HomeMy WebLinkAboutF2020-0195 - PermitsCity of Newport Beach - Building Division IIGIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 2 0 2 0 0 1 9 5
tiF Permit Counter Phone (949)644-3288
FIRE Permit: F2020-0196
Project No : 0764-2020
Inspection Requests Phone (949)644-3255
Job Address: 450 NEWPORT CENTER DR NB St: 1 FI: 4 Unit: 480 Description: COMM FIRE ALARM TI (1 DEVICE) X2020-1043
Inspector Area: FIRE Legal Description: P BK 61 PG 10 PAR 1
Owner: IRVINE CO Contractor: CASCO CONTRACTORS INC Architect:
Address: 550 NEWPORT CENTER DR Address: 9850 IRVINECENTER DR Address:
NEWPORT BEACH, CA 92660 IRVINE, CA 92618
Phone: Phone: 949-679.6880 Phone:
Applicant:
ECKENROD ASHLEY
Address:
9850 IRVINE CENTER
Worker's Compensation
IRVINE CA 92618
Phone:
714-337-2354
Code Edit, 2019
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
No of Units
Flood Zone:
Bldg Sprinklers:
II -A -SPR
B
0
0
Con State Lie: 790706
Lie Expire: 01131/2021
Bus Lie:
BT30041027
Lie Exp Date:
10/31/2020
Worker's Compensation
Insurance
Carrier:
SENTINEL
Policy No:
72WEAAE3W83
Expire:
01101/2021
6 Issued Date: 06125/2020
0 Setback- Front:
X Rear:
Y Left:
Right:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
State Lie:
State Lic:
TAYLOR RICHARD
2246 LINDSAY WAY
GLENDORA CA 91740
PROCESSED BY: <:::)•"
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
m c m m BLAN Cm4FwCKGD BY
e e e m o
u • e o 0
o ° • • :APPKOYA� To ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
omm o 00o mo
m o o m o m o 0
v c cc c
c o c c c o
occ co cc c v coo cm
FEES
Construction Valuation:
$0.00
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:
$189.00
Public Works PC Fee:
$0.00
$0.00
Fire Permit as :
$223.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee:
$0.00
TOTAL FEE :
$412.00
Plan Check Fee :
$189.00 Fee Due at Permit Issuance :
$223.00
PROCESSED BY: <:::)•"
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
m c m m BLAN Cm4FwCKGD BY
e e e m o
u • e o 0
o ° • • :APPKOYA� To ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
omm o 00o mo
m o o m o m o 0
v c cc c
c o c c c o
occ co cc c v coo cm
)WNER-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) 1 have placed next to the applicable item(s)
lection 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
ie 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
'rofessions 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
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
iusiness 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
nprovements 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
n 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
pply 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:
ly 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
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://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 Section 7000)ofDivision 3 of the Business and Professions Code, and my license is in full force
nd effect.
cense Class �� License No 7907416' Data/thContractor Signatur,-,.;� 61,L
IIORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370$ OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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 th
Io mr ance of the work for which this permit is issued. Policy No.
It and willintam 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' compensatior
I
isurance carrier an licy numyer8 :
:arrier - Po mbar. %Z -EA A E 3W9 Expiration Date
lame of Agent " _ Phone #
]I certify that, in the performance oft a work for which 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 agre
tat, if I should become �su/ptact to th/e��vorkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr visions.
ignature of Applicant it t i /4`w++*�Date
Ireby 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 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 state laws relating to building construction.
I authorize representatives of this city or count t me 4he/ ab ant property for inspection purposes.
nef„ra of Ornnodv n,.,,,er ,.r A,,h�rl�a.l A,.or,f i / irk. 1{/_ Print Prooertv Owner's or Authorized ADent's Name, C Uebr 14et✓a,
ACTION DATE BY uetr✓arwrevrr yr wmrusnra.ev n
FEDERAL AEGUCATIONSPART B1 OFTITLE40AND
PERMITEYPIR€D AQMDRULE1403.
0 1 SUBMITTED ASBESTOS NOTIFICATION TO:
PERA41T CANCELLED , • • i ❑ • EQF�A• • i • • • • • ,
PERMITEXTENDED ' A�SBESd05 NO71FIC1fSAN/1 NOT APPLICABLE TO
PERMITFINAL sa, ezo PROPO-qW DEM0UTIOf4.
CERURCATEOF SIGNATURE:
OCCUPANCYISSUED • ••• • 0 • •••