection Requests Phone (949)644-3255
Job Address: 4675 MACARTHUR CT NB St: 1 Ft: 11 Unit: 1150
Description: COMM - FIRE SPRINKLERS 4 HEADS (X2020-0861)
Inspector Area: FIRE
Legal Description:
P BK 196 PG 40 PAR 3
Owner: IRVINE CO
Contractor:
FIRE PROT SPECIALISTS
Architect:
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Address: 550 NEWPORT CENTER DR
Address:
2810 E MIRALOMA AVE
Address:
F
NEWPORT BEACH, CA 92660
ANAHEIM CA 92806
Phone:
Phone:
714-635.6600
Phone:
State Lie:
Applicant: YAM MARK
Con State Lie:
464915
Engineer:
Address: 392 N LE MAY CT
Lie Expire:
10/31/2020
Address:
ORANGE CA 92867
Bus Lie:
BT30042894
Phone: 626.767-2320
Lie Exp Date:
0613112021
Phone:
State Lie:
Code Edit: 2019
Worker's Compensation Insurance
Designer:
ANDERSON ROBERT
Type of Construction: I-ASPR
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:
12102/2020
Phone:
714-635-6500
Added /New sq. ft. Garage: 0
No of Stories: 16
Issued Date: 0610112020
Special Conditions:
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No of Units : 0
Setback- Front:
Flood Zone:
Rear:
Bldg Sprinklers: Y
Left:
Right:
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0 0 0
FEES....
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Construction Valuation: $1,200.00
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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 Extenlion Fee:
$0.00
Planning Zoning PC Fee :
$0.00
°
. ° . °
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Building Investigation Fee:
$0.00
° 40.00
°
Fire Plan Check Fee:
$144.00
Public Works PC Fee:
$0.00
-.40.00
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Fire Permit Fee :
$185.00
Public Warks Traffic Plan Check Fee; $0.00
......
. ° ° m
Building Permit Fee :
$0.00
TOTAL FEE :
$331.00
Plan Check Fee:
$144.00
Fee Due at Permit Issuance :
$187.00
PROCESSED BY:
OTHER DEPARTMENT:
ZONING APPROVAL:
PLAN CHECKED BY::
FIRE APPROVAL: C _ ll,<1
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
OWNER-BUILDER DECLARATION ,
hereby affirm under penally 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 Rem(s)
(Section 703 1.6, 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 0 (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 (_) all of or U portions of the work, and the stmcture Is not Intended or offered for sale (Section 7044,
Business and Professions Cade: 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 itwas not built or
improved for the purpose of sale).
i 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).
13 1 am exempt from licensure under the Contractors' Slate 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 legal)
sell a structure that I have built as an owner-builder it 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:hitp:flw .leginfo.ca.govlcalaw.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 yith Section 7000) Of Division 3 of the Business and Professions Cads. and my license la In full force
and effect. �
License Class License No ,-�J Contra Signature
WORKERS' COMPENSATION DECLARATION ��
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORFO THOUSAND DOLLARS (S10D,00D), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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, forth
�an0e
erf of }he.vrork for which this permit is issued. Policy No,
ave and whrrfiaintain 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' compensatto
rice carrie P elRt policy number are:
Caller • • • Policy Number Expiration Oele
10aptCF of Agent • Phone#
I certify that„IA I&Wrformance of the work forwhich this permit is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of Ca1'dornia, and agre
Rs(, if l sAul besartle a bjectto the workerr'' mpenation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with tho a provisions.Sigyna
.ulpL
IFN REGAR ING CONSTRUCTION LENDING AGENCY
RlfrAffy affirm under pe airy of perjury that there is a construction lending agency for the performance of the work for which this permit Is Issued ( action 3097, Civil Code).
kendeFgName_ Lenders Address
®y my sgnalurubeFldw,i certify to each of the following:
• . J aasthe proPaTJX 9wner or authorized to act on the property owners behalf.
• • J rgOe read Mids aWrication and the information I have provided Is correct.
I agree to comply with all applicable city and county ordinances and tale�laws relating to building construction.
I authorize representafives of this cityor county to t`f{pi'Lhe ab v Identi ed party for Inspection purposes.
Si nature of Props Owner or Au ed Agent ,Lr ./, 1 Print PropertyOwner's or Authorized a Name / ""r`7 h .- "�'-:SL'v to
ACIION DATE BY
DECLARAYIOJVOFCOMPLIANCEMTHCODEOr
FOR OFFICE USEONLY
FEDERAL REGULATIONS PART 61 OFTIILE40AND
AQMORULE 1403.
PERMITFXPIRED
❑ 1SUBMITTEDASBESTOS N017FICATIONTO.
PERMITCANCELLED
❑ EPA
❑ AQMD
PERMITEXTENDED
NOURCATLONIS NOTAPPLICAM E TO
PROPOSED DEMOLITION-
PERMITH1VAL[3ASBESIOS
\ P
CERTfF'ICATE DF
OCCUPANCYISSUED
SIGNATURE: