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HomeMy WebLinkAboutF2020-0145 - Permitst'� City of Newport Beach - Building Division *F2020-0145* FIRE Permit: F2020-0145 d 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0613-2020 `x Permit Counter Phone (949)644-3288 0µu �, - °ug.�*y}* Inspection Requests Phone (949)644-3255 Job Address: 4675 MACARTHUR CT NB St: 1 Ft: 11 Unit: 1150 Description: COMM - FIRE SPRINKLERS 4 HEADS (X2020-0861) Inspector Area: FIRE Legal Description: P BK 196 PG 40 PAR 3 Owner: IRVINE CO Contractor: FIRE PROT SPECIALISTS Architect: t������®,R Address: 550 NEWPORT CENTER DR Address: 2810 E MIRALOMA AVE Address: F NEWPORT BEACH, CA 92660 ANAHEIM CA 92806 Phone: Phone: 714-635.6600 Phone: State Lie: Applicant: YAM MARK Con State Lie: 464915 Engineer: Address: 392 N LE MAY CT Lie Expire: 10/31/2020 Address: ORANGE CA 92867 Bus Lie: BT30042894 Phone: 626.767-2320 Lie Exp Date: 0613112021 Phone: State Lie: Code Edit: 2019 Worker's Compensation Insurance Designer: ANDERSON ROBERT Type of Construction: I-ASPR Carrier: COMP WEST INS. CO. Address: 2810 E MIRALOMA AVE Occupancy Group: B Policy No: WCV5502952 ANAHEIM, CA 92806 Added /New sq.ft. Bldg: 0 Expire: 12102/2020 Phone: 714-635-6500 Added /New sq. ft. Garage: 0 No of Stories: 16 Issued Date: 0610112020 Special Conditions: ... o No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: Y Left: Right: ® o 0 0 0 0 FEES.... ° m e oo.e® Construction Valuation: $1,200.00 oma.ma moaom 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 Extenlion Fee: $0.00 Planning Zoning PC Fee : $0.00 ° . ° . ° ..o° Building Investigation Fee: $0.00 ° 40.00 ° Fire Plan Check Fee: $144.00 Public Works PC Fee: $0.00 -.40.00 mC O....... Fire Permit Fee : $185.00 Public Warks Traffic Plan Check Fee; $0.00 ...... . ° ° m 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: C _ ll,<1 APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER-BUILDER DECLARATION , hereby affirm under penally 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 Rem(s) (Section 703 1.6, 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 0 (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 U portions of the work, and the stmcture Is not Intended or offered for sale (Section 7044, Business and Professions Cade: 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-Builderwill have the burden of proving that itwas not built or improved for the purpose of sale). i 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). 13 1 am exempt from licensure under the Contractors' Slate 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 legal) sell a structure that I have built as an owner-builder it 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:hitp:flw .leginfo.ca.govlcalaw.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 yith Section 7000) Of Division 3 of the Business and Professions Cads. and my license la In full force and effect. � License Class License No ,-�J Contra Signature WORKERS' COMPENSATION DECLARATION �� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORFO THOUSAND DOLLARS (S10D,00D), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: I 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, forth �an0e erf of }he.vrork for which this permit is issued. Policy No, ave and whrrfiaintain 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' compensatto rice carrie P elRt policy number are: Caller • • • Policy Number Expiration Oele 10aptCF of Agent • Phone# I certify that„IA I&Wrformance of the work forwhich this permit is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of Ca1'dornia, and agre Rs(, if l sAul besartle a bjectto the workerr'' mpenation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with tho a provisions.Sigyna .ulpL IFN REGAR ING CONSTRUCTION LENDING AGENCY RlfrAffy affirm under pe airy of perjury that there is a construction lending agency for the performance of the work for which this permit Is Issued ( action 3097, Civil Code). kendeFgName_ Lenders Address ®y my sgnalurubeFldw,i certify to each of the following: • . J aasthe proPaTJX 9wner or authorized to act on the property owners behalf. • • J rgOe read Mids aWrication and the information I have provided Is correct. I agree to comply with all applicable city and county ordinances and tale�laws relating to building construction. I authorize representafives of this cityor county to t`f{pi'Lhe ab v Identi ed party for Inspection purposes. Si nature of Props Owner or Au ed Agent ,Lr ./, 1 Print PropertyOwner's or Authorized a Name / ""r`7 h .- "�'-:SL'v to ACIION DATE BY DECLARAYIOJVOFCOMPLIANCEMTHCODEOr FOR OFFICE USEONLY FEDERAL REGULATIONS PART 61 OFTIILE40AND AQMORULE 1403. PERMITFXPIRED ❑ 1SUBMITTEDASBESTOS N017FICATIONTO. PERMITCANCELLED ❑ EPA ❑ AQMD PERMITEXTENDED NOURCATLONIS NOTAPPLICAM E TO PROPOSED DEMOLITION- PERMITH1VAL[3ASBESIOS \ P CERTfF'ICATE DF OCCUPANCYISSUED SIGNATURE: