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HomeMy WebLinkAboutF2021-0287 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 2 8 7 Permit Counter Phone (949)644-3288 Job Address: 100 BAYVIEW CIR NB St: 1 FI: 3 Unit: 3200 FIRE Permit: F2021-0287 Project No: 1561-2021 Inspection Requests Phone (949)644-3255 Description: COMM FIRE SPRINKLER TI - 59 HEADS (X2021-0668) Inspector Area: FIRE Legal Description: N TR 12528 LOT 2 Owner: GPI BAYVIEW LLC Contractor: FIRE PROT SPECIALISTS Architect: Address: 5601 GRANITE PKWY STE1200 Address: 2810 E MIRALOMA AVE Address: PLANO, TX 75024 ANAHEIM CA 92806 Phone: Phone: 714-635-6500 Phone: State Lic: Applicant: ANDERSON ROBERT Con State Lic: 464915 Engineer: Address: 2810 E MIRALOMA AV Lic Expire: 10/31/2022 Address: ANAHEIM CA 92806 Bus Lic: BT30042894 Phone: 714-635-6500 Lic Exp Date: 05/31/2022 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V -8 -SPR Carrier: COMP WEST INS. CO. Address: Occupancy Group: B Policy No: WCV5502952 �- Added /New sq.ft. Bldg: 0 Expire: 12/02/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories; 6 Issued Date: 07/12/2021 Special Conditions: No of Units : 0 Setback- Front: ^ S you Flood Zone: X Rear: i Bldg Sprinklers: Y Left: Right: '�. ^7 /j -7 1 ` I /� ' � l of '7 -7 l FEES Construction Valuation: $3,950.00 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: $238.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee: $373.75 Public Works Traffic Plan Check Fee: $0.00 Building Permit Fee : $0.00 TOTAL FEE : $613.75 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $613.75 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: sit OTHEFfaEPRRIMENY('a m C J PLAN CtIECKEB BY:: m wmm APPROVAL TO ISSUE: my mon a • • mxm s PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LA'S7©+ VAQ D fNS),ZCmT a, me mcc 7 c cm xm eve DWNER-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) 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 the 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 Professions 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 not more than five hundred dollars ($500). ❑ I, 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 Law 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-Builderwill have the burden of proving that it was not built or improved 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 Cade: 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 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 Iegall} sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se tion 7 00) of Division 3 of the Business and Profusions Co , an I 9 license is in full force and effect. , License Class License No Date Z 2 Contractor Signatur WORKERS' COMPENSATION DECLARATION WARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 ormance of the work for which this permit is issued. Policy No. ave 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' compensatioi Ilnsu nce carrier and policy number are: Policy Number Date le of Agent certify that, in the performance of the work for 1 h t 's 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 if I should become subject t o workers' mp nson provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision nature of Applicant ZN CLARATION REGARDI CONSTRU TIO DING AGENCY 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 corn I agree to comply with all applicable city and county ordinances and aie w relating to building construction. I authorize representatives of this city or county to en abo dent' a roperty for inspection purposes. nature of ProDertv Owner or Authorized Agent y �Zotej el' �. Print Property Owner's or Authorized Agent's Name ACTION BY + 1-1. —1 < 665ERAL REGULATIONSPART61 OF TITLE40AND • ,+, ,.. PERMITEXPIREDAQMDRULE4403, I SUBMITTED ASBESTOS NOTIFICATION TO:PERMIT • ❑ EPA AQMD ASSESTOSNORACAT/ON(SNOTAPPt1CA8LET0 •AROPOSEDDEMOLITION. CANCELLED ••: : • 4DATE PERMITE#TENDED PERMIT FINAL • O • •+ CERTIFICATEOFR VATURE:OCCUPANCYISSUED• • " " "