HomeMy WebLinkAboutF2019-0640 - PermitsCity of Newport Beach - Building Division 1pi11111111111111111111111111111111111111111111111 Jill
a 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 100 BAYVIEW CIR NB St: 1 FI: 2 Unit: 2200
Inspector Area: FIRE
Owner: 100 BAYVIEW LLC
Address:
LOS ANGELES, CA 90017
Phone:
Applicant: PADUA BETH
Address: 1354 S PARKSIDE PL
ONTARIO CA 91761
Phone: 909-957-5200
Code Edit : 2016
-N TR 12528 LOT 2
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:
X
Bldg Sprinklers:
Y
FIRE Permit: F2019-0640
Project No : 2641-2019
Inspection Requests Phone (949)644-3255
Description: COMM FIRE ALARM TI 4 NEW DEVICES, RMV 9 (X2019-2958)
Legal Description:
-N TR 12528 LOT 2
Contractor:
H C I SYSTEMS INC
Address:
1354 S PARKSIDE PL
Building Extention Fee :
ONTARIO CA 91761
Phone:
909-628.7773
Con State Lic:
905493
Lic Expire:
02129/2020
Bus Lic:
BT30042287
Lic Exp Date:
02/28/2020..
Address:
s
Worker's Compensation
Insurance
Carrier:
FEDERAL INSURANCE
Policy No:
54309498
Expire:
09/0112020
Issued Date: 12/2312019
Setback- Front:
1354 S PARKSIDE PL
Rear:
Left:
iLJ
Right:
909-957.5200
Construction Valuation:
$2,715.00
Building PC Fee:
$0.00
Building Overtime PC Fee:
$0.00
Building Extention Fee :
$0.00
Building Investigation Fee:
$0.00
Fire Plan Check Fee:
$195.00
Fire Permit Fee :
$232.00
Building Permit Fee :
$0.00
TOTAL FEE :
$431.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
FEES
Fire Residential Alarm PC Fee
Planning Counter Review:
Planning Zoning PC Fee :
Public Works PC Fee:
Public Works Traffic Plan Check Fee;
Plan Check Fee :
Special Conditions:
$0.00 Records Management: $4.00
$0.00
$0.00
$0.00
$0.00 $0.00
$0.00
$195.00 Fee Due at' Permit Issuance: $236.00
p ® 6 m p RT.HER DEPARTMENT:
• •pp .p
o Vp ° • <.
°' ° • PUN oAEC.KEt) BY:4
e •VL pV V 4
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER4SSUA ICIF QRZ-A,7;VALIL INSPECTION
•• .Y V
•°p V°! °• • i AS• pp•
Architect:
Address:
/
W
T
Phone:
State Lic:
M
Engineer:
Address:
Phone:
State Lic:
�n
-i
Designer:
PADUA BETH
Address:
1354 S PARKSIDE PL
�1
ONTARIO CA 91761
iLJ
Phone:
909-957.5200
Special Conditions:
$0.00 Records Management: $4.00
$0.00
$0.00
$0.00
$0.00 $0.00
$0.00
$195.00 Fee Due at' Permit Issuance: $236.00
p ® 6 m p RT.HER DEPARTMENT:
• •pp .p
o Vp ° • <.
°' ° • PUN oAEC.KEt) BY:4
e •VL pV V 4
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER4SSUA ICIF QRZ-A,7;VALIL INSPECTION
•• .Y V
•°p V°! °• • i AS• pp•
OWNER -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
the 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
Professions 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
improvements 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
improved 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
apply 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:
By 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
sell 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
Professions 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 Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busines4HUNDRE
Code, and my license is in full force
and effect.
License Class License No Date cZ" Contractor Signatu
INORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO OAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
:11 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 tht
7erformance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensation
"ance carrier�lZd policy numbP,l are; •-
1e of Agent
certify that, int a performance
if I should become subject to.1
as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Number
Date
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of ApplicantW.X�" DaJrr'C f �� - $'C3 "! `7
CLARATION REGARDING C STRUCTION LENDING AGENCY
Jreby affirm under penalty 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 Lenders Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property OXI,ner's behalf.
I have read this application and the information I have provJcJbcVjs Gorrec
I agree to comply with all applicable city and county ordina and "Jif
I s relating to building construction.
I authorize representatives of this city or count t enter th bove-ide Jif' d opany for inspection purposes.
nature of Property Owner or Authorized AGent "M t Print Property Owner's or Authorized Agent's Name
ACTION
PERMITEXPIRED
PERMITCANCELLEO
PERMITEXTENDED
OCCUPANCYISSUED
•
LT tSUBMfTrEt %SBEJTOS NOTIFICATION TO:
• • • •`❑ SPA • • �•
�• • `•❑ `AQMD
❑ ASBESTOS MOTIRCATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITJON.
�if�.N,aTffR�; ••• i