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HomeMy WebLinkAboutf2021-0389 - PermitsCity of Newport Beach - Building Division 1 docivic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 900 NEWPORT CENTER DR NB Inspector Area: FIRE Owner: NEWPORT CENTER HOTEL LLC Address: 1400 NEWPORT CENTER DR #230 NEWPORT BEACH CA 92660 Phone Applicant: AHRAR SEYED Address: 210 W BAYWOOD AV ORANGE CA 92865 Phone: 714-685-8133 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: Construction Valuation: V-B-SPR B 0 0 ( r-PmW A`I ) P/1,C -t rJ C_ LA-TQ, © i 11,-3 C'1 FIRE Permit: F2021-0389 Project No : 2052-2021 Inspection Requests Phone (949)644-3255 Description: COMM FIRE SPRINKLER TI (X2021-0635) R/R 105 HEADS, RELO 225 .44 • r Legal Description: P BK 75 PG 33 PAR 1 (Li 13 tiU �3i (7-0 Contractor: A D T COMMERCIAL LLC Architect: X Address: PO BOX 310702 Address: BOCA RATON, FL 33431 _ Phone: 714-685-8120 Phone: State Lic:'" Con State Lic: 1065604 Lic Expire: 05/31/2022 Bus Lic: BT30041281 Lic Exp Date: 07/31/2022 Worker's Compensation Insurance Carrier: OLD REPUBLIC INSURANCE Policy No: MWC31431720 Expire: 10/01/2021 9 Issued Date: 09/13/2021 0 Setback- Front: X Rear: Y Left: Right: Building PC Fee : Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee TOTAL FEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $150,000.00 $0.00 $0.00 $0.00 $0.00 $904.00 $1,456.00 $0.00 $2,364.00 FEES Fire Residential Alarm PC Fee Planning Counter Review: ' Planning Zoning PC Fee : Public Works PC Fee: Public Works Traffic Plan Check Fee; Plan Check Fee : Engineer: ° ° ° ° °° Address: .... Phone: State Lic • Designer: PUTMAN MALISA ° • a °••° ; Address: 210W BAYWOOD AV ° ORANGE CA 92865 Phone: 714.685-8100 •� o o• • oo°,• Special Conditions: • B°O°' J $0.00 Records Management : $4.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $904.00 Fee Due at Permit Issuance : $1,460.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION ✓NER-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) 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 Ifessions 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 five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ainess 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 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 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 fly 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 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 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 Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Property Owner or Authorized Agent Date TENSED (.GNif&CTOR'S DECLARATION affirm uo4er 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 license is in full force t effect. ',,,, anse Class License No Date zi ' Contractor Signature /11 _ ---� )WERS' CQMPENSATION DECLARATION le ZNII/G: FAILUM'Fbtty'URE 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 IT.gf'COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. V�by affirm Qnder penaly of perjury one of the following declarations: 4#mve 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 fo"ance of the work for which this permit is issued. Policy No. av0 and Jl:e iniain 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 JFazi carrier pnd pglicy number are: ... : Policy Number Expiration Date of Agent Phone # certify that, in the performan f the work for which thig 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 subiKf to the wo}(ers' compenson-j3rovisioas-af)Section 3700 of the Labor Code, I shall forthwith comply with those provision nature of Applicant t '.! r ' \ Date c �t 1 t 5 / CLARATION REGARDING Cl TRUCTION ENDING AGENCY ereby 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). 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 corr t. I agree to comply with all applicable city and county ordi � ces and ate Ia_�rl�ting to building construction. I authorize representatives of this city or countyatiov" - �ntified roperty for inspection purposes. of Property Owner or Authorized ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF T17LE40AND AQMD RULE 1403, PERMITEXPIRED ❑ I SUBMITTEDASBESTOS NOTIFICATIONTO:. ❑ EPA PERM I€ CANCELLED ❑ AQMD PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSEDDEMOUTION. PERMITFBVAL ! CERTIFICATE OF SIGNATURE:. OCCUPANCYISSUEO