HomeMy WebLinkAboutF2021-0273 - Permits0'r� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II FIRE Permit: F2021-0273
6A. - T 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 2 7 3 Project No : 1488-2021
- Permit Counter Phone (949)644-3288
r 1Y�t�. Inspection Requests Phone (949)644-3255
Job Address: 660 NEWPORT CENTER DR NB St: 1 FI: 9 Unit: 940 Description: COMM FIRE SPRINKLERS (8) HEADS (X2021-1004)
Inspector Area: FIRE
Owner: 660 NEWP CENTER DR LLC
Address: PO BOX 2450
NEWPORT BEACH, CA 92658
Phone:
Applicant: ANDERSON ROBERT
Address: 2810 E MIRLOMA AVE
ANAHEIM CA 92806
Phone: 714-635-6500
Code Edit: 2019
P.M. 295-33 PAR 6 FOR OF PAR
Type of Construction:
I -A -SPR
Occupancy Group:
B
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
16
No of Units :
0
Flood Zane:
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
TOTALFEE
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL
$1,400.00
Legal Description:
P.M. 295-33 PAR 6 FOR OF PAR
Contractor:
FIRE PROT SPECIALISTS
Address:
2610 E MIRALOMA AVE
COMP WEST INS. CO.
ANAHEIM CA 92806
Phone:
714-635-6500
Con State Lie: 464915
Lie Expire: 10/3112022
Bus Lic:
BT30042894
Lic Exp Date:
05131/2022.
Worker's Compensation Insurance
Cartier:
COMP WEST INS. CO.
Policy No:
WCV5502952
Expire:
1210212021
Issued Date:
07101/2021
Setback- Front:
Rear:
State Lic:
Left:
Right:
LA
FEES
$0.00
Fire Residential Alarm PC Fee
$0.00
Planning Counter Review:
$0.00
Planning Zoning PC Fee
$0.00
State Lie:
$136.00
Public Works PC Fee:
$208.00
Public Works Traffic Plan Check Fee;
$0.00
$346.00 Plan Check Fee
Architect:
Address:
Phone:
State Lie:
Engineer:
Address:
Phone:
State Lic:
LA
Designer:
ANDERSON ROBERT
Address:
2810 E MIRALOMA AVE
LA
ANAHEIM CA 92806
Phone:
714-635.6500
d
Special Conditions:
$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 : $346.00
o o oa 00oOTHER DEPARTMENT:
0 0 0 0
Po AII G1iElyyFC6� BiC:
APPROVALivO ISSUE:
00 oa0 0
PERMIT EXPIRES 180 DA YSv A,t'TE("',.;)S�UANFiE�OFZ LAST�VALID INSPECTION
oti uoo 0 0 000 �° u
00 ouo
OWNER -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
the 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
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 structure is not intended or offered for sale (Section 7044,
Business 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
improvements 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
improved 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
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).
❑ I am exempt from licensure under the Contractors' State 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 legally
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://Www.leginfo.ca, gov/calaw.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 with Section 70 0) of Division 3 of the BusinessA;of'ons�y license is in full force
and effect.
License Class License No Date Contractor Signatur
WORKERS' COMPENSATION DECLARATION
WARNING: 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
1:11 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 tht
pert rmance of the work for which this permit is issued. Policy No.
have and willal t in workers' pensation insuranc as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation
s nonce carrier a poncy number ( a: yJ
--._- �
_ arl✓ /7A �on6�a,� ,hPr Expiration Date _
ie of Agent � �
certify that, in the performance of the ork for
if I should becomes lett D-th wort ers' cc
lature of Applicant
is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
lions of Section 3700 of the Labor Code, I shall forthwith comply with the je pr2yisions/ 7
:reby affirm under pellialty/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 county ordi antes and state w rela Ing to building construction.
I authorize representatives of this city or county t� en r t ehbove/den is rg ty for inspection purposes. 1�
of
ACTION I DATE I k BY
PERitMfT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIRCATEOF
OCCUPANCOSSUED
Owner's or
FEDERAL REGULATJQgS V A&tT B9 OF TITLE 40 AND
AQMD RULff :403.
❑lvtfbMIKED tS"T-(t NOTIFICATION TO::
1:0 ❑ • AQIIRD
❑ ASBESTOS MOTIFICATIONIS NOT APPLICABLE TO
PROPOSEDDEMOLLTJQN. o
3097, Civil Code).
USE ONLY