HomeMy WebLinkAboutF2021-0047 - PermitsCity of Newport Beach - Building Division *F2021-0047*
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288 _
u
FIRE Permit: F2021-0047
Project No : 0261-2021
Inspection Requests Phone (949)644-3255
Job Address: 800 NEWPORT CENTER DR NB St: 1 FI: 4 Unit: 450 Description: COMM FIRE SPRINKLER TI (X2021-0244) 7 HEADS
Inspector Area: FIRE
Owner:
IRVINE CO
Address:
111 INNOVATION DR
Added /New sq.ft. Bldg:
IRVINE CA 92617
Phone:
0
Applicant:
YAM JUDY
Address:
392 N LEMAY CT
Flood Zone:
ORANGE CA 92867
Phone:
626-757-2320
Code Edit: 2019
Type of Construction:
I -A -SPR
Occupancy Group:
B
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
7
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:
TOTAL FEE :
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
$1,350.00
Legal Description:
P BK 136 PG 22 PAR 1
Contractor:
FIRE PROT SPECIALISTS
Address:
2810 E MIRALOMA AVE
COMP WEST INS. CO.
ANAHEIM CA 92806
-Phone:
714-635-6500
Con State Lie: 464915
Lie Expire: 1013112022
Bus Lie:
BT30042894
Lie Exp Date:
05/3112021
Worker's Compensation Insurance
Carrier:
COMP WEST INS. CO.
Policy No:
WCV6502952
Expire:
1210212021
Issued Date:
0312412021
Setback- Front:
Rear:
o m c
ANDERSON ROBERT BO •°
Left:
Address:
Right:
° ° °
FEES
$0.00
Fire Residential Alarm PC Fee
$0.00
Planning Counter Review:
$0.00
Planning Zoning PC Fee
$0.00
State Lie:
$131.00
Public Works PC Fee:
$200.75 -
Public Works Traffic Plan Check Fee;
$0.00
moo
State Lie:°
$333.75 Plan Check Fee :
Architect:
Address:
Phone:
Engineer:
State Lie:
-
Address:
Phone:
moo
State Lie:°
Designer:
o m c
ANDERSON ROBERT BO •°
m
m
Address:
2810 E MIRALOMA AV •
° ° °
ANAHEIM CA 92806
Phone:
714-635.6500
mm „
Special Conditions:
ommo
coon
0
0 o m
EC
0 c
0
00000
c.00000
o 0
cmoocc
c
o
$0.00 Records Management: $2.00
$0.00
$0.00
$0.00
$0.00 $0.00
$0.00
$0.00 Fee Due at Permit Issuance : $333.75
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
)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)
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
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
of more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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).
1, 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:
ly 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 legall)
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.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED COItTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commen ' with ction 7000) of Division 3 of the B iness and P ofes ions Code, and my license is in full force
rid effect
it �tSt'Qlass _ , • License No Da �r Contractor 'nature -< .-
[GR1�K'-ERS' COMPIVNSATION DECLARATION
'%RNtPh?AILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENSATfON, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
-Ve and 41 ft$Intain 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 the
gece of the Werk for which this permit is issued. Policy No.
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'
ieraTid pbry number are:
Policy Number Expiration Dale
6vtAgent • Phone#
ertify that, in the pe mance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subje t to the workers' compensation laws of California, and
if I should b m ubjj fit to he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr visions.
ltureofApplic t... /cF= �,.x��� D tSe/\ 40.5���/r% j
;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)
lder'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 c5urfly, ordinances and state laws relating to building construction.
I authorize representatives of this city y to m.e,[r�,,t`h�e abo o -identified property for inspection purposes. � /%/YAu5 / Sr-
nature
�
nature of Pronartv Owner or Authorized e t J�'^"✓" - Print ProDerty Owner's or Authorized ADent 5' N.- �* J
AC77ON DATE BY
DECLARATION OF COMPLIANCE Wl I COUL OF
FOR OFFICE USE ONy "
FEDERAL REGULATIONS PART 61 OF TITLE40 AND
AQMORULE 1403. _
PERMITEXPIRED -
❑ I SUBMTiTEDASBESTOS NO77HCATIONTO.,
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMITEXTENDED
PROPOSED DEMOLITOASBESTOS CNRONISNOTAPPLfCA8LET0
PERMITFINAt -Z M
CERTIFICATEOF
OCCUPANCYISSUED
SIGNATURE.