HomeMy WebLinkAboutf2022-0099 - Permits,w1ry� City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v:
�'Sy385AS'-�Y�
Job Address: 610 NEWPORT CENTER DR NB St: 1 FI: 7
Inspector Area: FIRE
Owner: 610 NEWPORT CENTER DR LLC
Address: PO BOX 2450
NEWPORT BEACH, CA 92658
Phone:
Applicant: YAM MARK
Address: 392 N LE MAY CT
ORANGE CA 92867
Phone: 949-757-2320
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:
16
No of Units :
0
Flood Zone:
X
Bldg Sprinklers:
Y
*F2022-0099*
FIRE Permit: F2022-0099
Project No : 0534-2022
Inspection Requests Phone (949)644-3255
bbLa a-
GD�fta�Y Description: COMM FIRE ALARM (18) DEVICES (X2022-0596)
Legal Description:
P BK 295 PG 33 PAR 4
Contractor:
ESPLANADE BUILDERS INC
Address:
23820 HAWTHORNE BLVD
TORRANCE CA 90505
Phone:
310-783-7664
Con State Lie:
831964
Lie Expire:
02/28/2024
Bus Lie:
BT30045862
Lie Exp Date:
01131/2023
Worker's Compensation
Insurance
Carrier:
ZURICH AMERICAN
Policy No:
WC380467003
Expire:
01/01/2023
Issued Date: 06/1612022
Setback- Front:
Rear:
Left:
Right:
Architect:
Address:
Phone: State Lie
Engineer:
Address:
Phone: State Lie:
Designer: TAYLOR RICK
Address: 2246 LINDSAY WAY
GLENDORA CA 91940
Phone: 909-305-1600
Special Conditions:
mono
m
mmom
Doom
°
�mmm
o a m
m
°mm°
•
ommmmm
•
o m
Doom
°° m
m m m
moo°°
•
mmcom
00 °
ammamm
0 0
• m o
°°
omeow
FEES
Construction Valuation:
$6,620.00
Building PC Fee :
$0.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$4.00
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:
$204.50
Public Works PC Fee :
$0.00
$0.00
Fire Permit Fee :
$291.50
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$500.00
Plan Check Fee:
$204.50 Fee Due at Permit Issuance :
$295.50
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
ILDER 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 U 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%p,, pat'ntended 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 th e.p�ureose of sale).
ET I as ownetof'tbp aroperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
VplyQo 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).
❑r tam exempsfrom jjcensure under the Contractors' State License Law for the following reason:
By mKsignaturebel"l 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 Iegall
pelf j 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 Coj19;it%Wailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signsfuse of Pmper6.Owner or Authorized Agent Date
LiCERSED CONTRACTOR'S DECLARATION
:Re}56)ZafFrm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ofessions Cod , a my lic nse ism full force
and effdbt. „ ,
LieenseClass - - License No Date Contractor Signature
VIIE)R4RS' Ct�Iy 'ENSATION DECLARATION
WARNING: FAILURE TO SECURE 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty 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
ormance of the work for which this permit is issued. Policy No.
have 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' compensatior
n Urance carrier and policy number are:
Trier Policy Number Expiration Date
Name of Agent Phone #
❑I certify that, in the perfo once of the wo hich 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 agrer
that, if I should becomes ac to the worker c 1m'q�fpe�n/s1a),ti provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio
Signature of Applicant X DO I p /v.'L " i l 'V� ji1 �1 A Date ()—
I hereby affirm under pen Ity 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).
Lender's Name Lender's Address
By 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 e provided " orr ct.
I agree to comply with all applicable city and cou ordinances an s ate laws relating to building construction.
I authorize representatives of this city or county enter the ab vs- 'tified ropey for inspection purposes. - /L
Signature of Property Owner or Authorized Agen r t�J Print Property Owner's or Authorized Agent's Name >_ Date -� l
ACTION
DATE
U BY
DECLARATION •' OF COMPLIANCEMTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 610E TITLE40AUD
AQMD RULE 1403.
❑ ISUBWTTEDASEESTOSNOTIFICATIONTO:
❑ EPA
❑ AQMO
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTEND€D
❑ ASBESTOS NO nFICA nON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSU€O