HomeMy WebLinkAboutF2022-0118 - Permits,tMr City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
n Permit Counter Phone (949)644-3288
Job Address: 1316 BISON AVE NB
Inspector Area: FIRE
Owner: IRVINE CO
Address: 550 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
Phone
Applicant: CUTTING EDGE BUILDERS INC
Address: 9242 19TH STREET
ALTA LOMA CA 91701
Phone: 909.989-4900
Code Edit: 2019
Type of Construction: V-B-SPR
Occupancy Group: B
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 0
Flood Zone: AE
Bldg Sprinklers: Y
*F2022-0118* FIRE Permit: F2022-0118
®UPLI((®p(�/r���,•• �r Project No : 0629-2022
V/ � I t Inspection Requests Phone (949)644-3255
Description: COMM CO2 BULK DISPENSER SYSTEM "PANDA EXPRESS"
Legal Description: PM 326-48 PAR 1 FOR OF PAR
Contractor: CUTTING EDGE BUILDERS INC
Address: 9242 19TH STREET
ALTA LOMA CA 91701
Phone: 909-989-4900
Con State Lic: 787036
Lic Expire: 09/30/2022
Bus Lic:
BT30076666
Lic Exp Date:
0913012022
Worker's Compensation
Insurance
Carrier:
CA INS CO
Policy No:
4686374601
Expire:
11/21/2022
Issued Date: 0311012022
Setback- Front:
Rear:
Left:
Right:
Architect: WANG GARY
Address: 573 MONTEREY PASS RD #C
MONTEREY PARK CA 91754
Phone: 626-288-6998 State Lic: C032569
Engineer:
Address:
Phone: State Lic:
Designer:
Address:
Phone:
Special Conditions:
FEES
Construction Valuation:
$500.00
Building PC Fee:
$0.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$8.00
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:
$194.00
Public Works PC Fee :
$0.00
$0.00
Fire Permit Fee :
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$202.00
Plan Check Fee :
$202.00 Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
)WNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the G.onlcactors' 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
ie 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
Irofessions Code) or that he or she is exempt from Iicensure 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved 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
pply 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 Iicensure under the Contractors' State License Law for the following reason:
ly 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 legally
ell 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
'rofessions 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
.ICENSED CONTRACTOR'S DECLARATION
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 Professions Code, and my license is in full force
nd effect.
icense Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: 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 ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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, for IN
erformance of the work for which this permit is issued. Policy No.
I 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' compensatior
Isurance carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance 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 California, and
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
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).
ender's Name Lender's Address
y 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
ignature of Property Owner or Authorized Agent _. _ Print Property Owner's or Authorized Agent's Name
ACTION
DATE
BY
DECLARATION OF COMPLIANCE INfTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULA TIONS PART 07 OF TITLE40AND
AQMDRULE 9407.
PERMITEXPIRED
❑ 1 SUBMITTEDASBESTOS NOTIFICATIONTO:.
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMIT:EXTENDED
❑ ASBESTOS M07IRCATIONIS NOT APPLICABLE TO
PROPOSED OEMOUTION.
PERMITFINAL
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CERTIFICATEOF
SIGNATURE:
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