The URL can be used to link to this page

Home My WebLink Aboutf2021-0500 - Permits,wf , City of Newport Beach - Building Division *F2021-0500* v� $d 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v, °ifr4,u*'• INSP igg� I=� I Ufl FIRE Permit: F2021-0500 Project No : 2479-2021 Inspection Requests Phone(949)644-3255 Job Address: 895 DOVE ST NB St: 1 FI: 3 Unit: 300 Description: COMM FIRE ALARM SYSTEM 39 DEVICES (X2020-0575) Inspector Area: FIRE Legal Description: TRACT NO 7694 LOT 4 AND LOT 5 POROF LOT -- Owner: NEWPORT PLAZA OFFICE LLC Contractor: A D T COMMERCIAL LLC Architect: Address: 400 S EL CAMINO REAL #1100 Address: PO BOX 310702 Address: SAN MATEO, CA 94402 BOCA RATON, FL 33431 Phone: Phone: 714-685-8120 Phone: State Lic: Applicant: A D T COMMERCIAL LLC Con State Lic: 1065604 Engineer: ..... Address: PO BOX 310702 Lic Expire: 05/31/2022 Address: BOCA RATON, FL 33431 Bus Lic: BT30041281 0 • ° Phone: 714-685-8120 Lic Exp Date: 07/31/2022 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: PUTMAN MALISA ° Type of Construction: II-A-SPR Carrier: OLD REPUBLIC INSURANCE Address: 210 W BAYWOOD AVE °o.° •' • ° Occupancy Group: B Policy No: MWC31431720 ORANGE, CA 92865 Added /New sq.ft. Bldg: 0 Expire: 10/01/2022 Phone: Added/New sq. ft. Garage: 0 ea ° No of Stories: 5 Issued Date: 10/25I2021 Special Conditions: No of Units : 0 Setback- Front: ° ° • ° ° Flood Zone: Rear: • ° • ° ° ° o BldgSprinklers: Y Left:°..... e.®••• °.... Right: 3r2� FEES Construction Valuation: $15,305.00 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: $251.75 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $359.75 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $617.50 Plan Check Fee : $252.10 Fee Due at Permit Issuance : $365.40 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: ,.,/t y m APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 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). 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, 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). I 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 vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Pb ' ' 1wner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION Y-�� IntIftlaffirmiA8er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing it Section 7000) of Division 3 of the Business a d rofessi Codeforce .and effect. •••• ! 'Dense Class • License No Date Contractor Signature' VjIORJKERS' C9OIIQPfNSATION DECLARATION r AANINQ: FAILURE-M SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL RS ($100,000), IN ADDITION TO THE OS rCF COMPEW;10%, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. figrLLYaffirm f nderplenalty of perjury one of the following declarations: ••1 have and wiN 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 th( eiorMnce of We work for which this permit is issued. Policy No. b�v� and wlT4naidtain 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' compensatior nee carrier ndglicy number are: Carrier •�� • Policy Number Expiration Date me of Agent I certify that, in the performance of It, if I should become subject to tIkE d, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ _ nature of Applicant 1 - CLARATION REG G C STRUCTION LENDING AGENCY )reby affirm under penalty o perjury that there is a construction lending agency for the performance of the work for which this permit is Ider's Name Lender's Address 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 providedI correct. I agree to comply with all applicable city and county ordinan and state laws relating to building construction. I authorize representatives of this city or counq(t entre ab a-i ntified property for inspection purposes. of Property Print Property Owner ction 3097, Civil Code). ACTION DATE BY DECLARATION OF COMPLIANCE IMITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART51 OF TITLE40AND AQMDRULE f403- PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS N077FICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION: PERMIT FINAi CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED