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Home My WebLink AboutF2020-0324 - PermitsCity of Newport Beach - Building Divis� 1IIII�IIIIIIIIpII'IIIIIIIIIIIIIIIIIII III a 100 Civic Center Drive, Newport Beach, CA 92660 \ ,.- f9 2 0 0 3 2 4 F, ez Permit Counter Phone (949)644-3288 v Job Address: 610 NEWPORT CENTER DR NB St: 1 FI: 1 Inspector Area: FIRE I Owner: COSTELLO JAMES W Address: 660 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: Applicant: ANDERSON ROBERT Address: 2810 E MIRALOMA AV ANAHEIM CA 92806 Phone: 714-635-6600 Code Edit : 2019 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: No of Units Flood Zone: Bldg Sprinklers: V -B -SPR B 0 0 FIRE Permit: F2020-0324 Project No : 1395-2020 Inspection Requests Phone (949)644-3255 3 Description: COMM FIRE SPRINKLER TI (X2020.0 1)'CHIPOTLE' CORP Legal Description: P BK 295 PG 33 PAR 4 Contractor: FIRE PROT SPECIALISTS Architect: INSPECTOR r�,g' 1$��C '_rL' 1 �➢ S P ` O R Address: 2810 E MIRALOMA AVE Address: .... • n ANAHEIM CA 92806 m m m o o e e o 0 Phone: 714-635-6500 Phone: Stale Lie: • e ♦ e Con Slate Lie: 464915 Engineer: ° Lie Expire: 1013112020 Address: Bus Lie: BT30042894 ` ` • • ° < Lie Exp Date: 0513112021 Phone: State Lie: Worker's Compensation Insurance Designer: SAVOY AUSTIN • ° ° • ° ° ° ° ° " Carrier: COMP WEST INS. CO. Address: 2810 E MIRALOMA AV ° ° • ° ^ ^ Policy No: WCV5502962 ANAHEIM CA 92806 a °, ° • ® ` Expire: 12102/2020 Phone: 714-635-8500 ` ° ° ° m •:. m n 16 Issued Date: 0811312020 0 Setback- Front: X Rear: Y Left: Right: ommm 0 o ammo Special Conditions: FEES Construction Valuation: $7,850.00 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 Extention Fee: - $0.00 Planning Zoning PC Fee : $0.00 Building Investigation Fee : $0.00 $0.00 Fire Plan Check Fee: $390.00 Public Works PC Fee: $0.00 $0.00 Fire Permit as: $654.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: $0.00 TOTAL FEE : $946.00 Plan Check Fee : $390.00 Fee Due at Permit Issuance : $556.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: s-' j ` APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 16 Issued Date: 0811312020 0 Setback- Front: X Rear: Y Left: Right: ommm 0 o ammo Special Conditions: FEES Construction Valuation: $7,850.00 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 Extention Fee: - $0.00 Planning Zoning PC Fee : $0.00 Building Investigation Fee : $0.00 $0.00 Fire Plan Check Fee: $390.00 Public Works PC Fee: $0.00 $0.00 Fire Permit as: $654.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: $0.00 TOTAL FEE : $946.00 Plan Check Fee : $390.00 Fee Due at Permit Issuance : $556.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: s-' j ` APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: s-' j ` APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION ,I OWNER -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) 1 have placed next to the applicable Item(s) cfion 7031.5, Business and Professions Cada: Any city dr 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 �fessions 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 appilcant to a Civil penalty of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, siness and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the movements 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. )roved for the purpose of sale). e• • I, as owner of AS pppperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does no )ly toan owneidf'pfoparty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). �I arm exempt ireAliuensure under the Contractors' State License Law for the following reason: myslgnature Beldvf I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall ha 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 )feasions Cod%, is available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.m,gov/calaw.html. NaBge letly of Pr01Owner or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION 6re16y affirm binder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio Olojrbivl on 3 of the Business and Pro ops- fie, and •i Ices is)n full force 1 yeygct. LicbIYsSClass License No Date 'ZCr Contractor Signature - ` A ,)W6ERV COMPENSATION DECLARATION RNIN4. FAILUV*(Og CCVRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000), IN ADDITION TO THE STOFCOMPENSAN N.VAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S Pass - Vet; affirm under penalty of perjury one of the following declarations: I.. I trove 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 o° the Labor Code, for t rtnance of the work for which this permit is issued. Policy No. 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. bly workers' compensat nce carrier and policy number are: _ _ _ Policy Number Date is of Agent certify that, In the performance of the work for whi h 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 afire , If I should becom�v ject to s/workers' c/g pe s tion provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. IatureofApplicant Date' �3 LC' .LARATION REGARDING doNSTRUCTION LENDING AGENCY reby 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). Pers Name ny 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 sWis I authorize representatives or this city or cour& jJ an p aboYe-id ntHt relating to building construction. operty for inspection purposes. BY I NECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXTENDED LJAQMD PERMITFINAL. a(y 1"'�Q SBESTOS T KATION ISNOTAPPL Aa TO CERTIFICATE OF OPOSED DEM TION% r I