HomeMy WebLinkAboutF2020-0105 - PermitsCity of Newport Beach - Building Division *F2020-0105°
,. 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone4949)644-3288
FIRE Permit: F2020-0105
Project No: 0460-2020
Inspection Requests Phone (949)644-3255
Job Address: 610 NEWPORT CENTER DR NS St: 1 FI: 2 Unit: 230 Description: COMM FIRE SPRINKLERS 3 HEADS (X2020.0573)
Inspector Area: FIRE
Owner: IRVINE CO
Address: 111 INNOVATION DR
IRVINE, CA 92617
Phone:
Applicant: YAM MARK
Address: 392 N. LEMAY CT
ORANGE, CA 92867
Phone: 626-757-2320
Code Edit : 2019
P BK 295 PG 33 PAR 4
Type of Construction:
V-A- SPR
Occupancy Group:
B
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
18
No of Units :
0
Flood Zone:
BT30042894
Bldg Sprinklers:
Y
Legal Description:
P BK 295 PG 33 PAR 4
Contractor:
FIRE PROT SPECIALISTS
Address:
2810 E MIRALOMA AVE
Engineer:
ANAHEIM CA 92806
Phone:
714-635-6500
Con State Lic:
464915
Lic Expire:
10/31/2020
Bus Lic:
BT30042894
Lic Exp Date:
05131/2020
Worker's Compensation
Insurance
Carrier:
COMP WEST INS. CO.
Policy No:
WCV5502952
Expire:
1210212020
Issued Date: 06126/2020
Setback- Front:
Rear:
Left:
Right:
Ae
INSPECTOR
Addddress:ss:
Designer:
Phone:
State Lic:
Engineer:
2810 E MIRALOMA AVE
Address:
Phone:
State Lic:
FEES
Designer:
ANDERSON ROBERT
Construction Valuation:
Address:
2810 E MIRALOMA AVE
ANAHEIM, CA 92806
$0.00
Phone:
714-635-6500
mmmm
Special Conditions:
$0.00
e
m°Q a
m m
$0.00
mm c
m o m m m
cc m m
$0.00
Planning Zoning PC Fee:
mm c
PROCESSED BY: 0 i --mo
ZONING APPROVAL:
FIRE APPROVAL: !Sarli
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPI CTION
FEES
° `~°
Construction Valuation:
$1,200.00
Building PC Fee :
$0.00
Fire Residential Alarm PC Fee:
$0.00 Records Management:
V. °
; ° m. $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:
$142.00
Public Works PC Fee:
$0.00
$0.00
Fire Permit as :
$182.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee:
$0.00
TOTAL FEE :
$324.00
Plan Check Fee:
$142.00 Fee Due at Permit Issuance :
$182.00
PROCESSED BY: 0 i --mo
ZONING APPROVAL:
FIRE APPROVAL: !Sarli
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPI CTION
)WNER-BUILDER DECLARATION
1 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) Ili
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
crofessions 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
iot more 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 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
m 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
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' Stale License Law).
D I 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-bullder 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:hftp://Www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
-ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se tion 7900) of 3 of the Business and Pro Storrs oda6 d my license is in Tull force
Ind effect,!
.scene Class License No Dyfe = °' Contract nature I L✓'' '-' .. / .. 'b'1,---„ _
NORKERS'COMPENSATION DECLARATION
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H NDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE
:OST OF COMP&IMTI811, DAMAGES AS PROVIDED FOR IN SECTION 9706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
herepy affirm Wider penalty of perjury one of the following declarations:
T1 Wave arV vill iaaintain 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 the
pryfgrnance bf the Work for which this permit is issued. Policy No.
and will maintain 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'
carligr yl[ti.'policy number are:
Policy Number Expiration Date
of AgepP • • • Phor
•r
rtitythat, in Elie perfrmance of the worlyfokwhich this permit is issued, I shall not employ any person in any manner so as to become
I should bbcoompirubj /(tla wq/rk/Qrs' co/�TIp sation provisions of Section 3700 of the Labor Code, I shall forthwith com with tho
ure of AoDlie X V11" 9T' l AYti. � I comply
D�
96ARATION REGARDjNG CONSTRUCTION LENDING AGENCY
ryeby afFrrpUTALIr pen lty of perjury that there is a construction lending agency for the performance of the work forwhich this permit is Issued
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 owner's behalf.
I have read this application and the information I have provided Is correct.
I agree to comply with all applicable city and county ordinances and Cafe laws relating to building construction.
I authorize representatives of this cityounty topntlbte above den 'fled ��property for Inspection purposes.
nature of Prooertv Owner or Authorize ant //�1 //Mo � 1 /YX"%t.-(A Print Property Owner's or Authorized Agent' m
ACTION DATE 1 BY Ut(.LAHA nun Vr LUMOILIANI-C W1 ntvuc Ur
FEDERAL PEGULA TIONS PART 61 of TITLE40AAID
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OCCUPANCYISSUE.D I I I I SIGNATURE:
workers' compensation laws of California, and
3097, Civil Code).