HomeMy WebLinkAboutF2020-0366 - Permitswttp City of Newport Beach - Building Division
II
IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII�IIIIIIIIIIIIII
FIRE Permit: F2020-0366
100 Civic Center Drive, Newport Beach, CA 92660
'"
N F 2 0 2 0 0 3 6 6
Project No: 0125-2020
Oi4
Permit Counter Phone (949)644-3288
9r2
+yr�,yx�°
Inspection Requests Phone (949)644-3255
Job Address: 3443 PACIFIC VIEW DR NB
Description: COMM FIRE ALARMS (8) DEVICES (PORTABLE BUILDINGS) DEVICES
Inspector Area: FIRE
Legal Description:
IRVINE SUB LOT 463 BLK 96 FOR OF LOT
Owner: HARBOR DAY SCHOOL
Contractor:
J P T CONSTRUCTION INC
Architect:
_
Address: 3443 PACIFIC AEW DR
Address:
409 62ND ST
Address:
CORONA DEL MAR, CA
NEWPORT BEACH CA 92663
Phone:
Phone:
714-336-1966
Phone:
State Lic:
Applicant: COSCO FIRE PROTECTION
Con State Lic:
879360
Engineer:
Address: 1075 W LAMBERT RD
Lic Expire:
06130/2022
Address:
BEA, CA 9282:
Bus Lic:
BT30014788
Phone: 714-989-1755
Lic Exp Date:
01/31/2021
Phone:
State Lic:
Code Edit: 2016
Worker's Compensation
Insurance
Designer:
DEMATA RAYMOND
co
Type of Construction: V -B -SPR
Carrier:
WESCO
Address:
1075 W LAMBERT RDr
Occupancy Group: E
Policy No:
W WC3462916
BREA, CA 92821»„
Added /New sq.ft. Bldg: 0
Expire:
04/07/2021
Phone:
714-9894800
Added /New sq. ft. Garage: 0
No of Stories: 2
Issued Date: 09/10/2020 Special Conditions:
No of Units : 0
Setback- Front:
Flood Zone: X
Rear:
Bldg Sprinklers: Y
Left:
Right:
FEES
Construction Valuation: $23,000.00
Building PC Fee:
$0.00
Fire Residential Alarm PC Fee : $0.00
Records Management:
$8.00
Building Overtime PC F"e:
$0.00
Planning Counter Review: $0.00
Building Extention Fee :
$0.00
Planning Zoning PC Fee: $0.00
Building Investigation Foe :
$0.00
$0.00
Fire Plan Check Fee:
$313.00
Public Works PC Fee: $0.00
$0.00
Fire Permit Fee :
$409.00
Public Works Traffic Plan Check Fee; $0.00
Building Permit Fee :
$0.00
TOTAL PEE :
$730.00
Plan Check Fee: $0.00
Fee Due at Permit Issuance :
$730.00
PROCESSED BY:
m°D O0o `�° ° Q1AE11 b€PARTMENT:
c ¢ m c o
ZONING APPROVAL:
ns,�"
„-° ° e ° D m opo PLAN EHECKED BY::
6
FIRE APPROVAL:
APPROVAL TO ISSUE:
°Op
moo cm
PERMIT EXPIRES 180 SAYS %AFTER ISEU,AAlbE O2 L,kST VALID INSPECTION
4°m 40 Oy 0 C P,00 LD
I hereby affirm under penalty of perjury that.I am exempt from the Contractors' State License Law for the reeson(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, sitar, improve, demolish, or repair any structure, prior to Its Issuance, also requ'res the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the COntrectors' State License Law (Chapter -9 (commencing with Section 7000) of Division 3 ofthe Business and
Professions Code) or that he orshe 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, VAR do (_) all of or U portions of the work, and the structure Is not intended Or offered forsale.(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 than it was not built or
Improved for the purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed Contractors t0 constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
nfapply 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 nermh, l cannot legalf,
sell a structure that I have built as an owner -builder 9 I 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:httpaAvww.leginfb.ca,govlcalaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S' DECLARATION
hereby affirm under penalty o erjury th t am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Div sion 3 of the Business and Pro as ns C e, a Ory I ense Is in full force
and effect. License Class C' - U42!M/ 4a License No 5 7 "7 fo 2 1 Date 0q-�0 __ Contractor Signature � 7.�,
NORKERS' COMPENSATION DECLARATION
VARNING; 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 (3100.1001, IN ADDITION TO THE
'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 the
YIS )rmance of the work for which. this permit is issued. Policy No.
l 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
Isurance carrier and RMW number are:
rana..ry ma r r� Expiration Date
Name of Agent ) - J• y_J Phone #
a
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 u( California, and agre
that, R I should become sublect taillIe workers' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Q7. lO _ p
DECLARATION REGAKIDING CONSTRUCT( 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 owners 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 co e r the o ent�ed property for inspection purposes.
Signature of Proed Owner or Authorized A ant Print Property Owners or Authorized A enrs Nam AiK •T J( a AC D O —10^7D
ACTION DATE BY C DECLARATIOPTOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40AND AQMD RULE
1403
PERMIT EXPIREDE3I SUBMITTED ASBESTOS NOTIFICATION TO ••• ••
PERMIT6INCELLED
EPA . • • . . . ..
PERMIT EXTENDED
LJAqMD • • • • • • • • i
PERMfTFlNA( IOdLf,O P'L •• ••
2 ASBESTOS NOTIFICATION IS NOT AOPLICA�LE 7O
CERTIFICATE OCCUPANCYISF PROPOSE DE OLI,. FjON O
OCCUPANCYISSUED BIONATU `.'
• • •• • • • •• •
•• ••• • • •• •• •••