HomeMy WebLinkAboutF2022-0271 - Permits9
City of Newport Beach -Building Division *F2022-0271 *
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 888 SAN CLEMENTE DR NB St: 1 FI: 2 Unit: 250
Inspector Area: FIRE
Owner: IRVINE COMPANY
Address: PO BOX 2450
Phone: NEWPORT BEACH, CA 92658
Applicant: TAYLOR KYNDALL
Address: 2246 LINDSAY WAY
GLENDORA CA 91740
Phone: 909-305.1600
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:
Description: COMM FIRE ALARM (2) DEVICES
Legal Description:
IRVINE SUB. POR OF BLOCK 55.
Contractor:
BUILDING ELECTRONIC CONTROLS
Address:
2246 LINDSAY WAY
GLENDORA CA 91740
Phone:
909-305-1600
Con State Lic:
729905
Lic Expire:
11/30/2022
Bus Lic:
BT97025666
Lic Exp Date:
10/31/2022
Worker's Compensation Insurance
II-A-SPR
B
Carrier
ZURICH AMERICAN
Policy No:
WC302951002
0
Expire:
04/01/2023
0
4
Issued Date:
05/2512022
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
,TOTALFEE
F
$9,500.00 FEES
$0.00
Fire Residential Alarm PC Fee
$0.00
Planning Counter Review:
$0.00
Planning Zoning PC Fee
$0.00
$168.60
Public Works PC Fee:
$239.60
Public Works Traffic Plan Check Fee;
$0.00
$414.00 Plan Check Fee
FIRE Permit: F2022-0271
Project No: 1364-2022
Inspection Requests Phone (949)644-3255
�Ca aaa -1 ► I (p
Architect:
Address:
Phone:
State Lic:
V�;�J
Engineer:
4A
Address:
k
Phone:
State Lic:
I
Designer:
TAYLOR RICHARD
Address:
2246 LINDSAY WAY
GLENDORA CA 91740
Phone:
909-305-1600
�J
Special Conditions:
$0.00 Records Management : $6.00
$0.00
$0.00
$0.00 $0.00
$0.00 $0.00
$0.00 Fee Due at Permit Issuance : $414.00
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OTHER DEPARTMENT:
PLAN CHECKED BY::
. W
APPROVAL TO ISSUE:
PERM77'PI52ES Mo GA S �4:TEf21.!SUANCE OR LAST VALID INSPECTION
NNER-BUILDER DECLARATIONlow by the
e item(s)
I hereby affirm under penalty of
Code: Any city or county that requires a perm tte lcense Law to construct for the reason(s)
improve, demolish sh, ore repair any struct rle,rpnorl toots ssuanceed ealso requires xt to the lthe lapel cant for
. per 70o file Business and Prof
a 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 an
ofessions Code) or that he or she is exempt from icensure 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
t more than five hundred dollars ($500). all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
I, as owner of the property, or my employees with wages as their sole compensation, will do U
Iisiness provemenhe
d are not mended or offered for sale. Sfahote wever, the bucense Law dild'ng or improvement soes not apply to an nsolder fwithin o a year of completion, tion, the Owner Buildeproperty who, through employees' or personal r effort,
have the burden of proving improves the t that itpwas n of built ed torr
(proved for the purpose of sale).
ontractors to construct the project (Section Contractor
Business and Professions Code: The Contractors' Ste
]I, as owner of the property, am exclusively contracting with licensed Cte License Law does no
)ply 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: rstand that a copy of the applicable law, Section 7044 of the Business and
y my signature below ll
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 lega
all a structure that I have built as an owner -builder if it has
l not
t! bees constructed
in its the ntirtyy (Web site http'/lcensed cwww.leginfoeca.gov/calaw.html. Date
rofessions Code, is available upon request when this apefollowing
ignature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000)rof
pDivision 3 of the Business and Professions Code, an ) li n in fu orce
nd effect. Date /�� Contractor Signature
.!cerise Class License No
VORKERS' COMPENSATION DECLARATION
IARNING: 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 T
HE
:DST 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 t
rerformance of the work for which this permit is issued. Policy No.
have and will ten 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' compensatio
surance carrier a tl pglicy number 1 Expiration Date
carrier \' Phone #
Name of Agent
Na certify that, in the performance of the work for hich thl p rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agr(
that, if I should become subject to> t orker�' c� 1{� nsat provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions
ignature of Applicant I' `
DECLARATION REGA DING O T UCTIO LENDING A ENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance
Address of the work for which this permit is issued (Section 3097, Civil Code).
er's
Ender's Name
ly 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 js[atg aws relating to building construction.
I authorize representatives of this city or county o e r h ' Ov ntif' d pr y for inspectionoperty Owners or Authorized Agent's Na 11
-,kmature of Property Owner or Authorized Agent
FEDERAL
REGU4
AC7ION DATE BY FEDERALREGUI,gTdL7SI5PART (rfOE•TdR.E40AND
• .
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€XPIREO ❑ lSUBMITTE6�LSEtsTO;~ NOr1 IgATJON TO.•; �.
❑ EPA >•. •• »> • •,.
CANCELLED '� ❑ AQMD
EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPPOSEDDEMOLAiON.•, • > •••
FINAL ' • • • • >
• • > • > • s
4 • •• _• •> ;ATE OF SIGNATURE: >
• Y•
27�
OCCUPANCYISSUED