HomeMy WebLinkAboutF2019-0487 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII
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FIRE Permit: F2019-0487
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100 Civic Center Drive, Newport
Permit Counter
Beach, CA 92660
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Project No : 1884-2019
._ Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
Job Address: 100 W COAST HWY NB St: 1 FI: 2 Unit: 202
Description: COMM COMMUNICATOR UPGRADE FOR ANSUL HOOD CONNECTION
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Inspector Area: FIRE
Legal Description:
Owner: SHAH
Contractor:
SONITROL ORANGE COUNTY LLC
Architect:
Address: 100 W COAST HWY
Address:
1334 BLUE OAKS
Address:
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NEWPORT BEACH CA 92663
ROSEVILLE CA 95678
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Phone: -
Phone:
949-768-1414
Phone:
S a e LIG.
Applicant. MAGAZZI DANIEL
Con State Lie:
1030851
Engineer:
00.0
Address: 23 MAUCHLY #100
Lie Expire:
09/30/2021
Address:
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IRVINE CA 92618
Bus Lie
BT30040301
Phone: 949-297.4364
Lie Exp Date:.
08131/2019
Phone:
State Lie:
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.Code Edit : 2016 - -
Worker's Compensation Insurance
Designer:
MAGAZZU DANIEL
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Type of Construction: V -A -SPR.
Carrier.
ARCH INSURANCE CO
Address:
23 MAUCHLY #100
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Occupancy Group: B
Policy No:
UB9J58872019 -
IRIVNE CA 92618
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Added /New sq.ft.. Bldg: 0
Expire:
01/01/2020
Phone:.
949-2974364
Added /New sq. k. Garage: 0
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No of Stories: 3
Issued Date: 08129/2019
Special Conditions:
0000
No of Units : 0
Setback- Front
Flood Zone: X
Rear:.
LANDSLIDEAREA
0 0
000000
0 o 0
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Bldg Sprinklers: Y
Left:
Right
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0
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0000
FEES
Construction Valuation: $5,300.00
Building PC Fee :
$0.00
Fire Residential Alarm PC Fee
$0.00
Records Management:
- $6.00
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:
$136.00
Public Works PC Fee :
$0.00
$0.00'
Fire Permit Fee :
$220.00.
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$362.00
Plan Check Fee ;
$136.00
Fee Due at Permit Issuance :
$226.00
PROCESSED BY:
OTHER DEPARTMENT:
ZONING APPROVAL:
PLAN CHECKED
BY::
FIRE APPROVAL:
APPROVAL TO ISSUE:
PERMIT EXPIRES180, DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
VNER-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)
Iction 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
Ifessions 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
ainess 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
Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
nature of Property Owner or Authorized Agent Date
2ENSED COJ4TRACiTOR'S DECLARATION
rreby affirm undee penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine and Professions my license is in full force
ensedass '.'..' License No to IZ���� Contractor Sig t
SRARS' COMPENSATION DECLARATION
INING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
Ir.OFtSMPENSn1 0, DITBAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
reUy affirm under penalty of perjury one of the following declarations:
At I ave and 4- iniain 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(
hRfiflq_qp,of the )york for which this permit is issued. Policy No.
if I
Agent
of
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'
number are:
Policy Number
Date
in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become,eubject to the workers' compensation laws of California, and
become subject bio a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with a provisions.
�reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit 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 tirmation I have provided is correct.
I agree to comply with all Spielb city and county ordinances and state laws relating to building construction.
I authorize representatives oft ' ty or cou tr�e-e%tter the abo4e-identified prop for inspection purposes.
of Property Owner orAthortzed Agent
Mimi DATE BY
3097, Civil Code).
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SIGNATURE:
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PERMIT FINAL fie,r'� 1`-'lD VZt?ti
CERTIFICATE OF
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3097, Civil Code).
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