HomeMy WebLinkAboutF2019-0046 - PermitsCity of Newport Beach - Building Division IIIIII�IIIIIIIIIIIIIIII�III�IIIIIIIIII II
FEES.
FIRE Permit: F2019-0046
r 100 Civic Center Drive, Newport Beach,
CA 92660.
Fire Residential Alarm PC Fee:
F. 2 0 1 9 0 0 4
6
$0.00
Planning Zoning PC Fee:
Project No : 0199-2019
.
Permit Counter Phone (949)644-3266
Public Works PC Fee:
-
Public Works Traffic Plan Check Fee;
$0.00
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Inspection Requests Phone (949)644-3255
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Job Address: 4675 MACARTHUR CT NB St: 1 Ft:7
Job
Description: COMM FIRE ALARM- 3 DEVICES (X2019.0275)
Inspector Area: FIRE
Legal Description:
P BK 196 PG 40 PAR 3
Owner: IRVINE CO
Contractor:
REDHAWK BUILDERS INC
Architect:
MORFORD PAUL
Address: - 650 NEWPORT CENTER DR
Address:
200 TECHNOLOGY STE L
Address:
4675 MACARTHUR CT #100
NEWPORT BEACH, CA 92660
IRVINE CA 92618
NEWPORT BEACH CA 92660
Phone:
Phone:
949-754-9050
Phone:
949-863.9434 State Lie: C019058
Applicant:. YAM MARK
Con State Lie:
692901
Engineer:
Address: 392 N LEMAY CT
Lie Expire:
1013112019
Address:
ORANGE CA 92867
Bus Lie:
BT30027314.
.Phone: 626-757-2320
Lie Exp Date:
0413012019
Phone:
State Lic
Cade Edit: 2016 -
Worker's Compensation Insurance
Designer:
Type of Construction: V -B -SPR
Carrier:
INS OF THE WEST
Address:.
Occupancy Group: B Policy No: WSD5031143 1'a,
Added /New sq.ft: Bldg: 0 Expire: 0 910112 01 9 Phone:
M
Added /New sq. ft. Garage: 0
No of Stories: 0. Issued Date: 0112912019 Special Conditions:
No of Units : 0 Setback- Front
Flood Zone: Rear: -
Bldg Sprinklers: Y - Left:
Right
Construction Valuation:.
Building PC Fee
Building Overtime PC Fee:
Building Extention Fee:
Building Investifiatiop Fee:
biro Elan Chetlk F6e:1
o Eire G'crmit Fee
Building Pemtit<FieBe.<
I e
oI
-TOTAL FEE:
e esco
PROCESSED BY:�oL°�
ZONlt4t8 APPROVAL
FIREAv'r�s"7vDVAL.
ocoe
$0.00
$0.00
$0.00
$0.00
$0.00
$308.00 Plan Check Fee: $136.00
Records Management:
Fee Due at Permit Issuance
OTHER DEPARTMENT:
PLAN CHECKED BY::
�-f APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
$0.00
$0.00
$0.00
$172.00
FEES.
$1,326.00
$0.00
Fire Residential Alarm PC Fee:
$0.00
Planning Counter Review.:
$0.00
Planning Zoning PC Fee:
$0.00
$136.00
Public Works PC Fee:
$172.00
Public Works Traffic Plan Check Fee;
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$308.00 Plan Check Fee: $136.00
Records Management:
Fee Due at Permit Issuance
OTHER DEPARTMENT:
PLAN CHECKED BY::
�-f APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
$0.00
$0.00
$0.00
$172.00
INER-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)
:tion 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
fessions 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 penally of
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
iness 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
rovements 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
roved 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
ly 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).
J I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 coven
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
Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.co.gov/calaw.htmi.
lignature of Property Owner or Authorized Agent ate.
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se tion 7000) of Division 3 of the Business and ro s ode,
nd effect. Q
icense Class License No Da
1/ Contractor Signatuhd
his permit, I cannot
of the Business and
is in full force
VORKERS' COMPENSATION DECLARATION
DARNING: 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 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 th,
�{
ormance of the work for which this permit is issued. Policy No.
!V ave 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' compensatiol
isur nce carrier and policy number are:
ler Policy Number Expiration Date
'same of Agent Phone #
71 certify that, in the perform of t or 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 agre,
Iat, if I should become subje ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pjroVI. i/o�ns.
ignsture of Applican O'g -G
?reby affirm under penally 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
DECLARAIIUN Dt CONWLtANCLWIIHCUDLUt
Lender's Address
-
my signature below, I certify to each of the following:
.•
; • • • • • • • o a
PERMITEXPIREO
,
I am the property owner or authorized to act on the property own behalf.
• .••. o
.... r' 1•
I have read this application and the information I have provOWTIcorreit.,I
[3 ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
• • • • o
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agree to comply with all applicable city and county or
I authorize representatives of this city or county to
sate ws
If'
lating to building construction.
o any for inspection /ri
: • • • 0 •
mature of Prouertv Owner or Authorized ADent
purposes. ^ / ,��n0"�
Print ProDertv Owner's or Authorized ADent's Na m/ /fes
1F�'� *Date ......
AC77ON DATE By
DECLARAIIUN Dt CONWLtANCLWIIHCUDLUt
` FOR OFFICE USP•ONL4 • • • • o 0
-
FEDERAL REGULATIONSPART 61 OF TITLE40AND
AQMD RULE 9403.
.•
; • • • • • • • o a
PERMITEXPIREO
1 SUBMfTTEDASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
• .••. o
PERMfTCANCELLED
PERMITEXTENDED
[3 ASBESTOS NOTIRCATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
• • • • • • • o
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......
PERMIT FINAL l M Olt
CERTIFICATEOF
OCCUPANCYISSUED
SIGNATURE