HomeMy WebLinkAboutF2021-0251 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
*F2021-0251* FIRE Permit: F2021-0251
Project No: 1398-2021
1 ME Inspection Requests Phone (949)644-3255
Job Address: 840 NEWPORT CENTER DR NB St: 1 FI: 4 Unit: 480 Description: COMM - TI FIRE SPRINKELRS (16) "FLEX WORKSPACE" X2021-1591
Inspector Area: FIRE Legal Description: P BK 136 PG 22 PAR 1
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 Lic:
Applicant: YAM MARK
Con State Lic:
464915
Engineer:
Address: 392 N LEMAY CT
Lic Expire:
10131/2022
Address:
ORANGE CA 92867
Bus Lic:
BT30042894
Phone: 6261767-2320
Lic Exp Date:
05/31/2022
Phone:
State Lic:
Code Edit: 2019
Worker's Compensation Insurance
Designer:
ANDERSON ROBERT
Type of Construction: I-A-SPR
Carrier:
COMP WEST INS. CO.
Address:
2810 E MIRALOMA AVE
Occupancy Group: B
Policy No:
WCV5502952
ANAHEIM, CA 92806
Added /New sq.ft. Bldg: 0
Expire:
12102/2021
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 7
Issued Date: 09/30/2021
Special Conditions:
No of Units : 0
Setback- Front:
Flood Zone:
Rear:
Bldg Sprinklers: N
Left:
Right:
Construction Valuation
Building PC Fee:
Building Overtime PC Fee
Building Extention Fee :
Building Investigation Fee
Fire Plan Check Fee:
Fire Permit Fee :
Building Permit Fee
TOTALFEE
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
$1,800.00
FEES
$0.00
Fire Residential Alarm PC Fee:
$0.00 Records Management
$0.00
Planning Counter Review:
$0.00
$0.00
Planning Zoning PC Fee :
$0.00
$0.00
$152.00
Public Works PC Fee:
$0.00
$234.00
Public Works Traffic Plan Check Fee;
$0.00
$0.00
$388.00
Plan Check Fee :
$149.00 Fee Due at Permit Issuance
OTHER DEPARTMENT:
PLAN CHECKED BY:: �, '�
A APPROVAL TO ISSUE: ��i/0==,
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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$239.00
)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
he 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
iot more than five hundred dollars ($500).
1, 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,
3usiness 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
mprovements 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
mproved 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
rpply 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 from Hcensure under the Contractors' State License Law for the following reason:
3y 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
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 CocV %*dt/ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/ca[aw.html.
�Ignatur; of Propi Owner or Authorized Agent Date
,IC"ED CQNTRA�CTOR'S DECLARATION
hereb affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing wi Section 7000) of Division 3 of the Business a d Pr on Code and n yr ense is in full force
rndeffeat.
1cenSl? Class __ _ License No Dat Z Contractor Signatur
IfbRKraRS' C$IVIPETISATION DECLARATION
OARNIIM: FAILURE'rj1,WCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 0 F.HU NORED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
A6V OIFCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
-heFaby affirm under penalty of perjury one of the following declarations:
%:e and wyl 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
12 �rm2nce of the�vrort for which this permit is issued. Policy No.
Eve and wi16maintain 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
1 Ace carrier 2fl(TpQlicy number are:
me of Agent
I certify that, in the performance of the work
It, if I should become ubjecMi lWe workers,
mature ofAoolicant.V1 ) - 1/
Policy Number
Date
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thosq provisions. ` I
hereby affirm under penaiyaf perjury that there is a construction lending agency for the performance of the work for which this permit is
ender's Name Lender's Address
Iy 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 count orcji ces and at I s relating to building construction.
I authorize representatives of this city or countyjo/ntQr abovq-id ntifi0 prrherty for inspection purposes.
of Property Owner or
- Print Property Owner's or Authorized
, Civil Code).
Date
ACTION
DATE
BY
DECLARATION OF COMPLIANCE MTN CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONSPART 61 OF TIRE 40 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMIT EXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
i2O
CERTIFICATEOF
OCCUPANCYISSUED
SIGNATURE: