HomeMy WebLinkAboutF2022-0284 - PermitswtYt City of Newport Beach - Building Division *F2022-0284*
rG 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 2001 WESTCLIFF DR NB St: 1 FI: 1 Unit: 102
Inspector Area: FIRE
Owner:
HANKEYINVESTMENTS
Address:
4751 WILSHIRE BLVD, #110
LOS ANGELES, CA 90010
Phone:
323-692-4022
Applicant:
FIRE SPRINKLER INSTALLERS/ADAN
Address:
649 E EDNA PLACE
COVINA CA 91723
Phone:
626-858-1823
Code Edit : 2019
Type of Construction:
V-B-SPR
Occupancy Group:
M
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
3
No of Units :
0
Flood Zone:
X
Bldg Sprinklers:
Y
Construction Valuation: $6,700.00
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:
FIRE Permit: F2022-0284
Project No : 1438-2022
Inspection Requests Phone (949)644-3255
Description: COMM FIRE SPRINKLER SYSTEM W/ (14) HEADS FOR "SALT & STRAW"
Legal Description:
Contractor:
FIRE SPRINKLER INSTALLERS
Address:
649 E EDNA PLACE
COVINA CA 91723
Phone:
626-858-1823
Con State Lic:
834729
Lic Expire:
03131/2024
Bus Lic:
BT300i:26e6 78912
Lic Exp Date:
0WTt1202T G/G/ZOZ3
Worker's Compensation Insurance
Carrier:
STATE NATIONAL
Policy No:
AMW0300166003
Expire:
04/01/2022
Issued Date: 06106/2022
Setback- Front:
Rear:
Left:
Right:
$0.00
$0.00
$0.00
$0.00
$148.00
$227.50
$0.00
$379.50
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:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
$0.00
$0.00
$0.00
$0.00
$0.00
1N cqs 7 ......
°°°•
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• •
State Lic:
°
••••
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°000
State Lic:
•e °
FIRE SPRINKLER INSTALLERS
649 E EDNA PL
COVINA, CA 91723 : °°•'
626-858-1823 ••
• ••
Records Management
$0.00 Fee Due at Permit Issuance :
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
$4.00
$0.00
$0.00
$379.50
•
000°•�
•
)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
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 ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
Ipply to an owne$ atWoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
1 am exemptfl "Iicensure under the Contractors' State License Law for the following reason:
3y#m4gnature 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 st}ucturejhal I pave 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
ngfesSjons Code`is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
iigneture of Property Owner or Authorized Agent Date
ICENSED CAA-MACTOR'S DECLARATION
hereby affirm uRr3 *penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ProfessiAns Code, and my license is in full force
Wd *: y ��l �9
1 ensa Class .4�'� License No ✓ L7% Date x �" ZZ Contractor Signature X �L
VQjj}LERS' COMPENSATION DECLARATION
JARNINJ: FAILUREPro SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
:DST OF COMPEr1$I bN,:)AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under Wnalty 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 IN
la rmance of the work for which this permit is issued. Policy No.
I 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
nsurance carrier and policy. number are: may- �v 0lfly
;arrier 44—a.-t'2. u '-"�"`b"14� L tAe, Policy Number !'f w Expiration Date l L
fame of Agent ) c vti'2 Fo 1ce✓L Phone #y
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.
of Applicant
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
y my signature below, I certify to each of the following:
1 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 nter t e above -identified
property for inspection purposes. // +�I
t"'r'ta�-('{otwL"�'J Date
ignature of Property Owner or Authorized Agent�1
Print Property Owners or Authorized Agent's Name /�
�+
FOR OFFICE USE ONLY
ACTION
DATE
BY
DECLARATION OF COMPLIANCE VATN CODE OF
FEDERAL REGULATIONS PART 01 OF TITLE40 AND
AQMDRULE 1401
❑ I SUBMITTED ASBESTOS N071FICATIONTO:
❑ EPA
ElAQMD
❑ ASBESTOS NO nFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION:
PERMIFEXPtRED
PERMIT CANCELLED
PERMfT.EXTEM1IOE/J
PERMIT FINAL
' -�
OCCUPANCYISSUED
SIGNATURE: