HomeMy WebLinkAboutF2021-0208 - Permits0 Orr City of Newport Beach - Building Division(I�IIIIIIIIIIIIIIIIIIII�I'IIIIIIIIIIIIII II FIRE Permit: F2021-0208
. T - 100 Civic Center Drive, Newport Beach, CA 92660 2 0 2 1 0 2 0 8 Project No: 1178-2021
c: °' Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
Job Address: 1700 1'6TTH ST NB
Inspector Area:f 1' `oe
Owner:
CORONADO SOUTH APARTMENTS
Address:
1745 SHEA CENTER DR #200
HIGHLANDS RANCH CA 80129
Phone:
Applicant:
BROOKS CHRISTOPHER-
Address:
PO BOX 17363
ANAHEIM, CA 928W
Phone:
714-801-2292
Code Edit : 2019
Type of Construction:
V-BSPR
Occupancy Group:
R2
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
New i 51 r n�1l i1 PTilaZ�fl
Description: MFR FIRE ALARMS 60 DEVICES (X2020-2697)
1178-2021
Legal Description:
P BK 15 PG 36 PAR 2
Contractor:
HILLTOP ALARMS INC
Architect:
Address:
7683 CAMINO TAMPICO
Address:
ANAHEIM HILLS CA 92808
Phone:
714-801-2292
Phone: State Lic:
Con State Lic:
639145
Engineer:
Lic Expire:
11/30/2022
Address:
Bus Lic:
BT300�`856b
Lic Exp Date:
14S/28 %2
Phone: State Lic:
Worker's Compensation Insurance
Designer: BROOKS CHRISTOPHER
Carrier:
INS CO OF THE WEST
Address: PO BOX 17363
Policy No:
WSD505948200
ANAHEIM, CA 92807
Expire:
02/11/2022
Phone:
Issued Date: 08/12/2021
Special Conditions:
Setback- Front:
Rear:
Left:Right
I
'SPEC
FEES
;
Construction Valuation:
s $$1;,Of1i o
'..
Building PC Fee :
$217.00
Fire Residential Alarm PC Fee :
$0.00
`' cb,Ms Ma'n j ment :
$6.00
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:
$0.00
Public Works PC Fee:
$0.00
$0.00
Fire Permit Fee :
$0.00
Public Works Traffic Plan Check Fee;
,$0±00
Building Permit Fee :
$263.00
TOTAL FEE :
$486.00
Plan Check Fee :
$217.6Q `
Fee Du at Permit Issuance:
$269.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL: '
° ° JTv4ER DEPARTMENT
u °
° oy & � a
APPROVAL TO ISSUE:
e
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE, ORlf75,i 1JAP1.0 IN-SPECTtDN
0
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
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
'rofessions 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U 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
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).
1 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
Iy 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 legall)
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 Da
.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 Prof ons o my license is in full force
nd effect.
icense Class License No Date Contractor Si s f 9
natur
PORKERS' 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 THE
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:
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 th
e rmance 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'
carrier and policy number are:
1e of Agent
certify that, in the performance of the
, if I should become subjec0 to the wg
Policy Number Expiration Date
is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
dons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. gwd _
signature of Applicant Date ' G
IECLARATION REGARDIN CON G 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
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property D ners behalf.
I have read this application and the information I have provi d co c
I agree to comply with all applicable city and county ordi c n t laws relating to building construction.
I authorize representatives of this city or cou�ty to ent tified property for inspection purposes. ,� /
lionature of Prooertv Owner or Authorized ADenR / Print Prooertv Owner's or Authorized Acent's Name iv Date
ACTION
DATE
BY
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FOR OFFICE USE ONLY
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