HomeMy WebLinkAboutF2020-0071 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
ay. * 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 0 7 1
H �.. Permit Counter Phone (949)644-3288
Job Address: 2161 SAN JOAQUIN HILLS RD NB
Inspector Area: FIRE
Owner: AVIATION CORP SCHILLING
Address: 400 SPECTRUM DR STE 1660
IRVINE, CA 92618
Phone:
Applicant:
SMITH THOMAS
Address:
1451 WEST LAMBERT RD
Occupancy Group:
LA HABRA, CA 90631
Phone:
562-691.0918
Code Edit: 2016
BT30043739
Type of Construction:
V -B -SPR
Occupancy Group:
B
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
1
No of Units :
0
Flood Zone:
X
Bldg Sprinklers:
Y
Construction Valuation: $35,000.00
FIRE Permit: F2020-0071
Project No : 0314-2020
Inspection Requests Phone (949)644-3255
Description: COMM FIRE SPRINKLERS (168) HEADS (X2019.3378)
Legal Description: P BK 54 PG 23 PAR 1
Contractor: ADVANCE FIRE PROTECTION CO
Address: 1451 W LAMBERT ROAD
LA HABRA CA 90631
Phone: 562-691-0918
Con State Lie: 259936
Lie Expire: 04/30/2021
Bus Lie:
BT30043739
Lie Exp Date:
06/30/2020
Worker's Compensation Insurance
Carrier:
EVEREST PREMIER INS
Policy No:
530004697
Expire:
12/0112020
Issued Date: 03/2412020
Setback- Front:
Rear:
Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
VCI
State Lic:
State Lie:
Designer:
SMITH THOMAS
Address:
1451 WEST LAMBERT RD
Building Overtime PC Fee:
LA HABRA, CA 90631
Phone:
562.691-0918
Special Conditions:
4� t1 t� , � �tOg)
c,
FEES
LANDSLIDE AREA
-A ILA -HoAu�t{�3
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:
$472.00
Public Works PC Fee : $0.00
$0.00
Fire Permit Fee:
$677.00
Public Works Traffic Plan Check Fee; $0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$1,155.00
Plan Check Fee : $434.00 Fee Due at Permit Issuance :
$721.00
PROCESSED BY:
• ° • • • •BTHERbE PPAMENT:
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ZONING APPROVAL:erA
•o m • r o o.�,
°N CTFLEI:K`EU BY::
BB
FIRE APPROVAL:
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APPROVALTOISSUE:
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PERMIT EXPIRES 180 DAYS Ai7TER1ISSIJANQf G-RkAST®VA4LID INSPECTION
o .,a oo m. o q eoe a•
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)
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
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).
1, 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,
lusiness 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
nproved 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).
1 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 legalh
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.govlcalaw.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 7009) of Division 3 of the Business and Professi?a ode, a ell
I nseis in full force
nd effect.�r"�
icense Class License No Date I-� Contractor Signature
CORKERS' COMPENSATION DECLARATION i v
'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 1$100,0001, IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
eljbrmance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the workfor which this permit is issued. My workers'
ne of Agent W 14A
certify that, in the performance of
if I should becomes bject tothe
i
rature of ApplicanE
Number
Date
is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
iq`s'af-Section 3700 of the Labor Code, I shall forthwith comply with those pvisio�nnss.
;reby affirm under Analty of perjury that there is a construct—n lending agency for the performance of the work for which this permit is
ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is c rect.
I agree to comply with all applicable city and county ordinancgsd slat"
I authorize representatives of this city or countyh enter.ttris � qv-Identifiec
ACTION
I PERMITEXPIREO I I • I
I PERMIT CANCELLED I I 1
PERMIT FINAL
CERTfFICATE OF
OCCUPANCYISSUED
is relating to building construction.
property for inspection purposes.
Print Prooertv Owner's or Authorized
TiTERAj7Wq 1t}lTJOr}(SVA$r 61 OFTITLE40AND
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ASBESTOS NONRCARONIS NOT APPLICABLE TO
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(Section 3097, Civil Code).
FOR OFFICE USE ONLY
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