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HomeMy WebLinkAboutF2021-0239 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 -0Z-30 Job Address: 500 E BALBOA BLVD NB Inspector Area: FIRE F 2 0 210 2 3 9�� II 1;10 E �-,(AIbo GA W \\U FIRE Permit: F2O21-0239 Project No : 1355-2021 Inspection Requests Phone (949)644-3255 Description: COMM - FIRE SPRINKLER MONITORING SYSTEM (X2020-0124) Legal Description: BALBOA TR LOT 11 BLK 5(LOT 12 ELK 5 Owner: 500 EAST BALBOA LLC Contractor: Address: 1203 BAY FRONT N Address: 714-476-316OV6 1034609 ((JJ 5..� 01/31/2022 ` ✓�� NEWPORT BEACH, CA 92662 BT30072047 ,!/`J 06/3012021 " y&C Phone: Building PC Fee : Phone: Applicant: MCSTAY MIKE Con State Lic: Address: PO BOX 2306 Lic Expire: $0.00 MISSION VIEJO CA 92690 Bus Lic: Phone: 714-476-3169 Lic Exp Date: 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: ALL AMERICAN FIRE SYSTEMS Architect: PO BOX 2306 Address: MISSION VIEJO, CA 92690 Construction Valuation: 714-476-316OV6 1034609 ((JJ 5..� 01/31/2022 ` ✓�� Phone: Engineer: Address: BT30072047 ,!/`J 06/3012021 " y&C Phone: Worker's Compensation Insurance �A' Designer: V -B -SPR Carrier: WESTCHESTEF I tS° V drees�s: Policy B 0 Expire: No: 11/2212021 71827709 J� � PhK9� 0 2 Issued Date: 06/16/2021��esia1 Conditions: 0 Setback- Front: °D �s Rear: Y Left: Right: State Lic: State Lic: MCSTAY MIKE PO BOX 2306 MISSION VIEJO CA 92690 fl r9 J e, PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: G PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Construction Valuation: $5,500.00 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: $142.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $277.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $425.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $425.00 fl r9 J e, PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: G PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION ✓•• 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 `) all of or (_) 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 -Builder will 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 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 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 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.gov/calaw.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 Section 7000) of Division 3 of the Business and Professions Code and m -license is in full force and effect. License Class License No Dat 7i Contractor Signal- WORKERS' COMPENSATION DECLARATION NARNING: 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 3706 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 the rmance of the work for which this permit is issued. Policy No. ❑f ve 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' compensation 0� In carrier and policy number are: 'ier Policy Number ie of Agent certify that, in the performance of the work for which this permit is issued, I shall not , if I should become subject to the worko €ns on -provisions of Section 370 lature of Applicant Date person in any manner so as to become subject to the workers' compensation laws of California, and r Code, I shall forthwith comply with those provisions. rreby affirm under penalty of perjury that there is a ron uctio e6ding agency for the performance of the work for which this permit is issued Ider's Name Lender's Address my signature below, I certify to each of the follow ng: 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 cou�1y 1r_.ertter the bove-identified property for inspection purposes. n,.,n.,. , A.,fhndvcH An 7� Print Prooertv Owner's or Authorized ADent's Nam ACTION I DATE PERMIT EXPIRED PERMIT CANCELLED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED BY —1 FEDERAL REGULATIONSPART 61 OFTI7LE4©ANL1 AQMDRULE1403. " ❑ i SUBMITTEDASBESTOS N077FICATION' TO: ❑ EPA ❑ AQMO ❑ ASBESTOS N077FICAIION IS NOT APPUCABLE TO _.( PROPOSED DEMOLITION. ••� SIGNATURE: , Civil Code). Date