HomeMy WebLinkAboutF2022-0222 - Permits0,t"�",
City ofNewport Beach -Building Division100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 2 2 2
Permit Counter Phone (949)644-3288
Job Address: 3443 PACIFIC VIEW DR NB &. b
Inspector Area: FIRE
Owner: HARBOR DAY SCHOOL
Address: 3443 PACIFIC VIEW DR
CORONA DEL MAR, CA 92625
Phone:
Applicant: VADKERTI MARIAN
Address: 2552 WHITE RD #B
IRVINE CA 92614
Phone: 949-660-0110
Code Edit : 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Flood Zone: X
Bldg Sprinklers: N
FIRE Permit: F2022-0222
Project No : 1088-2022
Inspection Requests Phone (949)644-3255
Description: COMM UNDERGROUND FIRE LINE "HARBOR DAY SCHOOL"
t
Legal Description: IRVINE SUB LOT 463 BLK 96 FOR OF LOT Ju PR 1 �`4}1
Contractor: DPR CONSTRUCTION
Address: 1450 VETERANS BLVD
REDWOOD CITY, CA 94063
Phone: 650-474-1450
Con State Lic: 1083716
Lic Expire: 11/30/2023
Bus Lic:
BT30042122
Lic Exp Date:
12/31/2022
Worker's Compensation Insurance
Carrier:
LIBERTY INSURANCE
Policy No:
WA766DO66943031
Expire:
09/01/2022
Issued Date:
05/23/2022
Setback- Front:
Rear:
Left:
Right:
Architect
Address:
Phone: State Lic
Engineer:
VADKERTI MARIAN
Address:
2552 WHITE RD #B
IRVINE CA 92614
Phone:
949-660-0110 State Lic: C-072027
Designer:
Address:
Phone
Special Conditions:
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FEES
Construction Valuation:
$50,000.00
'
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
$0.00
Building Investigation Fee :
$0.00
$0.00'
$0.00
Fire Plan Check Fee:
$325.00
Public Works PC Fee :
Fire Permit Fee :
$434.00
Public Works Traffic Plan Check Fee; $0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$767.p0
Plan Check Fee : $0.00 Fee Due atPermit Issuance :
$767.00
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PROCESSED BY:�
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• ` OTHER DEPARTMEP:T:-
ZONING APPROVAL:
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FIRE APPROVAL:
APPROVAL TO ISSUE: z�
PERMIT
EXPIRES 180 DAYS AFTER -ISSUANCE 01,2 LAST Vrd ID WSPECTION
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 U all of or U 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 licensure 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.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I 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, and my license is in full force
and effect.
License Class License No Date- 5 ZZ Contractor Sign � /j /f"t'Lltil
WORKERS' COMPENSATION DECLARATION
WARNING: 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
COST OF COMPENSATION, 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:
❑ 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 thl
perforryrance of the work for which this permit is issued. Policy No.
and will tain 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 d pglicy number ate:, f�
�. i,.l C"PblicAuW%r Expiration Date
ie of Agent ram'-C 31 1
certify that, in the performance of the
if I should become subiec4-to the wo
of
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
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
CLARATION REGRRDMIG CONSTRUCTION LENDING AGENCY
�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).
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 correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction. ,
I authorize representatives of this city or county `to� tof}h ,ab9ve-identified property for inspection purposes. Anh IQ. .SKOYtj�SK�
nature of Property Owner or Authorized Agent Y (?', �77, • Print Property Owner's or Authorized Agent's NameO%
ACTION
DATE
BY
DECLARATION OF COMPLIANCE IMTH CODE OF
FOR OFFICE USE ONLY
FEDERAL RP'GGL1,7 IONS PART 61 OF TIRE 40 AND
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PERMIT EXPIRED
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