The URL can be used to link to this page

Home My WebLink AboutF2019-0570 - PermitsCity of Newport Beach - Building Division '- 100 Civic Center Drive, Newport Beach,. CA 92660 Permit Counter Phone (949)644-3288 giltYrf �8 Job Address: 1200 BISON AVE NB St: 1 FI: 1 Unit: C-2 Inspector Area: FIRE Owner: IRVINE CO Address: 550 NEWPORT CENTER DR Occupancy Group: NEWPORT BEACH, CA 92660 Phone: 0 Applicant: ENGLISH STEVEN Address: 7465 GINGER DR FONTANA CA 92336 Phone: 909-273-7863 Legal Description: Code Edit : 2016 WIC EXEMPT .Type of Construction: V -B -SPR Occupancy Group: A-2 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Flood Zone: 938413 Bldg Sprinklers: Y Construction Valuation: Building PC Feer Building Overtime PC Fee Building Extention Fee : Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee, Building Permit Fee TOTAL FEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL $2,400.00 FIRE Permit: F2019-0570 F 2 0 1 9 0 5 7 0�� II Project No : 2288-2019 Inspection Requests Phone (949)644-3255 State Lic: State Lic Worker's Compensation Insurance Description: COMM TI HOOD SUPPRESSION "BELLO NEWPORT NORTH" Legal Description: N TR 12309 LOT 6 WIC EXEMPT Contractor: ALL QUALITY FIRE Architect: Address: 7465 GINGER DR Address: - FONTANA CA 92336 Phone: Phone: 909-273-7863 Phone: Con State Lic: 938413 Engineer: Lic Expire: 10/3112019 Address: Bus Lic: BT30069333 Lic Exp Date: 10/31/2020 Phone: State Lic: State Lic Worker's Compensation Insurance Designer: ENGLISH STEVEN Carrier: WIC EXEMPT Address: 7465 GINGER DR Policy No: FONTANA CA 92336 Expire: Phone: Issued Date: 10/17/2019 Special Conditions; Setback- Front: Rear: Left:. Right: FEES $0.00 Fire Residential Alarm PC Fee : $0.00 Records Management $0.00 Planning Counter Review, $0.00 $0.00 .Planning Zoning PC Fee ; $0.00 $0.00 $136.00 Public Works PC Fee: $0.00 $220.00 Public Works Traffic Plan Check Fee; $0.00 $0.00 $356.00 Plan Check Fee : o e om0000 e o oomm ooeeor 0000 m o t o0 .o o e doom e0 o o 00 0 00o m m m moaoo me c ooeoo 0 000000 c c < c oo0oco o c 0 000000 0 00 0 c o 0000� ocoo $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $356.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION )WNER-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 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 rrofessions 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 lot more than five hundred dollars ($500). I, 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, 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 mprovements 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 mproved for the purpose of sale). 3 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: 3y my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally ;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 Irofessions 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 Z Date ICENSED COR7R=TOR'S DECLARATION - b9rebY IfFirm unQerppnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the siness and Profe $ns C my license is in full force Ihd effect. • • • • • • //�\ �- j Jcems6, lass • License No D �/G�?� /,�_ Contr ct r Sig ature 'IOR"ERS' COMPENSATION DECLARATION JtANIN(E FAILURE -IMBUE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H IRE THOUSAND DOLLARS (5700,0001, IN ADDITION TO THE Sr QF•CUMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. bereDV affirm upder flalty of perjury one of the following declarations: 2•I•NaVe 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 ormance of the Work for which this permit is issued. Policy No. ;and wRll•maih�in 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' compensatior ranee carrier and policy number are: :2r6r.•r•• •�•• : Policy Number Expiration Date pe of Agent rnon ,aVify that, in the performance oft ork for which this permit is issued, I shall not employ any person in any manner so as to become t, if I should become subject tot ork sats provisions of Section 3700 of the Labor Code, I shall forthwith comply with nature of A ant Qv CLARA ON R O R N LENDING AGENCY !/ rreby affih under penalty of rjury that there is a construction lending agency for the performance of the workf ich this permit is is; 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinanc ands elating to building construction. I authorize representatives of this cityyLceu ty to enter abov ' ' ' d erty for inspection pu oses. nature of Prooertv Owner orAut armed AaeD Print Property Owner's or Authorized ent's the workers' compensation laws of California, and (Section 3097, Civil Code). ACTION DATE BY FEDERAL REGULATIONS PART 61 OF TtILE40AN AQMDRULE 1403. PERMITEXPIRED I SUBMITFEDASBESTOS NODFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED - PERMITEXTENDED ❑ ASBESTOS 111017RCA77ONIS NOT APPLICABLE TO PROPOSED DEMOLITION - PERMITFINAL VZV2A CER77FICATE OF SIGNATURE: OCCUPANCYISSUED