The URL can be used to link to this page

Home My WebLink AboutF2022-0265 - Permits94 � s;=�� City of Newport Beach -Building Division 1111111111111111111111111111111111111111111111111111 Jill FIRE Permit: F2022-0265 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 2 6 5 Project No : 1348-2022 S'.. r Permit Counter Phone (949)644-3288 r'atrd7n`x Inspection Requests Phone (949)644-3255 U12F6,NNUE7 Job Address: 1220 BISON AVE NB St: A FI: 1 Unit: A-7 Description: COMM FIRE SPRINKLER (37) HEADS (X2021-3292) Inspector Area: FIRE Legal Description: N TR 12309 LOT 6 Owner: IRVINE CO/MCKENNA ELIZABETH Contractor: BOB'S FIRE PROTECTION SERVICES Architect: Address: 110 INNOVATION DR Address: 10136 LANGMUIR AVENUE Address: IRVINE, CA 92617 SUNLAND CA 91040 Phone: 949-720-3156 Phone: 818-388-7737 Phone: State Lic: Applicant: SIWAJIAN ROBERT Con State Lie: 512804 Engineer: Address: 10136 LANGMUIR AVE Lie Expire: 06/30/2023 Address: SUNLAND CA 91040 Bus Lie: BT30078823 Phone: 818-388-7737 Lie Exp Date: 05/31/2023 Phone: State Lie, Code Edit: 2019 Worker's Compensation Insurance Designer: SIWAJIAN ROBERT Type of Construction: V-B-SPR Carrier: STATE FUND Address: 10136 LANGMUIR AVE Occupancy Group: B Policy No: 9098221 SUNLAND CA 91040 Added /New sq.ft. Bldg: 0 Expire: 05102/2023 Phone: 818-388-7737 Added /New sq. ft. Garage: 0 ____��--T-\—^•- - No of Stories: 1 Issued Date: 05/24/2022 Special Conditions: L No of Units : _ 0 Setback- Front: kN Flood Zone: X Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $4,000.00 Building PC Fee : $222.00 Fire Residential Alarm PC Fee : $0.00 Records Management : $2.00 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: $0.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee: $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $269.00 TOTAL FEE : $493.00 Plan Check Fee : $222.00 Fee Due at Permit Issuance : $271.00 PROCESSED BY: OTHER DERART°M ENT - ZONING APPROVAL: PLAN CHZG*[° Y::` 0 FIRE APPROVAL: i APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID IN�FECT'ON-� a a o a9i °GG Ji "J r� Wvq� j��9 Irl 0 0 :33 OWNER -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 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 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 improved 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 apply 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legall) 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 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 LICENSED CONTRACTOR'S DECLARATION I 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 and effect. License Class License No Date Contractor SignatuW)C WORKERS' COMPENSATION 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 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 pert ante 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' compensatiol surance carrieC2rfd'olicy number awl _ Date of Agent 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 provisj n/ nature of Applicant uate f CLARATION REG DI G CONSTRUCTION LENDING AGENCY ereby 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). 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 owners 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 coun to nter the above -identified property for inspection purposes. \ ) nature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name X ACTION DATE BY DECLARATION OF COMPLIANCE MTN CODE OF FOR OFFICE USE ONLY ••+ ++. FEDERAL REGULATIONS PART 51 OF T177 E40 AND • • • • ¢LIMD RULE 9403. • • • • • PERMIT EXPIRED • , .. ISUBMITLEDASBESTOSNOTIFICATION TO: ElEPA • • ❑ AOMD' PERMITCANCELLED PERA41TEXTEPIDED ❑ ASBESTOS NOTIFICATIONIS NOTAPPLICABL€TO PROPOSED DEMOLITION, PERMIT FINAL • CER77FICATEO€ • 6 + e + s e •• SIGNATURE. OCCUPANCYISSUED •• e m e e o