HomeMy WebLinkAboutF2020-0400 - Permitsnq
City of Newport Beach - Building Division IIIIIIIIIII�IIllllllllllllllpl��llllllllllllllllFIRE Permit: F2020-0400
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288 F 2 0 2 0 0 4 0 0 Project No : 1786-2020
'fira�w Inspection Requests Phone (949)644-3255
NTM
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Job Address: 610 NEWPORT CENTER DR NB St: 1 FI: 13 i' I y Description: COMM - FIRE SPRINKLERITI 13 HEADS (X2020-0382)
Inspector Area: FIRE
Owner: IRVINE COMPANY
Address: 550 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
Phone:
Applicant: FIRE PROTECTION SPECIALISTS
Address: 2810 E MIRALOMA AVE
ANAHEIM CA 92660
Phone: 714-635-6500
Code Edit: 2019
Type of Construction: I -A -SPR
Occupancy Group: B
Added /New sq.ft. Bldg: 0
Added /New sq. k. Garage: 0
No of Stories: 18
No of Units : 0
Flood Zone:
Bldg Sprinklers: N
1786-2020
BT30042894
Legal Description: P BK 295 PG 33 PAR 4
05/31/2021
Contractor: FIRE PROT SPECIALISTS
Architect:
Address: 2810 E MIRALOMA AVE
Address:
ANAHEIM CA 92806
Expire:
Phone: 714-636.6500
Phone:
Con State Lie: 464915
Lie Expire: 10/31/2020
Bus Lie:
BT30042894
Lie Exp Date:
05/31/2021
Worker's Compensation Insurance
Carrier:
COMP WEST INS. CO.
Policy No:
WCV6502952
Expire:
12/02/2020
Issued Date: 10/1612020
Setback- Front:
Rear:
Lek:
Right:
Engineer:
Address:
Phone:
State Lie:
State Lie:
Designer: ANDERSON ROBERT
Address: 2810 E MIRALOMA AVE
ANAHEIM, CA 92660
Phone: 714.636-6500
Special Conditions:
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PROCESSED BY: `� ' OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL : _ J 1 APPROVAL TO ISSUE:J�/�/\
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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Fire Residential Alarm PC Fee:
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Building Overtime PC Fee:
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$0.00
Building Extention Fee :
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$0.00
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$143.00
Public Works PC Fee :
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Building Permit Fee :
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Plan Check Fee:
PROCESSED BY: `� ' OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL : _ J 1 APPROVAL TO ISSUE:J�/�/\
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Construction Valuation:
$2,160.00
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:
$143.00
Public Works PC Fee :
$0.00
$0.00
Fire Permit Fee :
$220.25
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$365.25
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$365.25
PROCESSED BY: `� ' OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL : _ J 1 APPROVAL TO ISSUE:J�/�/\
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
I hereby affirm under pi
(Section 7031.5, Business a
the permit to file a signed at
Professions Code) or that hi
not more than five hundred
❑ I, as owner of the prope
Business and Professions C
improvements are not intens
I'^nroved for the purpose of
AA N _ -
lal 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 items)
rofessions 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
:ement 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
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
Nlars ($500).
y, or or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
ode: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
r0 or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
Ily to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
,fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
nature of PrgpQkty Q:vner or Authorized Agent Date
:EN$ED CONTRA'CTOR'S DECLARATION
e";iffirm uptIVI 'epity of perjury that I am licensed under provisions of Chapter 9 (commencing it Sectio 7000) of Division 3 of the Business ad ofes ions Code, and y license is in full force
I effect. �,,,�7/�F
ensu Glass License No oat 1 D / O � D Contractor Signature
)KERS' COMPENSATION DECLARATION
IMING: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 tE100,0001, IN ADDITION TO THE
IT 8PCOMPENSAIIQN,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
areby affirm uT der�p: halty of perjury one of the following declarations:
T Adve 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
*ce of the wolkfor which this permit is issued. Policy No.
have and will-malAin 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' compensatioi
ccarrier.rxf.policynumberare:
rner•policy NumberP
Ex iration Date
ie of Agent
certify that, in the perfofJmance of the work for which this permit is issued, I shall not employ any person in any manner so as to become
. if I should becone a4bject to toe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with the
nature of Applicant! D'✓t�� -�""�-
RD
CLARATION REG ING CONSTRUCTION LENDI G AGENCY 1
rreby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued
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 coun ordinances and state laws relating to building construction.
I authorize representatives of this city or cour tnill the9labove-entified property for inspection purposes.
ACTION DATE V BY ucr.u+rwrrvn v,
FEDERAL REGULATIONS PART Of OF TITLE40AND
AQMDRULE 1403.
PERMITEXPIRED ❑ ISUDMfTTEDASBESTOSN071FICATIONTO:
PERMITCANCELLED ❑ EPA
PERMIT EXTENDED [3 AQMD
[3ASBE5705 NOTIflCAUONIS NOT APPLICABLE TO
PERMITFINAL i . b PROPOSED DEMOLITION.
CERTIFICATE OF SIGNATURE.
OCCUPANCYISSUEO
to the workers' compensation laws of California, and
3097, Civil Code).
9-1 S'0 -40Y nardY to