HomeMy WebLinkAboutF2021-0285 - Permitswt� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 2 8 5
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Permit Counter Phone (949)644-3288
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FIRE Permit: F2021-0285
Project No: 1542-2021
Inspection Requests Phone (949)644-3255
Job Address: 610 NEWPORT CENTER DR NB St: 1 FI: 3 Unit: 370 Description: COMM FIRE ALARM 10 DEVICES (X2021-1382)
Inspector Area: FIRE Legal Description: P BK 295 PG 33 PAR 4
Owner: 610 NEWPORT CENTER DR LLC Contractor: BUILDING ELECTRONIC CONTROLS Architect:
Address: PO BOX 2450 Address: 2246 LINDSAY WAY Address:
NEWPORT BEACH, CA 92658 GLENDORA CA 91740
Phone: Phone: 909.305-1600 Phone:
Applicant: BUILDING ELECTRONIC CONTROLS
Address: 2246 LINDSAY WAY
GLENDORA CA 91740
Phone: 909-305-1600
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: 18
No of Units : 0
Flood Zone: X
Bldg Sprinklers: Y
Con State Lic: 729905
Lic Expire: 1113012022
Bus Lic:
BT97025666
Lic Exp Date:
1013112021
Worker's Compensation
Insurance
Carrier:
ZURICH AMERICAN
Policy No:
WC302951001
Expire:
04/0112022
Issued Date: 07/08/2021
Setback- Front:
Rear:
Left:
Right:
Engineer:
Address:
Phone:
X
State Lic:
State Lic: 4+�1
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Designer:
TAYLOR RICHARD
Address:
2246 LINDSAY WAY
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GLENDORA, CA 91740 a °e
Phone:
909-305-1600
Special Conditions:
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PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE: T L
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEESm
mm
Construction Valuation:
$4,417.00
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mm.mm�
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Building PC Fee:
$0.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
° $6.00
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:
$186.50
Public Works PC Fee:
$0.00
$0.00
Fire Permit Fee :
$265.50
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$458.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$458.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE: T L
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
ie 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).
3 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,
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
nproved 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
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).
1 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.
lignature of Property Owner or Authorized Agent Date
-ICENSED CONTRACTOR'S DECLARATION
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 Professions Code, my lis rise is In full force
nd effect. �()
.icense Class License No Date J'Z Contractor Signature ��-7-vv vhf W
VORKERS' CtWFF14SATION DECLARATION t
JVVWQ6 FA1LURF.TO EWPyRE 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
CST OF OOMPENBATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
' IAve and wjJl,rpaintain 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
m9ance of the work for which this permit is issued. Policy No.
have and will,maiptain 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
MtV came? gill4gQlicy number are:
Policy Number
Date
cggr�Ify that, in•the performance of the work forwhich 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
at 7 Tshould becomesubject to the workers'(gmpysation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
.... ....../ 1, 1 l A/ 's I �0 I/ d
of
)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)
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 ordinances d state laws relating to building construction.
I authorize representatives of this city or county to enter nth ab a- a tifie pr perty for inspection purposes.
nature of Property Owner or Authorized Agent 'k; �_ Print Property Owner's or Authorized Agent's Name
ACTION DATE BY
DECLARATION OF COMPLIANCE IMTN CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF T17LE40 AND
AQMDRULE1407:
PERMIT EXPIRED
❑ ]SUBMITTED ASBESTOS NOTIFICATION TO:.
❑ EPA
❑ AOMD
PERMIT CANCELLED
PERMIT: EXTENDED
OOPOSED DEMOLITIONASBESTOS . NOT APPLICABLE TO
PERMITFINAL i i i"t�
CERTIRCATEOF
SIGNATURE:
OCCUPANCYISSUED