HomeMy WebLinkAboutF2020-0106 - Permits,�gwrrgr City of Newport Beach - Building Division I IIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II FIRE Permit: F2020-0106
+�� 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 1 0 6
P Project No: 0460-2020
� , Le � Permit Counter Phone (949)644-3288
G�4�upN�x Inspection Requests Phone (949)644-3255
Job Address: 610 NEWPORT CENTER DR NB St: 1 FI: 2 Unit: 230 Description: COMM FIRE ALARMS 5 DEVICES (X2020.0573)
Inspector Area: FIRE
Legal Description: P BK 295 PG 33 PAR 4
Owner: IRVINE CO
Contractor:
CASCO CONTRACTORS INC
Architect:
Address: 111 INNOVATION DR
Address:
9850 IRVINECENTER DR
Address:
IRVINE, CA 92617
IRVINE, CA 92616
Phone:
Phone:
949.679-6880
Phone:
State Lie:
Applicant: YAM MARK
Con State Lie:
790706
Engineer:
Address: 392 N. LEMAY CT
Lie Expire: _
01131/2021
Address:
ORANGE, CA 92867
Bus Lie:
BT30041027
Phone: 626-757-2320
Lie Exp Date:
10/31/2020
Phone:
State Lie:
Code Edit : 2019
Worker's Compensation
Insurance
Designer:
TAYLOR RICK
Type of Construction: I-ASPR
Carrier:
SENTINEL
Address:
2246 LINDSAY WAY
Occupancy Group: B
Policy No:
72WEAAE3W83
GLENDORA, CA 91940
Added /New sq.ft. Bldg: 0
Expire:
01101/2021
Phone:
909.305.1600
Added /New sq. ft. Garage: 0
No of Stories: 18
Issued
Date: 03/26/2020
Special Conditions:
No of Units : 0
Setback- Front:
Flood Zone:
Rear:
Bldg Sprinklers: Y
Left:
Right:
�®
FEES
Construction Valuation:
$2,247.00
Building PC Fee:
$0.00
Fire Residential Alarm PC Fee :
$0.00
Records Management:
$0.00
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:
$197.00
Public Works PC Fee :
$0.00
$0.00
Fire Permit Fee :
$235.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$432.00
Plan Check Fee:
$197.00
Fee Due
at Permit Issuance :
$235.00
PROCESSED BY:
ZONING APPROVAL:
0 ooa • oe o
�VER,DEPAI$T*ENao"
0 0 0 ° •o e o ®o e c
PLAN OHECK610 BY -p
FIRE APPROVAL: Lig\ APPROVAL TO ISSUE:
0o- 000 o co
0 0 0 0 0 0 0 oc
PERMIT EXPIRES 180 DAYS AFTER ISSUANC40D L&T VA91D IN.tiPELTIOit
00 000 0 0 00 00 000
I hereby affirm under penalty of perjury that i am exempt from the Contractors' State License Law forthe reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
Section 7031.5, Business and Professions Code: Any city or county that requires a permtito construct, after, improve,, demolish, or repair any structure, prior to its issuance, also requires the applicant for
he permit to file a signed statemerd that he or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of'Ddvislon 3 of the Business and
srofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption_ Arry violation of Section 7031.5 by any applicant fare permit subjects the applicant to a civil penalty of
rat mare than five hundred dollars ($500). -
1, 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,
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-Bulderwill have the burden of proving that it was not built or
mproved for the purpose of sale).
1, 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 taw does not
apply to an owner of property who builds or improves thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law).
1 am exempt from licensure underthe Contractors' State License law for the following reason:
3y my signature Maw 1 acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion ofthe improvements covered by this permit, I cannot legalh
;ell a structure that I have built as an owner -builder N I 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 Cade, is available upon request when this application is submitted or at the followirrg Web site:http; www. leginfe.ca.gcvlcalaw.html.
3fgnature of Property Owner or Authorized Agent Date
JCENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busin nd Prof s nd m ns le in full force
and effect.
icense Class V� License No Date Contractor Sign
YORKERS' COMPENSATION DECLARATION
rARN1NO: FA9aRE TO SECURE YJORKERS COMPENSATION COVERAGE mSrfNLAw`Fari., ANO Sta1LL aUEJECr{W 201pLOYm 10 CRI6ANAL PENALTIES AND CROL FlNES UP TO ONER NniOtraANOOOLEARS dS100,000), IN ADOmON TO TEIE
IDSTOFCOMPENSATION, DAMAGESAS PRONGED FDRINSECMN3706 OFTHELABORCOD%INT-oRFAT, ANDATMIXNI' SFEES.
hereby affirm under penalty of perjury one of the following declarations:
] 1 have and will maintain a certificate of consent to self -insure for workerw compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the labor Code, for th
mancsofthe work for which this permit isissued. Policy No.
ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Lode, for the performance of the work for which this permit is issued. My workers' compensalloi
1e1-n
ce carrier and policy number are:
Wer Policy Number Exulreon Date
me of Agent - Phone #
I certify that, in the pe the work for hick perm issued, I shall not employ any person in any manner so as to become subject to the workers' compenr
t, if I should be subject rkers' satian pro% no of section 3700 of the Labor Code, I shall forthwith comply with those provisions_
nature of Daf `_L)_.It„1(`I'I_1Ti
CLARAT110 IO !hili ONS C770N LENDING AGENCY
Neby affirm under penalty f pe ' that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code).
order's Name Lender's Address
my signature below, I cel to each of the following:
1 am the property owner or authorized to act an the property owner' alf.
I have read this application and the information I he coned.
1 agree to comply with all applicable day and co ordinan state relay to building construction.
I authorize representatives of this ohy or coo to enterthe vs- a prop is rispeotfan purposes.
nature of Property Owner or Authorized Age _ Print Property Owner's or Authorized Agent's Name c �et-'r co,
ACITON I DATE I ` / an/ 11� 11 DEaA't artvrriDFCOI§PLWiCEWITHCODE-OF 1 FOR OF.
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