HomeMy WebLinkAboutF2018-0556 - Permits�Aslooer , _City of Newport Beach - Building Division100 IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIII II
Civic unter PCenter hone (949)644-3288rive, Newport B h,A 92660. F 2 0 1 8 0 5 5 6
Permit
Job Address: 205 PEARL AVE NB
Inspector Area: 2. -
Owner: TJC OPPORUNITY FUND II LP
Address: 205 PEARL AVE
NEWPORT BEACH, CA 92662
Phone:
Applicapt. MAJESTIC -FIRE PROTECTION
Addrass: . 48041-A1UREL CANYON BLVD #757
...... VALLEY VILLAGE, CA 91607
Phofpe:a , 2134P2E6796 -
CodecEd!t<. 2016 °
TYp6Dt P9i7structigw gym. V -B -SPR
Occpparlc,y Group:< ° . ". R31U
Added dNew sq.ft. Bldg:. G 0 -
Added /New sq. ft. `QaMft 0
No k f StErigs: ° 2
No oi°Units : 0
-
Flood Zone,. .....
Bldg Sprinklers: ° ° Y
c
UGOUOp
O O
FIRE Permit: F2018-0556
Project No : 2413-2018
Inspection Requests Phone (949)644-3255
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY:;
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
ti
Construction Valuation:
Description: SFR FIRE SPRINKLERS (X2016-4276152 HEADS,
Legal Description:
BALBOA ISLAND RESUB SEC 1 BLK 6 LOT 19
$202.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
Contractor:
MAJESTIC FIRE PROTECTION
Architect:
Planning Counter Review:
$0.00
Address:
4804 LAUREL CANYON BLVD #757.
Address:
Planning Zoning PC Fee :
$0.00
-
VALLEY VILLAGE, CA 91607
$0.00
Phone:
213-422-6716
Phone:
State Lic:
$0.00
Con State Lic:
1027571
Engineer:
Public Works Traffic Plan Check Fee;
$0.00
Lic Expire:
06130/2019
Address:
Bus Lic:
BT30056513
$448.00
Plan Check Fee :
$448.00 Fee Due at Permit Issuance :
Lic Exp Date:
09130/2019
Phone:
State Lic:
Worker's Compensation Insurance
Designer:
PEDERSON BURTON
Carrier:
STATE FUND
Address:
4804 LAUREL CANYON BLVD #757
Policy No:
9103983
VALLEY VILLAGE CA 91607
Expire:
06/25/2019
Phone:
Issued Date: 10/11/2018 Special Conditions:
Setback-. Front:
Rear.
Left:
i - ✓ -
h,
Right
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY:;
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Construction Valuation:
$5,000.00
Building PC Fee:
$202.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$6.00
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 :
$240.00
TOTAL FEE :
$448.00
Plan Check Fee :
$448.00 Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY:;
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
)WNER-BUILDER DECLARATION
I herebyaffirm 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 far
Te 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
sot 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,
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
rlprovements 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
n 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
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).
7 1 am exempt from licensure 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 • • • o
o
• t •
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•fmA
nd effect. ...... 0
,!cense Class License No Date Contractor Signature • ' °
VORKERS' COMPENSATION DECLARATION ••O..
IARNING: 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 %1ER,gp8I:IN ADDITION,90,THE
OST 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 df the tabor Code, fordhl
erformance of the work for which this permit is issued. Policy No. ' • • • 0 °
]I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. 114"wkers' corAp en0saloor
Isurance 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.
nature of Applicant uate
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
Ireby 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 lawsrelating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
nature of Pmnertv Owner or Authorized AGent Print Property Owner's or Authorized Agent's Name
AC770N DATE BY
DECLARATION OF COMPLIANCE WITH CODEOF
FOROIRCEUSEONLY
FEDERAL REGULATIONS PART61 OF 7777 E40AND
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PERVITEXP/RED.
❑ I SUBMfTTEDASBESTOS NO77FICATION TO:
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PERVITEXTENDED
❑ ASBESTOS NORFICAIIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERVITFINAL / /
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED
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