HomeMy WebLinkAboutF2021-0115 - Permitswno City of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
. 100 Civic Center Drive, Newport Beach, CA 92660
W Permit Counter Phone (949)644-3288
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FIRE Permit: F2021-0115
Project No : 0655-2021
Inspection Requests Phone (949)644-3255
Job Address: 4675 MACARTHUR CT NB St: 1 FI: 4 Unit: 470
Description: COMM FIRE SPRINKLERS (6) HEADS (X2021-0710)
Worker's Compensation Insurance
Designer:
SAVORY AUSTIN
0655-2021
I -A -SPR
Inspector Area: FIRE
Legal Description:
P BK 196 PG 40 PAR 3
Occupancy Group:
Owner:
IRVINE CO
Contractor:
FIRE PROT SPECIALISTS
Architect:
Address:
PO BOX 2450
Address:
2810 E MIRALOMA AVE
Address:
0
NEWPORT BEACH, CA 92658
$0.00
ANAHEIM CA 92806
No of Stories:
Phone:
Issued Date: 06/15/2021
Phone:
714.635.6500
Phone:
Applicant:
BABIC NIKO
Con State Lie:
464915
Engineer:
Address:
5161 CALIFORNIA AVE #100
Lie Expire:
10131/2022
Address:
Y
IRVINE CA 92617
Bus Lie:
BT30042894
Phone:
949-701-4150
Lie Exp Date:
05/31/2022
Phone:
INS FE TO
State Lie:
State Lie:
Code Edit: 2019
FEES
Worker's Compensation Insurance
Designer:
SAVORY AUSTIN
Type of Construction:
I -A -SPR
Carrier: COMP WEST INS. CO.
Address:
2810 W MIRALOMA AVE
Occupancy Group:
B
Policy No: WCV6602952
Planning Zoning PC Fee :
ANAHEIM CA 92806
Added /New sq.ft. Bldg:
0
Expire: 12102/2021
Phone:
714-635-6500
Added /New sq. ft. Garage:
0
Public Works Traffic Plan Check Fee;
$0.00
$0.00
No of Stories:
16
Issued Date: 06/15/2021
Special Conditions:
$129.00 Fee Due at Permit Issuance
No of Units :
0
Setback- Front:
Flood Zone:
X
Rear:
Bldg Sprinklers:
Y
Left:
Right:
Construction Valuation
Building PC Fee:
Building Overtime PC Fee:
Building Extention Fee :
Building Investigation Fee
Fire Plan Check Fee:
Fire Permit Fee :
Building Permit Fee
TOTAL
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPART
PLAN CHECKED B
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID
a o
�� fl
flo�flo®
0
$2.00
$0.00
$0.00
$199.50
FEES
$1,000.00
$0.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$0.00
Planning Counter Review:
$0.00
$0.00
Planning Zoning PC Fee :
$0.00
$0.00
$129.00
Public Works PC Fee:
$0.00
$197.50
Public Works Traffic Plan Check Fee;
$0.00
$0.00
$328.50
I
Plan Check Fee:
$129.00 Fee Due at Permit Issuance
OTHER DEPART
PLAN CHECKED B
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID
a o
�� fl
flo�flo®
0
$2.00
$0.00
$0.00
$199.50
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) 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
the 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
not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (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 that it was not built or
improved 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 legall)
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 Section 7000) of Division 3 of the Business and Prof ions Co fa, a y license is in full force
andeffect. ,, +,
License Class� License No Date / Contractor Signatur G
NORKERS',cQMPENSATION DECLARATION
kARWNG: FA144VRt jQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN El LO R TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMFTENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN Y'S FEES.
.hereby affirm tinder penalty of perjury one of the following declarations:
ave so"l a'ntain 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
Q ance of the work for which this permit is issued. Policy No.
h e and;wi� 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
11. r Ce care r and policy number are:
ries Policy Number Expiration Date
Agent .0
f Qify that 'M tgey Qerformance of the work for 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
,lif I shoulNecome subjec�t�th/g workeers' C p ns`a7(ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr�ons.
iature of Applicant �r-� /� s �ri4A7'i�'pA n Date
ereby affirm under benalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section
Ider's Name `` Lender's Address
, Civil Code).
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 ws relating to building construction.
I authorize representatives of this city or county t ter a�lbo^v Ide fi d roperty for inspection purposes. A/ ,
Signature of Property Owner or Authorized Agent #X � Print Property Owners or Authorized Agent's Name,2o kl_ t, Date 7 fit`
ACTION DATE
BY
DECLARATION OFCOMPLIANCE MTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONSPART61 OFTITLE40ANII
AQMDRULE1403.
PERMITEXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:.
❑ EPA
❑ AOMDASBESTOS '
PERMIT CANCELLED
PERMITEXTENDED
P OPOSEDDEMOLITION7IONlSNOTAPPLICA8LET0
PERMITFINAL
(rC yjj
CERTfFICATEOF
SIGNATURE:
OCCUPANCYISSUEO