HomeMy WebLinkAboutF2020-0008 - PermitsCity of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
cs +p
Job Address: 100 BAYVIEW CIR NB St: 1 FI: 3 Unit: 315
Inspector Area: FIRE
Owner: GPI BAYVIEW LLC
Address: 5601 GRANITE PKWY#1200
PLANO, TX 75024
Phone:
Applicant: CHAKMA PANNEE
Address: 1354 S PARKSIDE PL
ONTARIO CA 91761
Phone: 909-957-5200
Code Edit: 2016
Type of Construction: I -A -SPR
Occupancy Group: B
Added /New sq.ft. Bldg: 0
Added/New sq. ft. Garage: 0
No of Stories: 6
No of Units : 0
Flood Zone:
Bldg Sprinklers: N
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
TOTAL FEE:
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
$1,825.00
FIRE Permit: F2020-0008
Project No: 0037-2020
Inspection Requests Phone (949)644-3255
Description: COMM - FIRE ALARM/TI 6 DEVICES (X2019-3608)
0037-2020
Legal Description:
N TR 12528 LOT 2
Contractor:
H C I SYSTEMS INC
Address:
1354 S PARKSIDE PL
FEDERAL INSURANCE
ONTARIO CA 91761
Phone:
909-628-7773
Con State Lic: 905493
Lic Expire: 02/29/2020
Bus Lic:
BT30042287
Lic Exp Date:
02/28/2020
Worker's Compensation Insurance
Carrier:
FEDERAL INSURANCE
Policy No:
54309498
Expire:
09/01/2020
Issued Date:
01/07/2020
Setback- Front:
$441.00
Rear:
Address:
Left:
Right:
FEES
$0.00
Fire Residential Alarm PC Fee
$0.00
Planning Counter Review:
$0.00
Planning Zoning PC Fee:
$0.00
$199.00
Public Works PC Fee:
$238.00
Public Works Traffic Plan Check Fee;
$0.00
$441.00
Plan Check Fee
/ OTHER
Architect:
Address:
Phone:
State Lic:
Engineer:
eeoe
• °
•ea•
Address:
• °
°
oeeeoo
moeeeo
0 0
Phone:
State Lic:
c
o • c
Designer:
CHAKMA PANNEE
s• e e
a o 0
Address:
1354 S PARKSIDE PIL
Damm
o • o
ONTARIO CA 91761
• ° °
Phone:
909-957-5200
Dem m
Special Conditions:
0
co o
o
a o0
eom
m
W mom
momoo
m °tee
m o 0
o
aeomao
e
mamoV
PLAN CHECKED
$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 : $441.00
ME
B
APPROVAL TO ISSUE:
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)
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
lot more than five hundred dollars ($500).
3 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,
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 thepurposeof 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:
3y 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 legall,
all 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
)rofessions Code, is available upon request when this application is submitted or at the following Web site:http://ww .leginfo.ca.govicalaw.html.
3ignature of Properly boner or Authorized Agent Date
ACENSED COATMCTOR'S DECLARATION
}trebv' ffirm ujipgr I%E salty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes to is Code, an my license is in full force
Intl effgct.
cense Class • License No Dat - %— /X C) Contractor Signature
NQRKERS' CPNPE14SATION DECLARATION
JpRAI jjJJCC��:-FAILURE 7b•SEEURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMij OYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
UST OFCOMPENSiATIOdJ*MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATT RNEY'S FEES.
'Webg affirm L04dr penalty of perjury one of the following declarations:
.••
I 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
Ice of the wofikfor which this permit is issued. Policy No.
and will•fiain&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.
carrier andp ulicy number are:
• • • • Policy Number Expiration Date
of Agent
My workers'
certify that, in the performano of the wof� r 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
, if I should become subject t the worke s' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant _
DECLARATION REG RDING qONSTRUCTION LENDING AGENCY
hereby affirm underenalty of Oerjury that there is a construction lending agency for the performance of the work for which this permit is
antler's Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the prope owner's be If.
I have read this application and the information I have pr ed is torr ct.
I agree to comply with all applicable city and county ordi nes and at to I ws relating to building construction.
I authorize representatives of this city or county to enrr h above -id tif' d property for inspection purposes.
innature of Pronwrty Ownwr or Authnrb ADen� VSA A M property
Owner's or Authorized Agen
(Section 3097, Civil Code).
Name
-7-;0
ACTION DATE I BY
uZLLJtlw rlUIV Ur turnruurvLr vvl In l Uucur
L ruxumrx uott vnLr
FEDERAL REGULATIONS PART Ht OF TITLE40AND
AQMDRULE 1403.
PEWTEXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMFEXTENDED
❑ ASBESTOS NO'DRCARONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
-
PERMITFINAL
CERT10CATE OF
SIGNATURE.
OCCUPANCYISSUED