HomeMy WebLinkAboutF2021-0306 - PermitsvarrFWT City of Newpoft Beach - Building Division II�II IIII IIII II III II IIIII I IIIII II
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone(949)644-3288
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Job Address: 3443 PACIFIC VIEW DR NB * 6
Inspector Area: FIRE
Owner:
HARBOR DAY SCHOOL
Address:
3443 PACIFIC VIEW OR
CORONA DEL MAR, CA
Phone:
Applicant:
HOLLAND AARON
Address:
4100 GARNER RD
RIVERSIDE, CA 92501
Phone:
909-888-8696
Code Edit: 2019
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added/New sq. ft. Garage:
No of Stories:
No of Units
Flood Zone:
Bldg Sprinklers:
II-B-SPR
A
0
0
FIRE Permit: F2021-0306
Project No : 1657-2021
Inspection Requests Phone (949)644-3255
Description: COMM FIRE SPRINKLER PIPING SYSTEM (X2021-1578)
Legal Description: IRVINE SUB LOT 463 BILK 96 POR OF LOT
Contractor: DAART ENGINEERING COMPANY INC
Address: 1598 NORTH H STREET
SAN BERNARDINO CA 43201
Phone
Con State Lic: 372946
Lic Expire: 04/30/2023
Bus Lic:
BT30073807
Lic Exp Date:
12/3112021
Worker's Compensation Insurance
Carrier:
EVEREST
Policy No:
5300000939211
Expire:
01/01/2022
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
2 Issued Date: 0911612021 Special Conditions:
0 Setback- Front:
X Rear:
Y Left:
Right:
CC
State Lic:
State Lic: ,�*�
DAART ENGINEERING COMPANY IN
1598 NORTH H STREET
SAN BERNADINO, CA 43201
7
FEES
Construction Valuation:
$317,000.00
Building PC Fee :
$0.00
Fire Residential Alarm PC Fee:
$0.00 Records Management:
$10.00
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:
$160.00
Public Works PC Fee :
$0.00
$0.00
Fire Permit as :
$233.00
Public Works Traffic Plan Check Fee:
$0.00
Building Permit as :
$0.00
TOTAL FEE :
$403.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$403.00
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: qqpp PLAN CHECKED BY:: ,'g.1��i
FIRE APPROVAL :N•� APPROVAL TO ISSUE: 1 1 l
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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 items)
(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 (_) all of or L) 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).
❑ 1, 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 Iicensure 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 legally
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.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CvKTRACTOR'S DECLARATION
I hereby affim. 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 rise Clffect. % ZDyi
License Class 1�_ License No Date Contractor Signature �� f
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO PECURE 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 COMF£:J�F.TZA, 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:
Zn7�7-�I have ar`'�d 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 Cade, for the
7 , rmance of the work for which this permit is issued. Policy No.
❑y n- ve and vill ozintain 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' compensation
rhsurance cairier ano policy number are:
Policy Number Expiration Date
ie of Agent Phone #
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; gompensation proyisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
:reby 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 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 enteI;-the aljove-idpntifigd groVrty for inspection purposes.
IlSignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name / 4nwAv GKGfi i &6?0l*Dq Date ° K/lblC09111
ACTION
DATE
BY
DECLARATION OF COMPLIANCE MTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ ]SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
_
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
a-
tPiL
CERTIFICATE O F
OCCUPANCYISSUED
SIGNATURE: