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HomeMy WebLinkAboutF2019-0460 - Permits0_ City of Newport Beach - Building Division *F2019-0460* 0, '0 ' 100 Civic Center Drive, Newport Beach, CA 92660 '� cr Permit Counter Phone (949)644-3288 n; Job Address: 2043 WESTCLIFF DR NB Inspector Area: FIRE Owner: HANKEY INVESTMENT CO Address: 190 NEWPORT CENTER DR NEWPORT BEACH CA 92660 Phone: Applicant: WHITE DAVID Address: 144 N ORANGE ST ORANGE CA 92866 Phone: 714-476-4134 Code Edit: 2016 Architect: Type of Construction: V -B -SPR Occupancy Group: M Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Flood Zone: Lic Expire: 0113112020 Bldg Sprinklers: Y Construction Valuation Building PC Fee : Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee TOTAL FEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $1,250.00 I� FIRE Permit: F2019-0460 Project No : 1812-2019 Inspection Requests Phone (949)644-3255 Description: COMM FIRE SPRINKLERS @ THE CORRIDOR (X2018-3580) ( (10 14 EAbs) Legal Description: N TR 4225 LOT 2 Contractor: GEN UNDERGROUND FIRE PROT INC Architect: INSPECTOR Address: 701 W. GROVE AVE Address: . ORANGE CA 92865 .... o Phone: 714-632-8646 Phone: • State Lic: o m m • • • • • ° Con State Lic: 485748 Engineer: .... • e Lic Expire: 0113112020 Address: ° �••� Bus Lic: BT02120902 °,•m °o e m Lic Exp Date: 0913012019 Phone: State. Lic: Worker's Compensation Insurance Designer: MCCALMONT TADD Carrier: FEDERAL INS CO. Address: 701 W. GROVE AVE Policy No: 54309919 ORANGE CA 92865 ° 000mmm Expire: 04101/2020 Phone: ° oo°mom Issued Date: 0912612019 Special Conditions: m .0 ° ®• m m ° m m m Setback- Front: .... Rear: Left: Right: $0.00 $0.00 $0.00 $0.00 $156.00 $203.00 $0.00 $363.00 FEES Fire Residential Alarm PC Fee: Planning Counter Review: Planning Zoning PC Fee Public Works PC Fee: Public Works Traffic Plan Check Fee; Plan Check Fee : $0.00 Records Management : $4.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $156.00 Fee Due at Permit Issuance : $207.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: 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 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 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 applyto 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 sighature.beloW (,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 legal) sell a structure thgfl* ave 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 IrtfeMipns CodeP,,4samilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Prope JCNner or Authorized Agent Date tIOENSED COKTRACTOR'S DECLARATION I here affirm ur4der ygnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes Ion ode, and my license is in full force and efflipt. Aq CicelTslia Class •• License No qee ! �S •(/-( Contractor SID WbRKJERS' iOf-J1 OFNSATION DECLARATION "� MAIM: 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 EI%FCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm JiJer,*nalty of perjury one of the following declarations: • f (I'fve 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 ante of tile.wc%k 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' compensatio insurance came and policy n mbar are: C� Carrier N1���ieLa, Policy Number 5430aiR i a�I Expiration Date 4-1.2- CID Name of Agent Phone # ❑I 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 ogre that, if I should beco subject S the rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thos provisigons. �r Signature ofA nt,� /'Z.S'� / DECLARATION REGARD( STRUCTION LENDING AGENCY I hereby 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). Lender's Name Lender's Address By 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 relati building construction. I authorize representatives of this or count $bove-identif o r inspection purposes. Signature of Pro. Od Agent ii JL, -Print Property Owner's or Authorized Agent'N/e�._ ale ACTION DATE BY DECLARATION OFCOMPLIANCEtMTHCODEOF FOR OFFICE OSE N1 FEDERAL REGULATIONS PART 67 OFTITLE40AMD AQMDRULE1403. PERMITEXPIRED 0 I SUBMITTED ASBESTOS NOTIFICATION TO. [3 EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED © ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED SIGNATURE.