HomeMy WebLinkAboutF2022-0314 - Permits�+'s City of Newport Beach - Building Division FIRE Permit: F2022-0314
100 Civic Center Drive, Newport Beach, CA 92660 II III IIII IIIII IIIII IIIII IIII II IIIII IIIII IIIII III II F z o z 2 6 3 1 a Project No : 1581-2022
F 2 '. �; ' Permit Counter Phone (949)644-3288
`r{crn ru" �`a 0 0 Inspection Requests Phone (949)644-3255
Job Address: 435 NEWPORT CENTER DR NB Description: COMM TI FIRE SPRINKLER ADD (4) HEADS (X2022-0311)
Inspector Area: FIRE
Owner: IRVINE CO
Address: 100 INNOVATION DR
IRVINE CA 92658
Phone:
Applicant:
CORPAZ DANIEL
Address:
14772 HARPER ST
MIDWAY CITY, CA 92655
Phone:
714-309-0144
Code Edit: 2019
Type of Construction:
II-A-SPR
Occupancy Group:
M
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
0
Flood Zone:
Bldg Sprinklers:
y
Pt
Legal Description:
Contractor:
D C FIRE PROTECTION
Address:
14772 HARPER ST
MIDWAY CITY CA 92655
Phone:
714-373-1800
Con State Lic:
584285
Lic Expire:
01/31/2024
Bus Lic:
BT30046894
Lic Exp Date:
04/30/2023
Worker's Compensation Insurance
Carrier:
WIC EXEMPT
Policy No:
(NO EMPLOYEES)
Expire:
Issued Date: 06/21/2022
Setback- Front:
Rear:
Left:
Right:
Architect:
Address:
Phone:
State Lic.00
Engineer:
a
Address:
Qo°°
Phone:
State Lic: °
°°•
Designer:
CORPUZ DANIEL
Address:
14772 HARPER ST °,
MIDWAY CITY, CA 92655 u °°p°
Phone:
Special Conditions:
FEES
Construction Valuation:
$1,200.00
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:
$128.00
Public Works PC Fee : $0.00
$0.00
Fire Permit Fee :
$195.00
Public Works Traffic Plan Check Fee; $0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$331.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance :
$331.00
PROCESSED BY:
OTHER DEPARTMENT:
ZONING APPROVAL:
PLAN CHECKED BY::
_
FIRE APPROVAL:
APPROVAL TO ISSUE:
PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID 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 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).
I, 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-Builderwill have the burden of proving that it was not built or
improved for tl�e�pulpose of sale).
I, as owner.44tyd' 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 ow� �r� 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 exernpt'FrppT licensure under the Contractors' State License Law for the following reason:
Vy nyv 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 covere 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. understand that a copy of the applicable law, Section 7044 of the Business and
Professions Coe,, js'evailable upon request when this application is submitted or at the following Web site:http:11www. legInfo.ca.govlcalaw.html.
Sipn�tyre of Property Owner or Authorized Agent Date
LICVNSED CONTRACTOR'S DECLARATION
44*M affirm under nalt of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Pro a TI,, Cod and m license is in full force
y PC Y P00' P P ( 9 ) Y
mdeffect.
WZRS%Class License No Date r0 21 Z Contractor Signatur
WBRFNERS' (! PiNSATION DECLARATION
IYiDNf FAILURE jO SFr,PRE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND LARS ($100,000), IN ADDITION TO THE
�COMPENj/ITIOY, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I have an 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
0 of the work for which this permit is issued. Policy No.
havelond 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' compensa
raRcrsarrier and policy number are:
Policy Number
of Agent
Date
I certify that, in the performance of the work for which 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
It, if I should become I�su,b..ject t rkers'(c�o]rr(JPBnsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those r isions./'
mature of Applicant) X ( \ f= 77 Daty t.- S4 I -2— �J
hereby affirm under penalty of perjury that therd�s a Unstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
enders Name Lender's Address
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 state laws relating to building construction. n i
I authorize representatives of this city or county to enSpr'th above-ide ified property for inspection purposes. / X �� P //V'L1' Z
.,,..,�n,re .w or..,.on.. rn..,.or .., a„fhnri>on AM ,(„ / Print Prnnertv Owners or Authorized Agent's Namel/ \ 1 ��/Y�%_Date/(
ACTION
DATE V
BY
DECLARATION OF COMPLIANCE KgTH CODE OF
FOR OFFICE USE ONLY \
—
FEDERAL REGULATIONS PART 61 OF TITLE40AND
AQMDRULE 4403.
PERMIT EXPIRED
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD'
PERMIT CANCELLED
PERMITEXTENDED
❑ ASBESTOS NOIfFIGATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
�.
CER7IFICATEOF
SIGNATURE.,
OCCUPANCYISSUED