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HomeMy WebLinkAboutF2019-0319 - PermitsCity of Newport Beach - Building Division ++ 100 Civic Center Drive, Newport Beach, CA 92660 r' Permit Counter Phone (949)644-3288 ri1P� Job Address: 4301 JAMBOREE RD NB Inspector Area; FIRE Owner: SHOPOFF GROUP LP Address: 2 PARK PLAZA, STE 700 IRVINE CA 92614. Phone: .949-417-1867 Applicant: CHRISTIANISMART SYSTEMS TECH Address: 9 GOODYEAR IRVINE CA 92618 Phone: 949-367-9375... Code Edit :.2016 .Type of Construction: V-AII-A-SPR Occupancy Group: R21821B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 5 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y F 2 0 1 90 3 1 9�� FIRE Permit: F2019-0319 Project No: 1195-2019 Inspection Requests Phone (949)644-3255 Description: MFR -TWO-WAY COMMUNICATION SYSTEM AT ELEVATOR LANDINGS Legal Description: N TR 7953 LOT 2 a>" Construction Valuation: Contractor: SMART SYSTEMS TECHNOLOGIES INC Architect: o e;:q!„w/, Address: 9GOODYEAR Address: e,euu-• . ' IRVINE CA 92618 Fire Residential Alarm PC Fee: seei emecc Phone: 949-367-9375 Phone: State Lie: • • • ° Planning Counter Review: $0.00 'r'„•c,c Con State Lic: 766364 Engineer: • r E� Lie Expire: 07131/2019 Address: oe • °om° ` Bus Lie: BT20100934 o -s<`S'•° Lie Exp Date: 09130/2019 Phone: State Lie: o o m y "'A” " Public Works PC Fee: $0.00 $0.00 Worker's Compensation Insurance Designer: - e ° o o,, rs' c Carrier: EVEREST NATIONAL INS Address: • war m.rf�o ,. Policy No: 5300002651191. o e so Expire: 04/01/2020 Phone: eommm° Plan Check Fee : $141.50 Fee Due at Permit Issuance : ccm., n„ Issued Date: 06/2812019 Special Conditions: Setback- Front: Rear: Left: Right: PROCESSED BY: "rV'-' OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: 1 rT ^ ^ FIRE APPROVAL:.. 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: $30.00 - 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: $228.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee : $209.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $917.00 Plan Check Fee : $141.50 Fee Due at Permit Issuance : $775.50 PROCESSED BY: "rV'-' OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: 1 rT ^ ^ FIRE APPROVAL:.. APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION VNER-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) action 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 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 rfessions 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 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 nOvements 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 roved 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,, fly 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). I am exempt ff" Iciensure under the Contractors' State License Law for the following reason: my signature befow.l 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 4 a cincture that) ABve 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 Ifessidns Cocig, f3 V811able upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.htmi. Vturg of Property Owner or Authorized Agent Date .ENSED CON'TRACTOR'S DECLARATION lreby affirm undenpeilalty of perjury that I am licensed under provisions of Chapter 9 (commencing/ERTO ection 7000) of Division 3 of the Business and rote s Co e, and m license is in full force, 1`eff@dt •• • ��� Contractor Signature VSt Class—, • • • License No Dat aRKBRS' CClMPENSATION DECLARATION WIYQyFAILURE TO•SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOCRIMINALPENALTIES AND CIVIL FINES UP TO ON HUNDRED THOUSAND DOLLARS ($100,000 , DDITION TO THE rV OF OOMPENSAFION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Irebi affirm uWer`p`4alty of perjury one of the following declarations: I, pa`s and el•rpalltain 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 the formance of themork for which this permit is issued. Policy No. .lave 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' compensation trance carrier and policy number are: - Tier Policy Number Expiration Date ne of Agent Phone # certify that, in the pe ante 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 agreE :, if I should become bjec t e �wJo�Lters' comp/er�sanon p ISlons of Section 3700 of the Labor Code, I shall forthwith comply with those pr/gGlSlons. /yam nature of Applicant I�ir Date / �� Ae�. l 6=,,; 3reby affirm under nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is isoed (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 cou y ordinances and state laws relating to building construction. I authorize representatives of this city. or gcounty o ep r the ve-ide 'Red pr , o inspecti oses. g nature of PropertyOwner or Authorized Agent � nt PropertyOwners or Authorized Agent's Name &Z, /& ACTION DATE BY AE9ANATION OF COMPLIANCE KITH CODEOF FOR O CE USEONLY ERAL REGULATIONS PART fit OF TIR.E40AND AQMORULE1403. PERMITEXPIRED I SUBMITTEDASBESTOS NOIIFICATION T0: ❑ EPA ❑ AQMD PERMITCANCELLED P€RMITEXTENDED [3ASBESTOS NO]FIRCATIONIS NOT.APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL (7 CERTIFICATE OF OCCUPANCYISSUED SIGNATURE: