Loading...
HomeMy WebLinkAboutF2021-0580 - PermitsCity of Newport Beach - Building Division o 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u: ��ersvxu�'a Job Address: 1316 BISON AVE NB Inspector Area: FIRE Owner: IRVINE CO Address: 550 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: Applicant: BEDEROV EDWARD Address: 3621 EAGLE ROCK BLVD LOS ANGELES CA 90065 Phone: 323-259-9999 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Flood Zone: 0.2 Bldg Sprinklers: Y *F2021-0580* FIRE Permit: F2021-0580 Project No : 2689-2021 Inspection Requests Phone (949)644-3255 Description: COMM ANSUL FIRE SUPPRESSION SYSTEM "UL300" WI (15) NOZZLES Legal Description: PM 326-48 PAR 1 POR OF PAR Contractor: EDISON FIRE EXTINGUISHER CO INC Address: 3621 EAGLE ROCK BLVD LOS ANGELES CA 90065 Phone: 323.259-9999 Con State Lic: 569185 Lic Expire: 05/31/2023 Bus Lic: BT30069740 Lic Exp Date: 11/30/2021 Worker's Compensation Insurance Carrier: STATE FUND INS FUND Policy No: 9066898 Expire: 08/0112022 Issued Date: 11/16/2021 Setback- Front: Rear: Left: Right: ° Architect: Address: ° Phone: State Lic: , ° ° • ` ° Engineer: ••••^• •, Address: • • • ° •, , •oo• a 0 0 •o.cx Phone: State Lic: °" oa•ro Designer: EDISON FIRE PROTECTION INC;• Address: 3621 EAGLE ROCK BLVD ; ° • • ° - LOS ANGELES, CA 90065 Phone: 323-259-9999 ...... ...�� Special Conditions: LIQUEFACTION FUEL MOD SPECIAL FIRE PROTECTION 5 1� g18-315.0SI(o FEES Construction Valuation: $5,000.00 Building PC Fee : $0.00 Fire Residential Alarm PC Fee: $0.00 Records Management : $4.00 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: $120.00 Public Works PC Fee: $0.00 $0.00 Fire Permit as : $233.00 Public Works Traffic Plan Check Fee: $0.00 Building Permit Fee : $0.00 TOTAL FEE : $357.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $357.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION T VNER-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) action 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 rfessions Code) or that he or she is exempt from Iicensure 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). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or l_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3iness 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 movements 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 )roved 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 Ay to an owrkt'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 � exemptfrom Ijcensure under the Contractors' State License Law for the following reason: my signature below 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 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 IfaVlons Code, "is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Probe, v Owner or Authorized Agent Date ';EASED CONTRACTOR'S DECLARATION )reliy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sects 700 of Division 3 of the Business and Pro Ions Code, and my license is in full force r nept. ; `,"" Q ±r" Class _ License No Date Contractor Signature I' ;RKERS' COMPF+NSATION DECLARATION INING: FAILURE'(QSECDRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU ARS ($100,000), IN ADDITION TO THE i76)6 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :cab; affirm uni 011,lm alty of perjury one of the following declarations: I Pave 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 Finance of the work for which this permit is issued. Policy No. shave 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 issue workers' compensation trance carrier and policy number are: Tier Policy Number `y �:4/ (J / OO Expiration Date ©�s ne of Agent Phone # certify that, in the performance of , if I should become subject to the permit is issued, I shall not employ any person in any manner so as to become subject to the workers' ) D avision -of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant 'W Date IECLARATION REGARDING CONS G AGENCY hereby affirm under penalty of per at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil -ender's Name Lender's Address 3y 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 pr 'd is correct. I agree to comply with all applicable city and county or inances and state ws relating to building construction. I authorize representatives of this city or county to enter abov = prlfieB' opie�r ToTinspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized laws of California, and ACTION DATE BY DECLARATION OF COMPLIANCE MTN CODE OF FOR OFFICE USE ONLY FEDERAL REGULA TIONS PART 61 OF TITLE40 AND AQMD RULE 1403, PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS IV077FICATION TO:. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS N017FICAIIOIVIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINALr r�— OVL. CER77FICATEOF SIGNATURE: OCCUPANCYISSUED