HomeMy WebLinkAboutF2008-0156 - PermitsCity of Newport Beach
Building Department
FIRE COMBO Permit No: F2008-0156
PO Box 1768 Newport Beach, Califomia 92658-8915 Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255
Job Address: 1 HOAG DR NB
Inspector Area: \ FSR.,E
OF LOT
Owner.
Address:
Phone:
Applicant:
Address:
Phone:
HOAG MEMORIAL HOSPITAL
500 SUPERIOR STE 300
NEWPORT BEACH CA 92663
949-764-4486
SEYED/DETECTION LOGIC
7605 N SAN FERNANDO RD
BURBANK CA 91505
818-683-1552
Code Edit : 2007
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:
V-B-SPR
B
0
0
1
0
x
Y
Desaiption: FIRE ALARM (93 DEVICES) (X2007-3021)
0885-2008
Legal Description: IRVINE SUB BLK 2 LOTS 169 & 170 POR OF LOTS & BLK 1 172 POR
Contractor: DETECTION LOGIC INC
Address: 7605 N SAN FERNANDO RD
BURBANK CA 91505
Phone: 818-683-1552
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
713099
10/31 /2009
BT01072507
06/30/2009
Worker's Compensation Insurance
Carrier: NORTH RIVER INS
Policy No: 4086948258
Expire: 01/01/2009
Issued Date: 05/28/2008
Setback- Front:
Rear.
Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
State Lic:
State Lic:
DETECTION LOGIC
7605 N SAN FERNANDO RD
BURBANK CA 91505
818-683-1552
Construction Valuation: $25,000.00
Building Overtime Plan Check :
Plan check Exten Fee:
Building Fire Plan Check Fee:
TOTAL FEE : $708.72
$0.00
$0.00
$0.00
FEES
Fire Plan Check Fee :
Fire Permit/Inspection Fee:
Records Management:
Investigation Fee:
Residential Issuance Fee
Plan Check Fee : $708.72
$282.02
$391.70
$35.00
$0.00
$0.00
Counter Review:
Zoning Plan Check Fee:
Fee Due at Permit Issuance : $0.00
$0.00
$0.00
$0.00
$0.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL :
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
OWNER -BUILDER DECLARATION
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON
(SEC. 7031.5, TER, IMPROVE,
DEMOLISH, OR REPARSANY DSTRUCTURE. PRIOR TO ITS PROFESSIONS CODE: ANY ISSUANCE, UNCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TTY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, KO FILE A SIGNED
STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING
WITH SEC. 7000) OF ON. 3 OF THE BUSINESS AND PROFESSIONS CODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE
ALLEGED EXEMPTION. ANY VIOLATION OF SEC. 7031.5 BY ANY APPLICANT FORA PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF
NOR MORE THAN FARE HUNDRED DOLLARS ($500).
PERMIT EXPIRED
DATE:
r
BY:
PERMIT CANCELLED
III I, A$ OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL OD THE WORK AND THE STRUC
TURE 15 NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES
NOT APPLY TO N OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR
THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH 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 HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE.):
PERMIT EXTENSION
FIRE PROTECTION
PERMIT FINAL
11 r1I LIL/C) jr7
1. 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC.
7044, BUSINESS AND PROFESSIONS CODE: THE CONSTRACTORS LICENSE LAW DOES NOT APPLY TO N OWNER OF THE PROPERTY WHO
BUILDS OR IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S) LICENSED PURSUANT TO THE CON-
TRACTORS LICENSE LAW.).
II I AM EXEMPT UNDER SEC B. & P.C. FOR THIS REASON
FOR OFFICE USE ONLY
DATE OWNER
LICENSED CONTRACTORS DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I N LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SEC. 7000) OF
DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE, AND MY LICENSE IS IN FULL FORCT AND EFFECT.
LICENSE CLASS LICENSE NO.
DATE CONTRACTOR
WORKERS' COMPENSATION DECLARATION
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS:
II I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONENT TO SELF -INSURE FOR WORKERS' COMPENSATION. AS PROVIDED FOR BY SEC 3700
OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.
• I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REQUIRED BY SEC 3700 OF THE LABOR CODE, FOR THE PERFORM-
ANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE:
CARRIER
POLICY NUMBER
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS).
ll I CERTIFY THAT IN THE PERFORMANCE OF THE 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 AGREE THAT IF I SHOULD BECOME
SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF SEC. 3700 OF THE LABOR CODE, I SHALL FORTHWITH COMPLY WITH THOSE
PROVISIONS.
DATE; APPLICANT:
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 DOLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES
AS PROVIDED FOR IN SEC. 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
CONSTRUCTION LENDING AGENCY
HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK
FOR WHICH THIS PERMIT IS ISSUED (SEC. 3097, CN.C).
LENDER'S NAME
LENDER'S ADDRESS
1 CERTIFY THAT I HAVE READ THIS APPLCATION AND STATE THAT THE ABOVE INFORMATION 15 CORRECT. I AGREE TO COMPLY WITH ALL CITY
AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATNES OF THIS
COUNTY TO ENTER UPON THE ABOVE -MENTIONED PROPERTY FOR INSPECTION PURPOSES.
PERMI'ITEE NAME (PRINT)
SIGNATURE OF PERMITTEE DATE
1/23/07 rev
City of Newport Beach
Building Department
FIRE COMBO Permit No: F2008-0156
PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644.3288
Inspection Requests/Telephone (949)644-3255
Job Address: 1 HOAG DR NB
Inspector Area: 'IL, G
OF LOT
Owner.
Address:
Phone:
Applicant:
Address:
Phone:
HOAG MEMORIAL HOSPITAL
500 SUPERIOR STE 300
NEWPORT BEACH CA 92663
949-764-4486
SEYED/DETECTION LOGIC
7605 N SAN FERNANDO RD
BURBANK CA 91505
818-683-1552
Code Edit : 2007
Type of Construction:
Occupancy Group:
Added /New sq.fL Bldg:
Added /New sq. ft. Garage:
No of Stories:
No of Units:
Flood Zone:
Bldg Sprinklers:
V-B-SPR
B
0
0
1
0
X
Y
Description: FIRE ALARM (93 DEVICES) (X2007-3021)
0885-2008
Legal Description: IRVINE SUB BLK 2 LOTS 169 & 170 POR OF LOTS & BLK 1 172 POR
Contractor:
Address:
Phone:
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
DETECTION LOGIC INC
7605 N SAN FERNANDO RD
BURBANK CA 91505
818-683-1552
713099
10/31/2009
BT01072507
06/30/2008
Worker's Compensation Insurance
Cartier: NORTH RIVER INS
Policy No: 4086948258
Expire: 01/01/2009
Issued Date: 05/28/2008
Setback- Front:
Rear:
Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
State Lic:
State Lic:
DETECTION LOGIC
7605 N SAN FERNANDO RD
BURBANK CA 91505
818-683-1552
Construction Valuation: $25,000.00
Building Overtime Plan Check :
Plan check Exten Fee:
Building Fire Plan Check Fee:
TOTAL FEE : $708.72
$0.00
$0.00
$0.00
FEES
Fire Plan Check Fee :
Fire Permit/lnspection Fee:
Records Management:
Investigation Fee:
Residential Issuance Fee
Plan Check Fee : $282.02
$282.02
$391.70
$35.00
$0.00
$0.00
Counter Review :
Zoning Plan Check Fee:
Fee Due at Permit Issuance : $426.70
$0.00
$0.00
$0.00
$0.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL :
OTHER DEPARTMENT:
• . .•• •
PLAN CHE®KED B`h: • �•, • _
• • • •• ••• . 4 /
APPROVAL 10 I$$dE:
Ohl
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST valid INgREG7•ION• • • II..
• • • • • •
• • • • . ••
• • • • • •
•.• .• •• • • •••
(
• �J
OWNER -BUILDER DECLARATION
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE UM FOR THE FOLLOWING REASON
(SEC. 7031.5, BUSINESS AND DEMOLISH, OR REPAIR ANYTRUCTURE, PRIOR TO ITS ISSUANCFESSIONS CODE: ANY CITY OR E. ALSO REQUIREUNTY WHICH S THE APPLICANT FOR SUCHPERMIT TOFILEA SIGNED
STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING
WITH SEC. 7000) OF DN. 3 OF THE BUSINESS AND PROFESSIONS CODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE
ALLEGED EXEMPTION. ANY VIOLATION OF SEC. 7031.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CML PENALTY OF
NOR MORE THAN FIVE HUNDRED DOLLARS ($500):
PERM IT EXPI RED
DATE:
BY:
PERMIT CANCELLED
III I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL 0D THE WORK, AND THE STRUC-
TURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, BUSINESS AND PROFESSIONS CODE THE CONTRACTORS LICENSE LAW DOES
NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR
THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH 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 HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE.):
PERMIT EXTENSION
FIRE PROTECTION
PERMIT FINAL
I,. /c-.f. - d�
N
• 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC.
7044, BUSINESS AND PROFESSIONS CODE: THE CONSTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF THE PROPERTY WHO
BUILDS OR IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S) LICENSED PURSUANT TO THE CON-
TRACTORS LICENSE LAW.).
❑ I AM EXEMPT UNDER SEC B. & P.C. FOR THIS REASON
fr-
FOR OFFICE USE ONLY
DATE OWNER
LICENSED CONTRACTORS DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SEC. 7000) OF
DMSION 3 OF THE BUSINESS AND PROFESSIONS CODE, AND MY LICENSE IS IN FULL FORCT AND EFFECT.
CI e44LICENSE NO.
LLIIEE�NCSE
/L s/"23) (34g COrdCTOR , C
WORKERS' COMPENSATION DECLARATION
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS:
I. I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONENT O SELF -INSURE FOR WORKERS' COMPENSATION, AS PROVIDED FOR BY SEC 3700
OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.
HAVE AND WILL MAINTAIN WORKERS COMPENSATKN INSURANCE, AS REQUIRED BY SEC 3700 OF THE LABOR CODE. FOR THE PERFORM -
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE:
CARRIER
POLICY NUMBER
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS).
❑ I CERTIFY THAT IN THE PERFORMANCE OF THE 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 AGREE THAT IF I SHOULD BECOME
SUBJECT O THE WORKERS' COMPENSATION PROVISIONS OF SEC. 3700 OF LABOR CODE, 1 SHALL FORTHWITH COMPLY WITH THOSE
PROVISIONS. ,�-{7
Qj6TE 5 % 2g/ a /J APPLICANT:
VMRNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES
AS PROVIDED FOR IN SEC. 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK
FOR WHICH THIS PERMIT IS ISSUED (SEC. 3097, CIV.C).
LENDER'S NAME • • • • • • • •
•• ••• ••
LENDER'S ADDRESS •• • • ••• •• • •
• • • • • • • • • • •
I CERTIFY T I HAVE READ THIS APPLCATION AND STATE THAT THE ASSVE INFORMATION/IS CORRECT. I AGREE TO COMPLY WITH ALL CITY
AND COLA ROINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS
COUNTY TO RUPON THE ABOVE- �N%TT1 NED PROPERTY FORINSPECTIOfj PURPOSES.
PERM NT) cN/ •• 3! t• al� •••
• •
SIGNATURE OF PERMITT
•
1/23/07 rev