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HomeMy WebLinkAboutF2019-0625 - Permits`neo City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 6 2 5 F, — - •, Permit Counter Phone (949)644-3288 Job Address: 1600 NEWPORT CENTER DR NB St: 1 FI: 2 Unit: 200 Inspector Area: FIRE Owner: IRVINE CO Address: 111 INNOVATION DR IRVINE, CA 92617 Phone: Applicant: SAVOY AUSTIN Address: 2810 MIRALOMA AVE ANAHEIM CA 92806 Phone: 714-625-6500 Code Edit: 2016 Type of Construction: III -B -SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Flood Zone: X 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 II TOTAL PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $2,300.00 FIRE Permit: F2019-0625 Project No : 2542-2019 Inspection Requests Phone (949)644-3255 Description: COMM - FIRE SPRINKLERSITI 16 HEADS (X2019-2676) 2542.2019 Legal Description: 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: 05/3112020 Worker's Compensation Insurance Carrier: COMP WEST INS. CO. Policy No: WCV6502952 Expire: 12/0212019 Issued Date: Setback- Front: Rear: Left: Right: $0.00 $0.00 $0.00 $0.00 $168.00 $221.00 $0.00 $393.00 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 : OTHER PLAN CHECKED BY: APPROVAL TO ISSUE: PERMIT EXP/RES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTQ Architect: Address: Phone: State Lie: Engineer: Address: aoo°o• e Phone: State Lie: om6000 °°occr Designer: SAVOY AUSTIN ° Address: 2810 E MIRALOMA AVE • ° ANAHEIM CA 92806 Phone: 714-625-6500 Special Conditions: °o °° o + °e U. ° s ° • ° ° ° ° e e000c ° o qW°000 °a000c ® f 0 ° oococc $0.00 Records Management : $4.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $393.00 PARTME PLAN CHECKED BY: APPROVAL TO ISSUE: PERMIT EXP/RES 180 DAYS AFTER ISSUANCE OR LAST VALID WNER-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 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 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 it more than five hundred dollars ($500). ] I, as owner of the property, or my employees with wages as their sale compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 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 I am exempt from licensure under the Contractors' State License Law for the following reason: y 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. Date ignature of Property Owner or Authorized Agent .ICENSEQ CONTRACTOR'S DECLARATION hereby anrv"ber penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pe ions Code, license is in full force nd effect. , Date �� �g I� Contractor Signature ,r .wonse Clg$s, . • License No V6RKERS' COMPENSATION DECLARATION [ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (8100,0001, IN ADDITION TO THE OST OF COMPII DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hergby affirm unde4 penalty of perjury one of the following declarations: 31 have ap8 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 Cade, for th V�+I. ance oT fhb work for which this permit is issued. Policy No. xl• ve and will majntain 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' compensatiol rO nce carrj§r�dpolicy number are: rner Policy Number Expiration Date laMme of Agent• • Phone # JI 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 agre nat, if I should become subject to theworkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant •ATL" Date 4 9 )ECLARATION REGARDING CONSTRUCTION LIENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is is Led (Section 3097, Civil Code). .enders Name Lender's Address )y 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 relating to building construction. I authorize representatives of this city or cou t t th��.ab i I�fiedrproperty for inspection purposes. Sa+'� J 5e0�g/ Da r/1�9i Ignature of Property Owner or Authorized Agent^' !�I Print Property Owner's or Authorized Agent's Name Y ) ACTION I DATE ' I BY II FEDERAL ❑ f 5UBMfTTEDASBESTOS NOTIFICATION T0: ❑ EPA ❑ AQMD ❑ ASBESTOS N077FICAIION/S NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: OLCUPANCYISSUED