HomeMy WebLinkAboutf2021-0447 - Permitsxt City of Newport Beach - Building Division IIII�IIIIIIIIIIIIIIIII�IIIIIIIIIIII II FIRE Permit: F2021-0447
r. 100 Ci3v. "enter Drive, Newport Beach, CA 92660 F 2 0 2 1 0 4 4 7
Permit Counter Phone (949)644-3288 Project NO : 2233-2021
( S Ill ro vi kR) Inspection Requests Phone (949)644-3255
�k Pp�-- �FlC �7,6 Lbw
/ r
Job Address: 900 NEWPORT CENTER DR NB ( tD f�j,[)Q i2 S Description: COMM FIRE SPRINKLER TI TO REPLACE 591, RELOCATE 65, 21 NEW {-\C h S `i-.
Inspector Area: FIRE
Owner: NEWPORT CENTER HOTEL LLC
Address: 1400 NEWPORT CENTER DR #230
NEWPORT BEACH CA 92660
Phone:
Applicant:
SEYED I ADT COMMCERICAL
Address:
210 W BAYWOOD AVE
ORANGE, CA 92865
Phone:
714-685-8133
Code Edit : 2019
Type of Construction: V-BSPR
Occupancy Group: a
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 16
No of Units : 0
Flood Zone:
Bldg Sprinklers: Y
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:
$153,621.00
.A
Legal Description:
P BK 75 PG 33 PAR 1
Contractor:
A D T COMMERCIAL LLC
Address:
PO BOX 310702
BOCA RATON, FL 33431
Phone:
714-685-8120
Con State Lic: 1065604
Lic Expire: 05131/2022
Bus Lic:
BT30041281
Lic Exp Date:
07131/2022
Worker's Compensation Insurance-`
Carrier:
OLD REPUBLIC INSURANCE
Policy No:
MWC31431720
Expire:
10101/2022
Issued Date:
03/16/2022
Setback- Front:
Rear:
Left:
Right:
$0.00
$0.00
$0.00
$0.00
$1,474.00
$2,382.25
$0.00
$3,864.25
FEES
Fire Residential Alarm PC Fee
Planning Counter Review:
Planning Zoning PC Fee :
Public Works PC Fee :
Public Works Traffic Plan Check Fee;
Plan Check Fee :
Architect:
Address:
Phone: State Lic:
Engineer:
Address:
Phone: State Lic:
Designer:
Address:
Phone:
Special Conditions:
$0.00 _ r Records Management: $8.00
$0.00
$0.00
. ,_... $0.00
$0.00 - $0.00
$0.00
$1,474.00 Fee Due at Permit Issuance : $2,390.25
•••
OTHER DEPraRTMENT:a
• • o
0 0
`„` 0,PLANCJl`ECt4VD BY;,-,,
APPROVAL TO ISSUE:
•• • •
o •o 'o <0 3
o
PERMIT EXPIRES 180 DAYS AFTER ISa^U;NCE'•O1' L'ASa7-VALID INSr'ECTION
B• ... N 6 b0 9B —.
IWNER-BUILDER DECLARATION f 4 s
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 applicabe ltem(s)
3ection 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, a€so requires the applicanffor
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).
1 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,
',usiness 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).
1 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
y 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.htmi.
ignature 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 an Prof sions Code, and my license is in full force
nd effect. r���
icense Class License No Date I Contractor Signa�Ir�
PORKERS' COMPENSATION DECLARATION y\�5
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON HUNDRED THOUSANb DOLLARS ($100,000), IN ADDmON TO THE
DST OF COMPENSATION, 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:
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,
a00 ance of the work 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:
ie of Agent
certify that, in the performance of the
if I should become ubject to the wp
Iature of Applicant
Policy Number Expiration Date
this p mit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
ours -- Sestior.1, — of the Labor Code, I shall forthwith comply with those provisions.
areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued
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 tate s relating to building construction.
I authorize representatives of this city or county;o enter the v - d ,95M for inspection purposes.
of
Print Property Owner's
3097, Civil Code).
S%:Yt=J SgeaLls 14- (A I'V W
ACTION
OATE
DECLARATION OF COMPLIANCE YYITH CODE OF
FOR OFFICE USE ONLY
•
• Fp RALVEG 1ONSPARTb'F OF TITLE40AND
RUCCI
_
PERMIT EXPIRED
•
EI)
CI. 1 SUSrMf�fEp 4SBESTDS NOITPIGARON TO:.
M
• �❑ EPA
❑ AOMD
.
PERMIT C4.NCELLED
• " •
PERMITEXTENDED
❑ ASBESTOS NOTfACATION IS NOT APPLICABLE TO
•FRM .PWUDZIRQLITfON.
• • ' •
afG4AZUPXt
PERMIT FINAL
KA (� • • •
CERTFFICATEOF
•
s •�
OCCUPANCYISSUED
•.s sa
• • e