HomeMy WebLinkAboutF2022-0105 - Permits9�'I' City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII II FIRE Permit: F2022-0105
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 1 0 5 Project No : 0549-2022
EW Permit Counter Phone (949)644-3288
9'�txx^r u'�°" Inspection Requests Phone (949)644-3255
Job Address: 100 BAYVIEW CIR NB St: 1 FI: 2 Unit:17d,,) ao () Description: COMM FIRE SPRINKLER SYSTEM 5 HEADS (X2021.3385)
Inspector Area: FIRE Legal Description: N TR 12528 LOT 2
Owner: 100 BAYVIEW LLC Contractor: ALL PRO FIRE PROTECTION INC Architect:
Address: 100 BAYVIEW CIR Address: 179 ROYMAR RD Address: ......
NEWPORT BEACH CA 92660 OCEANSIDE CA 92058 ....
Phone: Phone: 951.244.9836 Phone: State Lic:
ee o• ° c
Applicant: ALL PRO FIRE PROTECTION INC Con State Lic: 629993 Engineer: • , ,
Address: 179 ROYMAR RD Lic Expire: 12/31/2023 Address: ° • ®° °, ° o
OCEANSIDE CA 92058 Bus Lic: BT30029935
Phone: 951-244-9836 Lic Exp Date: 0813112022 Phone: State Lic: ` • m °m
om . •o
Code Edit : 2019 Worker's Compensation Insurance Designer: JOHNSTON JOHN o ° •. ° ° •° o0 0
Type of Construction: I-A-SPR Carrier: OAK RIVER Address: 179 ROYMAR RD m . • o o,
Occupancy Group: B Policy No: 346673 OCEANSIDE CA 92058
Added /New sq.ft. Bldg: 0 Expire: 03/01/2023 Phone:
Added /New sq. ft. Garage: 0
No of Stories: 6 Issued Date: 03/02/2022 Special Conditions:
m m, eomc
No of Units : 0 Setback- Front:
Flood Zone: Rear:
Bldg Sprinklers: N Left: �T /
Right:
FEES
Construction Valuation:
$1,860.00
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:
$130.00
Public Works PC Fee :
$0.00
$0.00
Fire Permit Fee :
$198.25
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$330.25
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$330.25
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
WNER-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
e 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
'ofessions 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
)t more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Jsiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
Iprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
(proved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
)ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exe¢rpi Isom licensure under the Contractors' State License Law for the following reason:
/ my signatgrpj plow I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
III 3 structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'ofIssionstode, is available upon request when this application is submitted or at the following Web site:http://vw .leginfo.ca.gov/calaw. html.
gnature of"o( arty Owner or Authorized Agent Date
C$NSED CONTRACTOR'S DECLARATION
IbTeby affirm-"br.penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 7000) of Division 3 of the Business an rofessions Code, and my license is in full force
xaseClass. .• License No Dat �J— Contractor Signature
'Oft<ERS"GOMPENSATION DECLARATION
U"NG: FAILURE i0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
SSJpF COMPENSATIq(J•DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
ble4 affirm•unVbr Ijenalty of perjury one of the following declarations:
•]-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
t.I anriance oPtpe%odc 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 work for which this permit is issued. My workers' compensation
sit Tatice carrier and policy number are:
wrier 014ASPolicy Number Expiration Date
Ime of Agent Phone #
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
3t, if I should become ku/ ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those q�tro/visions.
3nature of Applicant Date I\/ ✓�Z— ZZ
I hereby affirm under penalty of pey1r, that there is a construction lending agency for the performance of the work for which this permit is issued (S)Bction 3097, Civil Code).
Lender's Name Lender's Address
By 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 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 tc�enter the above -identified property for Inspection purposes. Je�`.,/ /��I� r✓ Dat 3— Signature of Property Owner or Authorized Agent � // Print Property Owner's or Authorized Agent's Name 1777... t1
AC77ON
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULA TIONS PART 61 OF TITLE40AMU
AQMD RULE 1407.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMtTEXTENDED
ASBESTOS N077RCATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION'.
PERMIT FINAL
P"lA
CERTIFICATEOF
OCCUPANCYISSUED
SIGNATURE: