HomeMy WebLinkAboutF2020-0208 - Permitsrwwr�r City of Newport Beach - Building Division IIIIIIIIIIII'IIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII II
#�pP� 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 2 0 8
Permit Counter Phone (949)644-3288
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Job Address: 21159 NEWPORT COAST DR NB
Inspector Area: FIRE
Owner:
PLAZA MANOR ASSOCIATES
Address:
550 NEWPORT CENTER DR
ALL STAR PLUMBING & FIRE SPRINKLER COMPANY
NEWPORT BEACH, CA. 92660
Phone:
Address:
Applicant:
SIRIGNANO KEITH
Address:
22672 LAMBERT ST #619
949-470-0072
LAKE FOREST CA 92630
Phone:
949-521-2460
Code Edit: 2019
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
No of Units
Flood Zone:
Bldg Sprinklers:
V -B -SPR
B
0
0
FIRE Permit: F2020-0208
Project No : 0822-2020
Inspection Requests Phone (949)644-3255
Description: COMM FIRE SPRINKLER TI (X2019.4032) 17 HEADS "NEWPORT ,r tJ I J-AArL, "OSP I'CALr
Legal Description:
P BK 318 PG 27 PAR 2
FEES
Contractor:
ALL STAR PLUMBING & FIRE SPRINKLER COMPANY
Address:
P O BOX 1413
Address:
LAKE FOREST CA 92609
Building PC Fee:
Phone:
949-470-0072
Phone:
Con State Lic:
715588
Engineer:
Lic Expire:
0813112021
Address:
Bus Lic:
BT30059737
Planning Zoning PC Fee :
Lic Exp Date:
0713112020
Phone:
Worker's Compensation
Insurance
Designer:
Carrier:
BENCHMARK INS CO
Address:
Policy No:
CSTS018455
$0.00
Expire:
0210512021
Phone:
1 Issued Date: 0512612020 Special Conditions:
0 Setback- Front:
Rear:
Y Left:
Right:
Architect: INS
State Lic: '
o� o
State Lic:
SIRIGNANO EDWARD
0
22672 LAMBERT ST #619
LAKE FOREST CA 92630 ' ° -
ao uo°;
PJJJ JJ
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL: �K 1J7—
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Construction Valuation:
$1,700.00
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:
$170.00
Public Works PC Fee:
$0.00
$0.00
Fire Permit as :
$224.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee.
$0.00
TOTAL FEE :
$396.00
Plan Check Fee:
$396.00 Fee Due at Permit Issuance:
$0.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL: �K 1J7—
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
I hereby affirm under penalty of perjury that[ 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 ftem(s)
:tion 7031..5, Business and Prolessions Code: Any city or county that requires a permit to construct,atter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
permit to file asigned 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
'essior s Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any Notation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars 0001•
1, as owner of the property, or my employees with wages as their sols compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
!mess 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 thatthe
rovements 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
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' Stale License Lawdoes not
ly 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).
y my signature below I acknowledge that, except for my personal residence In which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, 1 cannot legalh
ell a stmctore, that I have built as an owner -builder if it has not been Constructed in its entirety by licensed rontractors. 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:f/ww'w.leginfo.ca.gov/calaw,html.
Ilgnature of Property Owner or Authorized Agent Date
.ICENSED CONTP.A.CTOR'S DECLARATION .
hereby affirm under wriahv of perjury that I am licensed under provisions of Chapter 9"(commencing wgth SRrAion7000) of Division 3 of Business spa P, ssions ,ode, and my license is infuii force
nd effect. [�7�, //// {
(cense class HT1, - 3� _License No % 1 5 SB Date �/S a Contractor Signature VlC
WORKERS' COMPENSATION DECLARA'nON ¢¢ ss
�ARNINGr FAILURE TO SECURE WORKERS'- COMPENSATION COVERAGE IS UNLAWFUI, AND SHALL SUBJECT -AN- EMPLOXRAsCRIMINAL PENALTIESANO CM+L RNES'UP TO ONCHUNbRED=T OU5�LNDOOLIARS (51eD,e0oj, IN A4prfpN-TO=THE
OST OP COMPENSATION, MMAGES AS PROVIDED, FOR IN SECTION 37W OFTTiE LAaOR COOS, INTEREST, ANDATrORNET'S FEES.
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.
edortnance of the work forwhich this psnnit is issued. Policy No
-
do
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' compensatim
Ist*tonce carrier and policy number are:
:arrier B L M a /< Policy Number C ,S? d Q 5 Q S
Expiration Date( --
lame of Agent Phone 4
JI certify that, in the perfann nce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to
a workers' compensation laws of California, and agre,
tat, ff I should became ubj t he wor ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro 'sf
s.
:dgnature of Applioant Date
—•
rECLARATION REGARWNIG ONISQCYON LENDING AGENCY
hereby affirm under pe of perjury iha there is a construction lending agency forthe performance of the work forwhich this permit is issued (41n
3097, Civil Code).
.ender's Name Lender's Address
ly my signature below, 1 certify to each of thefollowing:
I am the property owner or authorized to act on the property owner's behalf.
1 have read this application and the information I have provided is coned.
I agree to comply with all applicable city and cc ordinances and state laws relating to building construction.
I authorize representatives of this city or cou en e a vUdentified property for inspection purposes.
S--CL-x
signature of Property Owner orAutharized A ant Print Property Owner's or Authorized Agent's Name
r io n ti Date
17
ACTION DATE BY
DECLA LEAN t4? HMDEDF
FOR OFRCEUSE ONLY
FEDERAL REGUL477ONSPART(if OF71TLE40AND
AQMD RULE 1403.
❑ ISU&Mf7TEDA5EESTOSNO77RcATlONTO:
❑ EPA
13 AQMD
❑ ASBESTOS MORRCA77ONISNOTAPPLICABLETO
PROPOSED DEMOUTIOM
SIGNATURE:
PERNf7EXP1RE0
PERMITCANCELLED
r
PERMFTEx7ENDE0
PERMfrF1NAL .i ''
CERTIFICATEOF
OCCUPANCYlSSUED