HomeMy WebLinkAboutF2020-0102 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII III
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 1 0 2
} Permit Counter Phone (949)644-3288
FIRE Permit: F2020-0102
Project No: 0448-2020
Inspection Requests Phone (949)644-3255
Job Address: 907 NEWPORT CENTER DR NB
$0.00
Description: COMM SPRINKLER TI (X2020-0292) 2 HEADS
$0.00 Records Management:
Inspector Area: FIRE
Legal Description:
P BK 221 PG 30 PAR 6
Planning Counter Review:
$0.00
Owner: IRVINE CO
Contractor:
D C FIRE PROTECTION
Architect:
$0.00
Address: 550 NEWPORT CENTER DR
Address:
14772 HARPER ST
Address:
NEWPORT BEACH, CA 92660
Fire Plan Check Fee:
MIDWAY CITY CA 92655
Public Works PC Fee :
$0.00
Phone:
Phone:
714-373.1800
Phone:
State Lic:
Applicant: CORPUZ DANIEL
Con State Lic:
584285
Engineer:
Address: 14772 HARPER ST
Lic Expire:
0113112022
Address:
$0.00 Fee Due at Permit Issuance :
MIDWAY CITY CA 92655
Bus Lic:
BT30046894
Phone:
Lic Exp Date:
10/31/2020
Phone:
State Lic:
Code Edit: 2019
Worker's Compensation Insurance
Designer:
CORPUZ DANIEL
Type of Construction: V -B -SPR
Carrier:
W/C EXEMPT
Address:
14772 HARPER ST
Occupancy Group: B
Policy No:
(NO EMPLOYEES)
MIDWAY CITY CA 92655
Added /New sq.ft. Bldg: 0
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 1
Issued Date: 03/0312020
Special Conditions:
-
No of Units : 0
Setback- Front:
Flood Zone:
Rear:
- -
Bldg Sprinklers: Y
Left:
Right:
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FEES
Construction Valuation: $1,950.00
Building PC Fee :
$0.00
Fire Residential Alarm PC Fee:
$0.00 Records Management:
$4.00
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:
$140.00
Public Works PC Fee :
$0.00
$0.00
Fire Permit Fee:
$179.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$323.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$323.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
v� QTHEA•DEPARTMENT:
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APPROVAL TOISSUE: _
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PERMIT EXPIRES 980 DAYS AFTER ISSUANCS' ihQ LA T yAg,-li9 /nISfAECTtOiI
•• ••• • • me oe mmo
DWNER-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
:he 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
lot 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,
3usiness 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
mprovements 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
mproved 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
apply 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By 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
sell 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
Professions 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
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 7000) of Division 3 of the Business and Prof asatons Code, an my license is in full force
and effect.
License Class License No Dat 7 Contractor Signa
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLA S ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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 of the Labor Code, for th,
performance of the work for which this permit is issued. Policy No.
❑I 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' compensatiol
insurance carrier and policy number are:
barrier Policy Number Expiration Date
of Agent
c rtify that, in the performan 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
t I should become subj tot ers' c mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ��
nature of Applicant Da}4_2/ 7 I'I'! a
CLARATION REG I G CONSTRU ON LENAGENCY I
areby affirm under penalty of perjury that there is a c s uction 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 o nces and state laws relating to building construction.
I authorize representatives of this city or county ter t a ntified property for inspection purposes.
nature of Property Owner or Authorized Agen Print PropertyOwner's or Authorized Agent's Name V�+ cG / e'o Date
AC77ON DATE S DECLARATION OF COMPLIANCEWITN CODE OF FOROFICE USE ONLY
• FE YQ��ZRA.4L REGULATIONS PA RT 61 OF TI TLE40AND
PERMITEXPIRED : : •• • : : A{.)3'fURIJI!F. 1403.
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PERMIT CANCELLED • • • • • • • • • €PA
PERMIT EXTENDED AQMD
❑ A58ESFD5 NORFfC4170NI5 NOT APPLICABLE TO
PERMITFINAt —�—(,— Q3 • P.RQPQJEODEMOLITION.
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