HomeMy WebLinkAboutF2019-0483 - Permits�yYt"off City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
m' 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 4 8 3
Permit Counter Phone (949)644-3288
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Job Address: 620 NEWPORT CENTER DR NB St: 1 FI: 4
Inspector Area: FIRE
Owner:
IRVINE COMPANY
Address:
PO BOX 2450
Address:
NEWPORT BEACH, CA 92658
Phone:
ANAHEIM CA 92806
Applicant:
MARK YAM
Address:
392 N LEMAY CT #100
Lie Expire:
ORANGE CA 92867
Phone:
626-757-2320
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:
I -A -SPR
B
0
0
FIRE Permit: F2019-0483
Project No: 1879-2019
Inspection Requests Phone (949)644-3255
Description: COMM FIRE SPRINKLER TI ( X2019-2634) 4 HEADS
Legal Description:
P BK 295 PG 33 PAR 1
Contractor:
FIRE PROT SPECIALISTS
Address:
2810 E MIRALOMA AVE
State Lie:
ANAHEIM CA 92806
Phone:
714-635-6500
Con State Lie:
464915
Lie Expire:
10131/2020
Bus Lic:
BT30042894
Lie Exp Date:
0513112020
Worker's Compensation
Insurance
Carrier:
COMP WEST INS. CO.
Policy No:
WCV5502952
Expire:
1210212020
16 Issued Date: 12/10/2019
0 Setback- Front:
Rear:
N Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE: �^
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
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Construction Valuation:
State Lie:
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• •
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Fire Residential Alarm PC Fee:
$0.00 Records Management:
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Building Overtime PC Fee:
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0
• o c
eo 0
State Lie:
10 o m o 0
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• n
ANDERSON ROBERT
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2810 E MIRALOMA AVE
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ANAHEIM CA 92806
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Fire Plan Check Fee:
$144.00
Public Works PC Fee:
$0.00
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$185.00
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PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE: �^
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Construction Valuation:
$1,200.00
Building PC Fee :
$0.00
Fire Residential Alarm PC Fee:
$0.00 Records Management:
$2.00
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:
$144.00
Public Works PC Fee:
$0.00
$0.00
Fire Permit Fee :
$185.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$331.00
Plan Check Fee :
$144.00 Fee Due at Permit Issuance :
$187.00
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE: �^
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
IWNER-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)
lection 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
is 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
Irofessions 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 pen,r of
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 `) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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
nprovements 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
nproved for the purpose of sale).
1 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 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signaturg 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, [ cannot legally
ell a structum-M&M jiave 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, i¢¢ javailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm].
Aglta�lre of P.ro. yOwner or Authorized Agent Date
ICI�NSED CUNITIAACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ion 7 00) f Division 3 of the Business andClass Prof
igeft si - C de, and my license is in full force
ndeffect. • License No Date g ... ; 2 / Cn �� Contractor Signature •
IIORKERS' COMPgNSATION DECLARATION
hAn AGI FAILURL-M%tCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER O CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H NDREO THOUSAND DOLLARS ($700,000(, IN ADDITION TO THE
DBTieF COMPENSA'jION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
bareirraffirm ugder penalty of perjury one of the following declarations:
• ` ..••••
�hate 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(
t jnce of t4:work for which this permit is issued. Policy No.
•Have and wilt Mt firtain 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' compensatior
u ce carrier and policy number are:
ie of Agent
certify that, in the pi
. if I should become
Policy Number
Date
of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject
he Warjrers) comn9ensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those proy
nature of Applicant r
CLARATION REGARDI CONS UC ON LENDING AGENCY
:reby affirm under penalof perjury that there is a construction lending agency for the performance of the work for which this permit is
tder'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 dinances and state laws relating to building construction.
I authorize representatives of this city or county to a ter the ab id ntifi d property for inspection purposes.
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's M
AC710N DATE BY
DECLARATION OF COMPIIANCE KITH CODEOF
FEDERAL REGULATIONS PART 61 OF TITLE40AND
AQMD RULE 1403.
PERMITEXPIRED
f SUBh9TTEDASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
ASBESTOS NOTIRCARONIS NOTAPPLICABLE TO
PROPOSEDDEMOLtTION.
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAL❑
D O
CERTIFICAT€OF
SIGNATURE:
OCCUPANCYISSUED
the workers' compensation laws of California, and
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(Section 3097, Civil Code).
FOR