HomeMy WebLinkAboutF2018-0641 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
'x Permit Counter Phone (949)644-3288
Job Address: 4675 MACARTHUR CT NB St: 1 FI: 9
InspectorArea: FIRE
Owner: IRVINE CO
Address:. 550 NEWPORT CENTER DR
' NEWPORT BEACH, CA 92660
Phone:
Applicant: YAM MARK
Address: 392 N LEMAY CT
ORANGE CA 92867
Phone
Code Edit: 2016
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:
V -B -SPR
B
0
0
IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII II FIRE Permit: F2018-0641
Project No : 2824-2018
Inspection Requests Phone (949)644-3255
Description: COMM FIRE SPRINKLER TI (X2018-3646) 7 HEADS
Legal Description: P BK 196 PG 40 PAR 3
Contractor: FIRE PROT SPECIALISTS
Address:. .2810 E MIRALOMA AVE
ANAHEIM CA 92806
Phone: 714-635-6500
Con State Lie:
464915
Lie Expire:
10/31/2020
Bus Lie:
BT30042894
Lie Exp Date:
0613012019
Worker's Compensation Insurance
Carrier:
COMP WEST INS. CO.
Policy No:
WCV5502952
Expire:.
1 210 212 01 9
15 Issued Date: 0113012019
0 Setback- Front:
Rear:
Y Left:
Right:
Architect:
Address: NMI
--
Phone: State Lie:
Engineer:
Address:
Phone:
State Lie:
Designer:
ANDERSON ROBERT
Address:
2810 E MIRALOMA AVE
°
mo•m
Construction Valuation:
ANAHEIM CA 92806
• o o e
Phone:
oomoo
o °
0 0
mo••
0 0
o m
c00000
Special Conditions:
$0.00
Fire Residential Alarm PC Fee:
o
° $2.00
0• • e °
0
o e •
Planning Counter Review:
$0.00
0 ° ° ° o
oo'
Building Extention Fee:
$0.00
o °
0 0 0
0
°OBO
00 00
0 • s
m• •
0000
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE: SCJ
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
oo•••
FEES
°
mo•m
Construction Valuation:
$1,350.00
o •
oomoo
o °
o0000o
c �
Building PC Fee:
$0.00
Fire Residential Alarm PC Fee:
$0.00 Records Management:
° $2.00
0• • e °
Building Overtime PC Fee:
$0.00
Planning Counter Review:
$0.00
0 ° ° ° o
° • • • •
Building Extention Fee:
$0.00
Planning Zoning PC Fee:
$0.00
°OBO
Building Investigation Fee :
$0.00
$0.00
Fire Plan Check Fee:
$139.00
Public Works PC Fee:
$0.00
$0.00
.Fire Permit Fee :
$212.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$353.00
Plan Check Fee:
$139.00 Fee Due at Permit Issuance:
$214.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE: SCJ
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
f S
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 (_) all of or (_) 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
im roved 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 1 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 CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing ith Section 7000) of Division 3 of th Business and Profession 2Codand my license is in full force
and effect.
License Class License No at .7 CS f Contrac Signature k'
LIIORKERS' COMPENSATION DECLARATION
NARNING: 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 COMPEN§RRdt. IMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
•herebyaffirm urtd£l penalty of perjuryone of the following declarations:
I hav
• hate and vnli maintain acertificate 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
wforeiance of the work for which this permit is issued. Policy No.
Ae and 4ill rnVain 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
Rce carrier and policy number are:
IarrlEt • Policy Number Expiration Date
294Agent•
certify that, in the performance of the wp for which this permit is issued, I shall not employ any person in any manner so as to
if Cshould beComg subj9ct to the W&Y cypensation provisions of Section 3700 of the Labor Code, I shall forthwith comply
bject to the workers' compensation laws of California, and
provisions.
VnGf DING CONSTRUCTION LENDING AGENCY v `
rr eb4A it ilndarpenalty 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 Na a 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 applicabcity and county ordinances an stat laws relating to building construction.
I authorize representatives of thi�city or county to _ er a abipo-iderl0fiqlIl property for inspection purposes.
IjSignature of Property Owner or Aupflorikd Agent _'/ V /'Zai' ( Print Property Owner's or Authorized Agent'd Rave 8UL.SEKI TIe'// IIC'
II ACTION ' DAW
9 BY DECLARATION OFCOMPLIANCEWfFNCODE OF_ I FOR OFFICE USE ONLI
P€RMiTEXPIR€O
❑ I SUBM ITEDASBESTOS NO77FLCATIONTO:
❑ EPA
❑ AOND
PERMITCANCELLED
PERMIT€XT€NDED
❑ ASBESTOS NOTIFICATION/S NOT APPLICABLE TO
PERMITFINAL
PROPOSED DEMOLITION.
CERTIFfCAT€OF
SIGNATURE:
OCCUPANCYISSUED
0
w
0
Y
g
m
W
o
W —�
N
Nj
W
o
n
M.-.
(Np Z
Z
N
w
oz
oLU
c OLLI
=w
w
O
CL
L L a m
O
c
wLL
a
O
m 0 m= Z,�
O
O
w
3
C C
U
O~
W
w
=
rcm
m 7
N
z
LLI
W
o
o
<�
o
w a
> 5 > 0
U
O
W
❑O
w z
L
C O
O
(0 -o f0 N
CJ U
O O
W y a
LL
m
o
a�
.0
c
m w
O
v
� a°
�'
o a
IL Z W
o
r
W
wQ
� �
f0
°' y
C
m
w
.� o
O
G W
O
Z Q
H
m
z
W w
LLQ
N
w
07 ? O o
K 0
W
N
00
O°
y
O
O
o U` m C d
c
a d
J LL
W
Z
Q
m w
O
L 00
C.1
w
N N W
E rn
Ow a
Q
a W
Y
p Z
W
W
t
C O
O
Z N N
O W
V
0_
0_'
w
Y
(O w
p
_
Z
Z
p 0
K Op
o m
?i
- Z.
N
a F -
d(7
z
O
F
vfi�
��
a
zw
o=Y
$
Lo t
o
m
ai W
O
Q
U
w
C
K LL
w W
-
c�a
z
OW
Z
J
=
Z
-2
O
•d
❑❑
�`
w
w
z
a
W
0.
d'
U
:7
O
U
O
rc rc
0
�_
cq
O
d
Q
Q
W
3
N
L
K
L�
a
Y
Y
O
m O
v
3
IO
L
H N
Z zm
Z Q
N
d
(7
r 0
N oo
O
L .p
0)
W W Ow
H rc
p
w
Z
�
U,
v
C
C C
N
o
O W =o m
N
Ll
E
V1
y
O w�
w
0)
d C
U
W.
Z
L U
O
C
w
V W
w
O"
�. t6
N
p z a n
O
d
t
0
a
£
Y
N
\
�W
J
Ln In
N
L
N
F
z w
z r
U
C .r
N
C
-�Y
x x v
O a
2
Z W
U
e0
rn
o
a
o
d a
r�
oo
r
n �?
�� N
3� o ow Y
n
Q
LL
0
11 El
a..
O
O y
=
L
c-4
W
W
F
LL
O
-O
w 7
O
L
U
:J
O O W Q
O NUr
O Q
0)
(%j
LL
�-
zm
w
N Q'
C
•D
/�i
l�
W=
R' orc¢ N
Zi
W
m
_
fn U
N
oa
•C
N o
N
o
wm
Q N
l(1
W
K j
O
O
rc
a)
>
0w,
C- �%
L
(n
W N O a I O
K
Q
O
p
O
r0 -
F LL O No
O
W
H
N
O
Z
Z
r
Q Q
-�
9 U
U
LL
w
d
o
rL 3
C
`�
iy r Q
O Q F
\Q
/
~
~
~ f0
Q
Z Q
W
=
Z OW
U
W
W
W
Z
w
LL
O
O W E wrc O
N r
O
Z
g N W
Q
p
o
a
Cn0
o v
3
a
L)
m LL C7
~ °O n
w