HomeMy WebLinkAboutF2018-0121 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288 -
Job Address: 606 ORCHID AVE NB
Inspector Area: 5
Owner:
NICHOLSON TONYA
Address:
1607 HARBOR CREST CIRCLE
Occupancy Group:
CORONA DEL MAR CA 92625
Phone:
949-278.1327.
Applicant:
MILLENNIUM FIRE PROTECTION
Address:
1227 FLYNN RD STE 307
No of Units:
CAMARILLO CA 93012
Phone:
806.389-3056
Code Edit: 2016
Contractor:
Type of Construction:
V -B -SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units:
0
Flood Zone:
Lic Exp Date:
Bldg Sprinklers:
N
II III II2 VIIIVIII IIIIIIVIII 1
III2 III II
FIRE Permit: F2018-0121
Project No: 0482-2018
Inspection Requests Phone (949)644-3255
Description: MFR FIRE. SPRINKLERS 31 HEADS (X2016-4288)
Legal Description: CORONA DEL MAR LOT 8 BLK 642
Contractor:
MILLENNIUM FIRE PROTECTION
Address:
1227 FLYNN RD STE 307
State Lic:
CAMARILLO CA 93012
Phone:
806.389-3056
Con State Lic:
1003050
Lic Expire:
0413012019
Bus Lic:
ST30053745
Lic Exp Date:
01/3112019
Worker's Compensation Insurance
Carrier:
ZURICH AMERICAN
Policy No:
WC551376402
Expire:
10/01/2018
Issued Date: 02/28/2018
Setback- Front:
Rear:
Left:
Right:
Architect
Address:
Phone: State Lic
Engineer:
Address:
Phone:
State Lic:
Designer:
NGUYEN VINCENT
Address:
1227 FLYNN RD STE 307
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CAMARILLO CA 93012
Phone:
805-389-3056
Special Conditions:
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FEES
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$4,200.00
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Fire Residential Alarm PC Fee:
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Building Overtime PC Fee:
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PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY:: m /� n
FIRE APPROVAL: - B APPROVAL TO ISSUE: l yl f �l/ �'
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Construction Valuation:
$4,200.00
Building PC Fee :
$190.00
Fire Residential Alarm PC Fee:
$0.00 Records Management:
$0.00
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 :
$225.00
TOTAL FEE :
$415.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$415.00
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY:: m /� n
FIRE APPROVAL: - B APPROVAL TO ISSUE: l yl f �l/ �'
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
)WNER-BUILDER DECLARATION
I herebyaffirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons indicated below b the checkmark s I have laced next to the applicable item(s)
P Y P I rY P O Y O P PP t)
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
he 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
iot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do C_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
Tlprovements 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
reproved 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
Ipply 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:
ly my signaturgJVJPw 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
,ell a structumhat 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 app' able law, Section 7044 of the Business and
'rofegsions Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
>igneture of P,rtSper[);Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
bereiy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing witlySeTion 70@0) of Division 3 of the Bu ' esstnlssio Code, and my license is in full force
mdAffect. .. ,�`'
!ijerfsp Class'.. : License No Date" �C..> Contractor Sig
VORKERS' CdOMPENSATION DECLARATION
IR AlAp: FAILURr6T019ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THOUSAND DOLLARS ($I00,0001, IN ADDITION TO THE
kWT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
4iorehq affirm under penalty of perjury one of the following declarations:
J I h;ve andrwiil�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 the
ed rrraance of tae Wprk for which this permit is issued. Policy No.
i.�a've 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
Isurance carrier and polL�jj number are:
Policy Number Expiration Date
s of Agent vnone 1
ertify that, in a work for which this permit is issued, I shall not employ any person in any manner so as to become su
if I shou eco e u 'act to the wo ers' compe ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
rture of AD al
t Date
the workers' compensation laws of California, and
A A I I?
CLARATION RE%ARD10 CONSTRUCTION LEN<ING AGENCY /
III .-reby affirm underfowelly of perjury tthere is a c nstruction lending agency for the performance of the work for which this permit is issued (Secti n 3097, C vil Code).
rder's Name Lender's Address
my signature below, I certify to each of the followir
1 am the property owner or authorized to act on
I have read this application and the information I
I agree to comply with all applicable city and
I authorize representatives of this city ount r
nature of Prooertv Owner or Authorize
ACDON I DATE
)party owner's behalf.
provided is correct.
InarT n Ese d state la s relating to building construction.
er the above-10entifiedlbro arty for inspection purposes.
BY
I PERMITEXPIRED I I I
I PERMITCANCELLED I I / I
FERMIT ANAL
CERTtFICATEOF
OCCUPANCYISSUED
❑ ISUBMITTED ASBESTOS NOTIFICATION TO.
❑ EPA
❑ AOMD
❑ AS13ESTOSNOTIRC47IONISNOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
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