HomeMy WebLinkAboutF2021-0175 - PermitsMtA of Newport Beach - Building Division II IIIIIIIIIIIIII IIII I III�IIIIII IIIIIII II II FIRE Permit: F2021-0175
,A 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 1 7 5 Project No : 1001-2021
.., v Permit Counter Phone (949)644-3288
NO CONSTRUCTION NOISE Inspection Requests Phone (949)644-3255
Job Address: 122 E BAY AVE NB
Inspector Area: 1
Owner: COLLAB BAY AVE LLC
Address: 6015 W 83RD PL
LOS ANGELES CA 90045
Phone:
t ;:--
Applicant: CAME14iiNl UNT'S FIRE
Address: 10481FJQilN AVE1 1'.F
Phone: 714-91
Code Edit :2019
Type of Constructic
Occupancy Group:
Added /New sq.ft. I
Added /New sq. ft.
No of Stories:
No of Units
Flood Zone.
Bldg Sprinklers:
Construction
Building PC Fee: 11
Building Overtime PC
Building Extention'•Fe
Building Investigation
Fire Plan Check Fee,
Fire Permit Fee:
'
Building Permit Fee:,�.
Descriptiope� JR 9AT I A�1p9EADS (X2021-0463)
Legal Description: EAST NEWPORT BIILIK A LOT 17 T
Contractor: HUNT'S FIRE PROTECTION
Address: 2271 W MALVERN AVE #415
Lic: 553703
4CH-CA 92660 I - ',Bus Lic BT30060708
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Sa
R 4 Polio9
"'�'` Expire: 01/01/2022
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0 %1 �r ki 'ck ?!"3"""�.
-:...._.a... _:1 Right:
TOTAL FEE
Y
i $5,600.00
$217.00
$0.00
$0.00
$0.00
$0.00
$0.00
$263.00
$482.00
Architect:
Phone:
If applicable' Engineer:
Phone:
ue .
t� W�C'm'
nun
signs
ress:
10461
NEW[
Phone:
714-9
Special Conditions:
LIQUEFA
DENSITY
p
9
Fire Residential Alarm PC Ptdet tiJ �iJ ��t `$b.'00"'
Planning Counter Review: $0.00
Planning Zoning PC Fee : $0.00
Public Works Traffic Plan Check Fee;
'. State Lic:
y g�
il�d A
State Lic
r�"#�
E
A #795.
SEH CA 92660
& Hl'6H
Plan Check Fees $0.00 Fee Due at Permit Issuance
PROCESSED BY: Iff V wj_�' _ ! • ; LOTAall DEPARTMENT:
OLG E
L 6 Y L •
ZONING APPROVAL: • ° `. f • PLAsVCHECKED BY::
Gfu Gam! !C¢i
FIRE APPROVAL: \ APPROVAL TO ISSUE:
fbf ®•
LS6 L
PERMIT EXPIRES 18a DAYS AFT§i21E,iS%UA=E GR LAST VALID INSPECTION
L .L
6 •Y O ••• •rl
•iJ 6••
$2.00
$0.00
$0.00
$482.00
fNER-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)
ction 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
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
fessions 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
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
liness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
rovements are not intended orrove iowever, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
roved for the purpose of _sale).
I, as owner of the propeer�tty, a exclyygqss��v,,P�I�k contr c th Ikeq�e tr tors to construct the project (Section 70�4-Busiri'ess snd-Professions Gode The Contractors' State License Law does not
dv to an owner of propeT, wh build3�Yrw71¢R & t n, f(nd�h co is for the projects with a licensed Contractor pursuant to the Contractors' State License'Law)
I am exempt from licensure
my signature below I ackrim
a structure that I have bVilt
Ifessions Code, Is availaple
nature of Property Owner or
hereby affirm under
nd effect.
icense Class
DARNING: FAILURE TO SECU
OST OF COMPENSATION, W
hereby affirm under per
I have and will mair
erfoOnance of the work
the Contractors' St
t for my
t ner- i1 if it tit
of brjury that I am licensed under provisions
in which I must have resided for at least one year'prior to completion of the Improvemen
in
ectractors.[nn33cc99,mdvitghvantqa� copy of the applicable law, o h://wvw.lby tfnl.'
and
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
oferjury one of the following declarations: _
a Jertifigate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by
ihi h thi$ per t. is lffWbted._ Policy No.
oil1 have and will in workers'
Isurance carrier an olicxnu bar are:
ne of Agent
<
certify that, in the peJue
cfj7Voork for which this
if I should become
to thee worke7s"compp(Ts fpiature
of ADN
mil/7`—t�
3700 of thi LEA Co�� a, 4 t
I shall not employ any person in any manner so as to become
ction 3700 of the Labor Code, I shall forthwith comply with the
which this
7044 of the Business and
license is in full force
($100,000(, IN ADDITION TO THE
3700 of the Labor Code, for
My workers'
laws of California, and
I hereby affirm under penalty envy for the perform`anoe Stthvwork-fer hidli 4HfoelfalitfigSigsMO (Section 3097, Civ Cod
Lender's Name L'end�i°Addresa-g••� - -)
By my signature below, I certify to each of the following: y`�-""' °`•
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 county to ter a above-' tifie roperty for inspection purposes. !
Signature of Property Owner or Authorized Agent riot Property Owner's or Authorized Agent's Nam
ACTION
FATE
BY
DECLARATIO OF COMPLIANCE WITH CODE OF
_ FOR OFFICE USE ONLY
FEDEl3QL,A ULATJONSPART61OFTITLE40AND
AQMtj RULE 403.• • ••-
❑ I�UBib}f EDA,*ftEJTQS NAFICA•Ti&N TO:.
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PERMITEXPIRED
PERMIT CANCELLED
' 0
PERfvftTEXTENDED
A38 TOS NO17FICARONIS NOTAPPLICABLE TO
PROPMQLfTK)V.
PERMIT FINAL
CER77FICATEOF
SG IF.%
OCCUPANCYtSSUED