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HomeMy WebLinkAboutF2021-0352 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII II FIRE Permit: F2021-0352 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 3 5 2 Project No : 1851-2021 Permit Counter Phone (949)644-3288 ,Jtl ar's' Inspection Requests Phone (949)644-3255 �-1/.1(Lt3C�t2 PO 1 i� Job Address: 900 NEWPORT CENTER DR NB 30- f V"I- r= 2S Description: COMM FIRE SPRINKLERS (239 NEW HEADS, RELOCATE 371 & REPLACE l 1-1 Inspector Area: FIRE Legal Description: P BK 75 PG 33 PAR 1 (i 53 Cw rrusdr�.S� (X�ba i - 0;ta�) Owner: NEWPORT CENTER HOTEL LLC Address: 1400 NEWPORT CENTER DR #230 NEWPORT BEACH CA 92660 Phone: Applicant: ARIAS BRVANT Address: 210 W BAYWOOD AVE ORANGE CA 92865 Phone: 7141497-5445 Code Edit: 2019 Type of Construction: I-A-SPR Occupancy Group: R1 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 9 No of Units : 0 Flood Zone: Bldg Sprinklers: Y Contractor: A D T COMMERCIAL LLC Address: PO BOX 310702 BOCA RATON, FL 33431 Phone: 714-685-8120 Con State Lic: 1065604 Lic Expire: 06/3112022 Bus Lic: BT30041281 Lic Exp Date: 0713112022 Worker's Compensation Insurance Carrier: OLD REPUBLIC INSURANCE Policy No: MWC31431720 Expire: 1010112021 Issued Date: 08/23/2021 Setback- Front: Rear: Left: Right: Architect: Address: Phone: State Lic: Z�J'� Engineer: !.® Address: Phone: State Lic: �1 Designer: ARIAS BRVANT ,� Address: 210 IN BAYWOOD AVE ORANGE CA 92865 Special Conditions: FEES Construction Valuation: $396,054.00 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: $1,674.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee : $2,707.25 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $4,385.25 Plan Check Fee : $1,674.00 Fee Due at Permit Issuance : $2,711.25 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: Jr fl OTHER DEPARTMENT: ° \\ , • 'M-AN GHEC110 BY:: Gv0 EEO E ° • Ee • 4 n :APPROV4C TOEISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR•LA571b'ALID INSPECTION 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 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 not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 Iicensure 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 legally 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 ,Af 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, a Id my license is in full force and effect. 9 ; aC/ License Class License No Date 1 � Contractor Si natu� NORKERS' COMPENSATION DECLARATION YARNING: 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 30ST 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: ❑ 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 )erforrrpnce of the work for which this permit is issued. Policy No. 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' rrier '� P li y mber Expiration Date me of Agent „�� Phone # I certify that, in the performance of th work for which thil 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 agree t, if I should become su ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant - Da�I� CLARATION REGAII JG CONSTRUCTION LENDING AGENCY T )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). lder'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 correc . c'' //II �nn f� I agree to comply with all applicable city and county ordinances nd stat laws relating to building construction. � � � &?OOS4 tgA:�A F I authorize representatives of this city or county tyder t o " d property for inspection purposes. e �/Z3/2j ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL PEGULATIONSPART 61 OF TITLE 40 AND AQMD RULE 1403. PERMIT EXPIRED �F I SUVITTED ASBESTOS NOTIFICATION TO: • ,` ❑ •E0A 0 AoMI;• PERMIT CANCELLED PERMITEXTENDED ❑` ASBI;, TOS NOTIFI ARONCIS NOT APPLICABLE TO PROPOSED ONMLITIT19.` PERMIT FINAL ,� % CERTIFICATEOF OCCUPANCYISSUED Sf'GN.A PURE.•.