HomeMy WebLinkAboutF2021-0315 - Permits0City of Newport Beach - Building Division *F2021-0315* FIRE Permit: F2021-0315
e d 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1691-2021
?._ h; Permit Counter Phone (949)644-3288
�"�ierq,a* Inspection Requests Phone (949)644-3255
Job Address: 550 NEWPORT CENTER DR NB St: 1 FI: 4 Unit: 400
Description: COMM FIRE ALARMS 3 DEVICES (X2021-1536)
Inspector Area: FIRE
Legal Description:
IRVINE SUB LOT ELK 93 FOR OF ELK
Owner: IRVINE COMPANY
Address: 111 INNOVATION DR
Contractor:
Address:
BUILDING ELECTRONIC CONTROLS
2246 LINDSAY WAY
Architect:
Address:
`
IRVINE CA 92617
GLENDORA CA 91740
b f
Phone:
Phone:
909-305-1600
Phone:
State Lic
Applicant: TAYLOR RICK
Con State Lic:
729905
Engineer:
me e
Address: 2246LINDSAY WAY
Lic Expire:
11/30/2022
Address:
GLENDORA, CA 91940
Bus Lic:
BT97025666
Phone: 909-305.1600
Lic Exp Date:
10/31/2021
Phone:
State Lic:
to °
mccm.
Code Edit: 2019
Worker's Compensation
Insurance
Designer:
TAYLOR RICK
+mote
oo.O
Type of Construction: I -A -SPR
Carrier:
ZURICH AMERICAN
Address:
2246 LINDSAY WAY
®
oo 0
o m m
Occupancy Group: B
Policy No:
WC302961001
GLENDORA, CA 91940
Added /New sq.ft. Bldg: 0
Expire:
04/01/2022
Phone:
° lot.
Added /New sq. ft. Garage: 0
°
No of Stories: 9
Issued Date: 08/04/2021
Special Conditions:
No of Units : 0
Setback- Front:
°
Flood Zone:
Rear:
Bldg Sprinklers: N
Left:
Right:
FEES
Construction Valuation:
$651.00
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:
$170.75
Public Works PC Fee: $0.00
$0.00
Fire Permit Fee :
$242.75
Public Works Traffic Plan Check Fee; $0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$419.50
Plan Check Fee : $177.50
Fee Due at Permit Issuance :
$242.00
PROCESSED BY:
OTHER DEPARTMENT:
ZONING APPROVAL:
PLAN CHECKED BY::
FIRE APPROVAL:
_. _.
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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 ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt fr®mdicensure under the Contractors' State License Law for the following reason:
By my signature t"qA Packnowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal)
%%jl.a•sjQJcture thpt 1,Vve built as an owner-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code i sawilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm].
Signature of Property owner or Authorized Agent Date
I:IC$f•1SED CONTRACTOR'S DECLARATION
I hgrebv affirm L`rtl of perjury that I am licensed under provisions of Chapter 9 (commencing vith Section 7000) of Division 3 of the Businessxnl Professions Co,5 d �Iicense ull force
Indleeff�tt. •..•
License Class +••• License No Date2,1 Contractor Signatur
VypffiLRS' COMPENSATION DECLARATION
WARNING: FAILURE TOESECURWORKERS' 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
(:D%: UP 0OMPENSAJION.VMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
111hereby"affirm IBVV1•pQjialty 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 the
per%nmance of the w•ora for which this permit is issued. Policy No.
and will maintain 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'
-carrier and policy number are:
Policy Number
of Agent
Date
I certify that, in the performance of the work for which thA 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
It, if I should becq`[nV� subject to the workers' co sa�iyn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those,,,ppprov ions.. `tet �l
(nature of Applica ` 0 ll�-L Daty t2�1 U
!CLARATION REG RDI COt STRUCTION LENDING AGE Y
ereby 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 and state laws relating to building construction. �1 /
I authorize representatives of this city or county t41eylter the above de t�lpd 8rigp?rty for inspection purposes. \ _t - 11 `Tn , i.� A 4 TMJ
Name
ACTION DATE BY
DECLARATION OF COMPLIANCE INITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONSPART 61 OF TITLE40 AND
AQMD RULE 1403.
PERMITEXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:.
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIRCAATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAL
CERTIFICATEOF
SIGNATURE.,
OCCUPANCYISSU€D