HomeMy WebLinkAboutF2021-0116 - Permits.IF��x City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII II FIRE Permit: F2021-0116
'� 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 1 1 6
�, � p Project No :0655-2021
a Permit Counter Phone (949)644-3288 2-I _ U I ` b )
`�+z ,;era€' ty (D] 5- M (-6(v-+`^t\A� Gt Inspection Requests Phone(949)644-3255
Job Address: 4675 MACARTHUR CT NB St: 1 FI: 4 Unit: 470 I Description: COMM FIRE ALARMITI 10 DEVICES (X2021-0710)
Inspector Area: FIRE
Owner:
IRVINE CO
Address:
PO BOX 2450
Occupancy Group:
NEWPORT BEACH, CA 92658
Phone:
0
Applicant: BASIC NIKO
Address: 5161 CALIFORNIA AVE #100
IRVINE CA 92617
Phone: 949-701-4150
Code Edit : 2019
IRVINE CA 92618
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 Zone:
Policy No:
Bldg Sprinklers:
Y
SEE 0655-2021
Legal Description: P BK 196 PG 40 PAR 3
Contractor: REDHAWK BUILDERS INC Architect:
Address: 200 TECHNOLOGY STE L Address:
Phone: State Lie
Engineer:
IRVINE CA 92618
Phone:
949-754-9050
Con State Lie:
692901
Lie Expire:
10131/2021
Bus Lie:
BT30027314
Lie Exp Date:
03/31/2022
Worker's Compensation Insurance
Carrier:
INS OF THE WEST
Policy No:
WSD503114305
Expire:
09/01/2021
Issued Date: 05/21/2021
Setback- Front:
$0.00
Rear:
$0.00
Left:
$182.50
Right:
$0.00
Phone: State Lie
Engineer:
Address:
Phone:
State Lic:
Designer:
MORENO ARI
Address:
2246 LINDSAY WAY
Fire Residential Alarm PC Fee: $0.00 Records Management:
GLENDORA CA 91740
Phone:
909-261-1001
Special Conditions:
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PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPEC
FEES
Construction Valuation:
$7,300.00
Building PC Fee :
$0.00
Fire Residential Alarm PC Fee: $0.00 Records Management:
$0.00
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:
$182.50
Public Works PC Fee : $0.00
$0.00
Fire Permit Fee:
$260.50
Public Works Traffic Plan Check Fee; $0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$443.00
Plan Check Fee: $182.50 Fee Due at Permit Issuance :
$260.50
PROCESSED BY:
OTHER DEPARTMENT:
ZONING APPROVAL:
PLAN CHECKED BY:: w
FIRE APPROVAL:
Nei
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPEC
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).
❑ 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 legalq
sell a structure t),r9P1•f2ye 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 Codel+s�available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
ligaatwre of PrDpecty Owner or Authorized Agent - Date
LICENSED C0N'r&4CTOR'8 DECLARATION
I.lftelljy ffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and Bfkct.
License Class . • ': License No Date .Z ] 1 Loi ] Contractor Signature
WORKERS' COMPENSATION DECLARATION
NRMFNV3: FAILUR97098CVRE 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
r.W4p1 COMPENSATION, dAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
1jr4eflY,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
once of tH.a.worR for which this permit is issued. Policy No.
I• a and vfllt MIJain 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' compensatiol
linsuran a carrier and policy number are:
Policy Number
Date
fe of Agent rnuue n
certify that, in the 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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iature of Applicant / Q,�= Date- S/'i.
DECLARATION REGAFIDING CONSTRUCTION LENDING AGENCY
I hereby affirm under pahalty 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).
Lender's Name Lender's Address
By 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county t enter the above -identified property for inspection purposes.
ed
Signature of Prooertv Owner or AuthorizAGent V 116 J Print Property Owners or Authorized Agent's Name Y �x+I'h V A) o e la Ste%
ACTION DATE BY
DrULAr AVIV Ur LVlY1 C"L(XIYI.0 11, 11111 VI
FEDERAL REGULATIONS PART 81 OF TITLE40 AND
AQMO RULE 1403.
❑ I SUBMITTEDASBESTOS NOTIFICATION' TO:
❑ EPA
❑ AQMD
PERMIT EXPIRED
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMITFINAL /I. ''
CERRFICATEOF
SIGNATURE: .
OCCUPANCYfSSUED