HomeMy WebLinkAboutF2021-0238 - Permits0wrr City of Newport Beach - Building Division ������������������������������������������������������������ FIRE Permit: F2021-0238
3` h 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1353-2021
`; Permit Counter Phone (949)644-3288
'�:�azrr;a+``' Inspection Requests Phone (949)644-3255
Job Address: 550 NEWPORT CENTER DR NB St: 1 FI: 4 Unit: 400
Description: COMM TI FIRE SPRINKLERS.RT HEAD X2021-1538) °�
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Inspector Area: FIRE
Legal Description:
IRVINE SUB LOT BILK 93 FOR OF BILK
Owner: IRVINE COMPANY
Contractor:
FIRE PROT SPECIALISTS
Architect:
Address: 111 INNOVATION DR
Address:
2810 E MIRALOMA AVE
Address:
IRVINE CA 92617
ANAHEIM CA 92806
Phone:
Phone:
714-635-6500
Phone:
State Lie:
Applicant: YAM JUDY
Con State Lie:
464915
Engineer:
... e
Address: 392 N LEMAY CT
Lie Expire:
10131/2022
Address:
ORANGE CA 92867
Bus Lie:
BT30042894
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Phone: 6261757-2320
Lie Exp Date:
05/31/2022
Phone:
State Lie:
Code Edit : 2019
Worker's Compensation Insurance
Designer:
ANDERSON ROBERT
o c
Type of Construction: I -A -SPR
Carrier:
COMP WEST INS. CO.
Address:
2810 E MIRALOMA AVE
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em c
Occupancy Group: B
Policy No:
WCV5502952
ANAHEIM CA 92806
Added/New sq.ft. Bldg: 0
Expire:
12/02/2021
Phone:
714-635-6500
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Added/New sq. ft. Garage: 0
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No of Stories: 9
Issued Date: 07/19/2021 Special Conditions:
No of Units : 0
Setback- Front:
Flood Zone: X
Rear:
Bldg Sprinklers: Y
Left:
Right:
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0
FEES
Construction Valuation:
$1,050.00
Building PC Fee a
$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:
$124.00
Public Works PC Fee: $0.00
$0.00
Fire Permit Fee :
$188.50
Public Works Traffic Plan Check Fee; $0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$314.50
Plan Check Fee: $121.00
Fee Due at Permit Issuance :
$193.50
PROCESSED BY:
OTHER DEPARTMENT:
ZONING APPROVAL:
PLAN CHECKED BY::
FIRE APPROVAL:
APPROVAL TO ISSUE:
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
Irofessions 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do U 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
ppiy 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).
7 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 legally
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.html.
signature of Proegrjy.Owner or Authorized Agent Date
.ICENSED OONIRACTOR'S DECLARATION
hereby affirm unser penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof ions Cd , and 'cense is in full force
jcen%e Class • • License No Date 1� Contractor Signature J
I/OR,KERS' COMPENSATION DECLARATION
kRNIJG: FAILUV.* p$E�URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USAND DOLLARS ($700,000), IN ADDITION TO THE
09T OF OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
heregy affirm ulader penalty of perjury one of the following declarations:
XI'VoAe and e411 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 the
9t nce of th0 work for which this permit is issued. Policy No.
ave and win naalritain 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' compensatior
raDGe carrierodhd policy number are:
Ie of Agent
certify that, in the performance ,f the work
if I should become subjec,V6 w rkers'
iature of ADDIICant
Policy Number
is issued, I shall not employ any person in any manner so as to become subject to theworkers' compensation laws of California, and
ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio4l 1q1�'
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hereby affirm under penalty of perj ry fhat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ender's Name Lender's Address
y 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 st laws lating to building construction.
I authorize representatives of this city or county to ente ab a -id ntifi d pr rty for inspection purposes./-�
lanature of Propertv Owner or Authorized Agent __- Print Property Owner's or Authorized Agent's Name 90 Inn A I
ACTION I DATE
■I-1.1&12"% • ■
CER77FICATEOF
OCCUPANCYISSUED
T17LE40AND
❑ I SUBMITTEDASBESTOS NORFICATION'TO:
❑ EPA
❑ AQMD
El ASBESTOS M011ACA77ON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE: