HomeMy WebLinkAboutF2019-0261 - PermitsCity of Newport Beach Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII� FIRE Permit: F2019-0261
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 2 6 1 Project No: 0993-2019
E Permit Counter Phone (949)644-3288
ej rt ycT - tt [ Inspection Requests Phone (949)644-3255
Job Address: 5000 BIRCH ST NS St: 1 FI: 4 Unit: 4800 Description: COMM FIRE ALA)RM TI (5 DEVICES) "SPEC SUITE"
Inspector Area: FIRE Legal Description:P BK 181 PG 13 PAR 5
Owner: CORNERSTONE PARTNERS IV Contractor: FIRE SAFETY FIRST Architect:
Address: 18818 TELLER AVE #277 Address: 1170 E FRUIT ST - Address:
IRVINE, CA 92612 SANTA ANA CA 92707
Phone: Phone: 714.836.4800 X137 Phone: State Lie:
Applicant: FIRE SAFETY FIRST Con State Lia 599761 Engineer: ....
Address:.. 1170 E FRUIT ST Lie Expire: 08/31/2020 Address:
SANTA ANA CA 92701 Bus Lia BT00009906 e o o e m e e• m °o
Phone: 714-836-4800 X137. Lie Exp Date:: 06/30/2019 Phone: State Lie:
e
Code Edit: 2016 Worker's Compensation Insurance Designer: SALORIO MANNY
Type of Construction: I -A -SPR - Carrier: CYPRESS INS CO Address: 1170 E FRUIT ST
Occupancy Group: B Policy No: BRWC916820 SANTA ANA CA 92701
Added/New sq.ft. Bldg: - 0 Expire: 11/01/2019 Phone:
Added/New sq. ft. Garage: 0 a °0°• Qm°°mo
No of Stories: 10 Issued Date: 05102/2019. Special Conditions:.
No of Units : 0 Setback- Front:
Flood Zone: Rear: o m o e 0
mcom mo m m
Bldg Sprinklers: Y Left:
Construction Valuation
Building PC Fee:
Building Overtime PC Fee
Building Extention Fee :
Building Investigation Fee
Fire Plan Check Fee:
Fire Permit Fee :
Building Permit Fee:
TOTALFEE:
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL
$2,000.00
Right:
$0.00
$0.00
$0.00
$0.00
$197.00
$235.00
$0.00
FEES
Fire Residential Alarm PC Fee
Planning Counter Review:
Planning Zoning PC Fee:
Public Works PC Fee :
Public Works Traffic Plan Check Fee;
$436.00 Plan Check Fee:
M1 LI t11 l ``-1--70D—R3a o m°ma �omeom
moom
$0.00 - Records Management : $4.00
$0.00
$0.00
$0.00
$0.00 $0.00
$0.00
$0.00 Fee Due at Permit Issuance $436.00
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE: //AO
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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)
ction 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 penalty 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,
siness 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
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
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
�fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm].
nature of Prope J4 9giner or Authorized Agent Dale
TENSED CONIMOTOR'S DECLARATION
Ire�by affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commen 1 with S do 7000) of Division 3 of the Busin s Pr f s to s o e, an my license is in full force
leifect: :�: �.
Vse Plass ' ° License No Da Contractor Si t
mKii COMPENSATION DECLARATION
rNIN04fAILURE TA SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
F COMPENSATIOA,VRMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
iM affirm under penalty, of perjury one of the following declarations:
geand will*Aaint'ain 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 lh
IYge of the w1brk for which this permit is issued. Policy No.
ve and will4aiRlein 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
1cR carrier and polity number are:
° ° .0
° : Policy Number Expiration Date
of Agent °°°° Phone#
rtify thgt, in the�erfr ce of the wgrk for lglhich t i permit is issued, I shall not employ any person in any manner so as to become subject to the worke compensation laws of California, and agre
I�aQGId beco su t in, o the. work s' cnens I provisioi s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions
:reby affirm under �enaltyy,ef perjury that there is a co}lstruction 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 cDun o i nces and tate I
s relating buildin construction.
I authorize representatives oft ' -city or county toe -i ntifi
roperty f ins ectio urposes. A �A
nature of Property Own r uthorized Agent
artOwner's or Authorize is Name t=
ACTION DA I BY
DE LARATION OFCOMPLIANCEWITNCODEOF
FOR OFFICE USEONtt
FEDERAL REGULA71ONS PART fit OFTITLE40AND
AQMD RULE 1403.
PERMITFXPIR€D
❑ 1 SUBMfTTED ASBESTOS N077FICATION TO.
❑ EPA
❑ AQMD
❑ ASBESTOS NO77RCARONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMITCANCELLED
PERANTUTENDED
PERMITFINAL
CERTIFfCATEOF
SIGNATURE'
OCCUPANCYISSUED