HomeMy WebLinkAboutF2020-0148 - PermitsCity of Newport Beach - Building Division *F2020-0148* FIRE Permit: F2020-0148
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0622-2020
ti. Permit Counter Phone (949)644-3288
At
Inspection Requests Phone (949)644-3255
Job Address: 660 NEWPORT CENTER DR NS St: 1 FI: 13 Unit: 1300 Description: COMM FIRE SPRINKLERS (11) HEADS (X2020-0890)
Inspector Area: FIRE
Owner:
660 NEWP CENTER DR LLC
Address:
PO BOX 2450
Address:
NEWPORT BEACH, CA 92656
Phone:
ANAHEIM CA 92806
Applicant:
YAM MARK
Address:
392 N LEMAY CT
Lie Expire:
IRVINE CA 92867
Phone:
626.757-2320
Code Edit: 2019
Type of Construction:
Occupancy Group:
Added Mew sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
No of Units
Flood Zone:
Bldg Sprinklers:
I -A -SPR
B
0
0
Legal Description:
P.M. 296.33 PAR 6 FOR OF PAR
Contractor:
FIRE PROT SPECIALISTS
Address:
2810 E MIRALOMA AVE
Phone:
ANAHEIM CA 92806
Phone:
714-635.6500
Con State Lie:
464915
Lie Expire:
10131/2020
Bus Lie:
BT30042894
Lie Exp Date:
0613112020
Worker's Compensation
Insurance
Carrier:
COMP WEST INS. CO.
Policy No:
WCV5602952
Expire:
1210212020
16 Issued Date: 05/18/2020
0 Setback- Front:
X Rear:
Y Left:
Right:
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
INSPECTOR
Architect:
Address:
Phone:
State Lie:
Engineer:
_, • e
Address:
, • • c `
6 F
Phone:
o Dom ee•es
State Lie: • . .
$0.00
Fire Residential Alarm PC Fee :
Designer:
ANDERSON ROBERT
Address:
2810 E MIRALOMA AVE . ®`
Planning Counter Review:
ANAHEIM CA 92806 0 o e•¢ o o a
t
Phone:
714-635-6500 ••
0 00
Special Conditions:
• • • • �-
$0.00
oouea
ec o c
Building Investigation Fee:
c o00
$0.00
Fire Plan Check Fee:
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Dose
FEES
Construction Valuation:
$1,550.00
Building PC Fee :
$0.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$2.00
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:
$158.00
Public Works PC Fee:
$0.00
$0.00
Fire Permit Fee :
$206.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee:
$0.00
TOTAL FEE :
$366.00
Plan Check Fee:
$158.00 Fee Due at Permit Issuance :
$208.00
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
vrrncrc-nViLUEM DECLARATION _
I 703hereby1afgrm5, Buunder
(Section 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 flaunts))
.sfness 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 Parrott 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 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
13 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,
Business and Professions Code: The Contractors' State License Lew 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
im roved for the purpose of sale).
t -f 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 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 as an that, except far my personal residence In which I must have resided for et least one year prior to completion of the improvements covered by this permit, I cannot legall.
sella structure that I have built as an owner except
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 prat the following Web site:htip:/Amwv.leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent
'_ICENSED Ct4y=RACTOR'S DECLARATION Date
hereby affl" ndn. �rpenalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Codal. and my license Is In full force
Ind Effect / 7
,lienee Class • • • License No '�1� S J • yd,
YORKERS+COflPENSATION DECLARATION ContyorSignafur(
FANNING: FAILUREe'O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUEJECTAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARS (f'loopeot IN ADOITION TO THE
Oar OF COMPS'�EATION+ DAMAGESAS PROVIDED FOR IN SECTION Jms OFTHE IAaOR CODE, INTEREST, AND ATTORNEY'S FEES.
hhewby of "wader Penalty of perjury one of the following declarations:
h have and,yyill rgpintain 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, fur ih
ante of t o perk for which this permit is Issued. Policy No.
- Aave and wilj malnlafn 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' crompensatiol
%%ante carrier and Policy number are:
1"f Agent
certify that,, YL$. )4erfarmance of the work
if 1 shaul�ddbe�come subje trip the workers'
sture aFAurnr r %Lr.t.�- J
Number
Dale
this pemlit is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and
a{ion provisions of section 3700 of the Labor Code, I shall forthwith comply with those ovlsions,
smby affirm under penblty 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 Lender's Address
my signature below, 1 certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have mad this application and the information 1 have provided is correct.
I agree to comply with all ap lieable city and county ordinances a s ate laws relating to building construction.
I authorize representatives oShis Cly or county tclnt r the abo a -i ntlfied property for inspection purposes.
nature of Prnnado rT.,ne. ,.. A.lf_=_� . __ d /. I Il.
ALMON DATE BY DECL411ATION OFCOMP ANCE T COD OF
PERMIT IXPIRED FEDERAL REGULAilONSPART 6t, OF777[.E4(IAND
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