The URL can be used to link to this page

Home My WebLink AboutF2020-0304 - Permits$ sYro City of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIII�IIIII�IIIIIIIIIIIIIIIIIII II PerCivic rmit unterr PCenterholne (949)644-rve, Newport3288 each, CA 92660 Job Address: 4910 BIRCH ST NB Inspector Area: FIRE Owner: OLEN PROPERTIES CORP Address: 7 CORPORATE PLAZA DR NEWPORT BEACH, CA 92660 Phone: Applicant: BIRKHOLZ BILL Address: 710 S MYRTLE AVE #304 MONROVIA CA 91016 Phone: 626-945-7684 Code Edit : 2019 Type of Construction: III -B -SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added/New sq. ft. Garage: 0 No of Stories: 4 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y FIRE Permit: F2020-0304 Project No: 1269-2020 Inspection Requests Phone (949)644-3255 Ft- FEES Description: COMM CLEAN AGENT FIRE SUPPRESSION SYSTEM (X2020-1433) Legal Description: N TR 8762 LOT 6 $3,000.00 Contractor: CALIFORNIA GUARDIAN INC Architect: Building PC Fee : Address: 174 W FOOTHILL BLVD Address: $0.00 Records Management : MONROVIA CA Building Overtime PC Fee: $0.00 Phone: 626-945-7684 Phone: State Lie: Con State Lie: 712114 Engineer: Planning Zoning PC Fee: Lie Expire: 0113112022 Address: Building Investigation Fee: Bus Lie: BT30072693 Lie Exp Date: 0813112021 Phone: State Lie: Worker's Compensation Insurance Designer: MANDICH PAUL Carrier: MID CENTURY INS CO Address: 2340 FOUNTAIN HEAD DR Policy No: A09504658 PLANO TX 75023 Expire: 1210112020 Phone: 469-853-3798 Issued Date: 08/1312020 Special Conditions: $478.00 Setback- Front: $290.00 Fee Due at Permit Issuance : $188.00 Rear: Left: Right: Pzf� eeeo rn • e m•e• •m e • ° o • • �•eoao • • ° 0 n eo 0 c000°o ° ° o . • o em000 •• •e ° ••moo eo mmm°occ ooco eooaoo ° o 0 e o•oo Doom PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: L 1! ✓ y OTHER DEPARTMENT: �-�--{� PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Construction Valuation: $3,000.00 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: $246.00 Public Works PC Fee: $0.00 $0.00 Fire Permit as : $228.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $478.00 Plan Check Fee : $290.00 Fee Due at Permit Issuance : $188.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: L 1! ✓ y OTHER DEPARTMENT: �-�--{� PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION VNtK-I3UILUtK Utt;LAKA I IUN 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) indicated below by the checkmark(s) 1 have placed next to the applicable item (a) Iction 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 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 rfessions 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 more than rive 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, siness 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 )rovements 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 moved 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 Hy 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). I am exempt from licensure under the Contractors' State License Law for the following reason: my signature 14gw 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 I a structurethat I ITave 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 Ifenions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Ratsre of PLdpgfty Qwner or Authorized Agent Date :FUSED CONTRACTOR'S DECLARATION Ireb(r affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencinFYEIR th Section 7000) of Division 3 of the Busine/NEHUNDREO Professions Code, and my license is in full force i'affect. ansa Class ••"': License No Dav 1J �(J Contractor Signa r )RKERS' Gl!OMRENSATION DECLARATION NMI FAILURe sd iecURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL TO CRIMINAL PENALTIES AND CML FINES UP TO THOUSAND DOLLARS ($700,000), IN ADDITION TO THE 4T4VtOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. qP,tly affirm ander penalty of perjury one of the following declarations: T have and Ovyl,Ihal'tltain 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 thr fp"ance of th:.vj%k for which this permit is issued. Policy No. fi90e and Al.mairtain 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' compensator $Lance carrier and policy number are: is of Agent certify that, in the pi if I should become of 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 to the workers' compensation laws of California, and he orkers' compensraNa ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi ons. _ / Z� CLARATION REGAIfDING CONSTRUCTION LENDING AGENCY Ireby affirm under p ally of perjury that there,is,a construction lending agency for the performance of the work for which this permit is 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 ordi ances and state laws relating to building construction. I authorize representatives of this city or county to entgthe above -identified property for inspection purposes. Owner or Authorized ACTION PERMITEXPIRED PERMITCANCELLED PERMITEXTENDED PERMIT FINAL CERTIRCATE OF OCCUPANCYISSUED DATE or Authorized AOMO RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS M017RCA7I0NIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE. (Section 3097, Civil Code). ��13 /ZIP raz