HomeMy WebLinkAboutF2022-0287 - Permitstr City of Newport Beach - Building Division IIuI�IIIIIIIIIIIIIIIII'II�IIIIIIIIIIIIIIII II FIRE Permit: F2022-0287
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 2 8 7
Permit Counter Phone (949)644-3288 PfOJBCt NO : 1461-2022
s
Inspection Requests Phone (949)644-3255
Job Address: 2001 WESTCLIFF DR NB St: 1 FI: 3 Unit: 301 Description: COMM FIRE SPRINKLER TI - 21 HEADS (X2022-0825)
Inspector Area: FIRE
Legal Description:
Owner: HANKEY INVESTMENT CO
Contractor:
MORENO FIRE PROT CO
Architect:
Address: 2001 WESTCLIFF DR
Address:
4381 KANSAS AVE
Address:
NEWPORT BEACH CA 92660
RIVERSIDE CA 92507
Phone:
Phone:
951-261-2069
Phone:
State Lie:
Applicant: MORENO ISRAEL
Con State Lie:
965640
Engineer:
Address: 4381 KANSAS AV
Lie Expire:
0413012024
Address:
RIVERSIDE CA 92507
Bus Lie:
BT30078945
Phone: 951-261-2069
Lie Exp Date:
06/3012023
Phone:
State Lie:
Code Edit : 2019
Workers Compensation
Insurance
Designer:
HUANG LILI
Type of Construction: V-BSPR
Carrier:
STATE COMP INS
Address:
4381 KANSAS AV
Occupancy Group: B
Policy No:
9074262
RIVERSIDE CA 92507
Added /New sq.ft. Bldg: 0
Expire:
10/01/2022
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 3
Issued Date: 06108/2022
Special Conditions:
}
No of Units : 0
Setback- Front:
Flood Zone: X
Rear:
Bldg Sprinklers: Y
Left:
Right:
S I �" 4r 9�
� as
FEES
Construction Valuation: $8,500.00
Building PC Fee:
$0.00
Fire Residential Alarm PC Fee : $0.00
Records Management:
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
Fire Plan Check Fee:
$162.00
Public Works PC Fee :
$0.00
Fire Permit Fee :
$250.25
Public Works Traffic Plan Check Fee; $0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$414.25
Plan Check Fee :
$162.00 Fee Due at Permit Issuance
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PROCESSED BY: �A
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ZONING APPROVAL:
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FIRE APPROVAL: - �J�1L.�
APPROVAL TO ISSUE:
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PERMIT EXPIRES 180 DAYS AFTER ISSUANCE DR•LA&T-VALID INaPECrTION..
$2.00
$0.00
$0.00
$252.25
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
is 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).
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 Iicensure 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 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 and Professions Code, and my license is in full force
nd effect. �/
icense Class License No Date A,► 1O — e/,,C/�-Z—Contractor Signaturew��—;We�
COMPENSATION DECLARATION
'ARNING: 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
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:
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 thI
Prformance 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:
Policy Number
of Agent
Date
certify that, in the performance of the work for which 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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.. may,
Iature of ApplicantZl::__ Y// - i ��1 Date l/ U/ 0
hereby 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).
Ender's Name Lender's Address
ly 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.
I authorize representatives of this city or county to e t r the aalovve-identifed property for inspection purposes.
signature of Property Owner or Authorized Agentr Print Property Owner's or Authorized Agent's Namefl/����
AC77ON
DATE
BY
DECLARATION OF COMPLIANCE N7TH CODE OF
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