Loading...
HomeMy WebLinkAboutF2020-0225 - Permitsa City of Newport Beach - Building Divisionewort eac660 IIIIIIIIIIIIIIIIIIIIIIIIIIIII�III�IIIIIIIIIIIII FIRE Permit: F2020-0225 100 Civic Center Drive, NBh, CA 92 F 2 0 2 0 0 2 2 5 p Project No:0894-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 3506 W OCEAN FRONT NB Description: SFR FIRE SPRINKLER SYSTEM 34 HEADS (X2019-2402) Inspector Area: 1 Legal Description: NEWPORT BEACH CITY BILK 35 LOT 4 Owner: 3506 W OCEANFRONT LLC Contractor: ALL STAR PLUMBING & FIRE SPRINKLER COMPANY Architect: Address: 620 NEWPORT CENTER DR #100 Address: P O BOX 1413 Address: Policy No: NEWPORT BEACH, CA 92660 Added /New sq.ft. Bldg: LAKE FOREST CA 92609 Expire: Phone: Added /New sq. ft. Garage: Phone: 949.470.0072 Phone: State Lie: Applicant: SIRIGNANO KEITH Con State Lie: 715588 Engineer: Address: 22672 LAMBERT ST#619 Lie Expire: 08131/2021 Address: Rear: LAKE FOREST, CA 92630 Bus Lie: BT30059737 Left: Phone: 949-521-2460 Lie Exp Date: 07/3112020 Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Type of Construction: V-BSPR Carrier: BENCHMARK INS CO Occupancy Group: R3IU Policy No: CST5018466 Added /New sq.ft. Bldg: 0 Expire: 02105/2021 Added /New sq. ft. Garage: 0 Building PC Fee: No of Stories: 3 Issued Date: 06/0412020 No of Units : 0 Setback- Front: Planning Counter Flood Zone: • ° ° ° Rear: Building Extention Fee: Bldg Sprinklers: Y Left: Investigation Fee: Right: Designer: "®C®NS 1)"7sJ,: 22672 LAMBERT ST #619 �' �riTl(l� ' ST, CA 92630 Phone: Special Conditions: ®N SATURD4v, 0 PROCESSED BY: Y ZONING APPROVAL: t..� FIRE APPROVAL: 6% OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Construction Valuation: $5,000.00 oo©u °,"° * ° ° Building PC Fee: $202.00 Fire Residential Alarm PC Fee: $0.00 Records Management: °$4.00 BuildingOvertime PC Fee:Review:° $0.00 Planning Counter $0.00 • ° ° ° ° ° Building Extention Fee: $0.00 Planning Zoning PC Fee: $0.00Building Investigation Fee: $0.00 +•$0.00 Fire Plan Check Fee: $0.00 Public Works PC Fee: $0.00 +° o " $0.00 Fire Permit Fee : $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $240.00 o TOTAL FEE : $446.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : y + + °$p446.00 PROCESSED BY: Y ZONING APPROVAL: t..� FIRE APPROVAL: 6% OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION DWNER-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 (_) 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). ❑ 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 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). ❑ 1 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 legal) 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 7000) of Division 3 of the Business and Pro essions de, and my license is in full force and effect. .7/ ! � License Class License No ✓ ✓J Date Contractor Sign t 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 ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 IN liffrligmence of the work for which this permit is issued. Policy No. FFave and wIII Taint ain 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' compensatio rance carrier and policy number are: J rrler lQe.c L M e4e Policy Number r .f -r rot f/ 9 S Expiration Date 4uz!? t Name of Agent' • Phone # .... ❑I ceKify that, �ntbe performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre tM1At' subject�ty/the work)�rs compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Y j should becomC ftnature of Applicant /?'7 �/ Da(e ra��/—�o EOL74RATIONRF(�AWCIINUCONSTRUCT)DN LENDING AGENCY I hereby affirm Updgtptnalty of perjury that Xiere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). elkdeil Name Lender's Address BY ir)y+signature`b'el'*�I certify to each of the following: r +„IA1 the property owner or authorized to act on the property owner's behalf. ++.1 ppye read this application and the information I have provided is correct. + H ague to cpmply ew°th all applicable city and county ordinances and state laws relating to building construction. + I aytrorize reAresentatives of this city or courityp low theve-identified property for inspection purposes. ` /� (" c nnaturE of Proneriv Owner or Authorized ADent �� Print Property Owner's or Authorized Agent's Nam)` re i , r iOYt _� Date el- 9i ACTION DATE - BY FEDERAL REGULATIONS PART 61 OF 17TLE40AND AQMDRUtE1403. ❑ i SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT EXPIRED PERMITCANCELLEO P€RMITEXTENDED ❑ ASBESTOS MGTJHCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PEAMITFINAL 'VICJX CERTIFICATEOF OCCUPANCYISSUED C 0 096 5-: ID ol .8 yZgi Q C) -t! , z -0 19X 0 FSI U U 0 096 5-: ID