HomeMy WebLinkAboutF2022-0355 - Permits4 aE`X'PO City of Newport Beach
(T @ Community Development Department- Building Division
r' 100 Civic Center Drive, Newport Beach, CA 92660
' 2 Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
C9C/F00.N�P newportbeachca.gov/inspections
IIII�I��II� II COMB Permit: F2022-0355
Plan Check No: PC2022-1740
Combination Type:
Work Class: New
Issued Date: !^ O
Inspection Area �2[i
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY
OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address: 888 SAN CLEMENTE DR'L--;D
Legal Desc : A TR IRVINE SUB BLK 55 IRVINE SUB., POR OF BLOCK 55.
Description: COMML FIRE SPRINKLER TI - 58 HEADS (X2022-1116)
Owner: IRVINE CO
Contractor : FIRE PROT SPECIALISTS '.
Architect- b
Address : NEWPORT BEACH, CA 92658
Address': 2810.E MIRALOMA AVE ANAHEIM, CA
Address'.
92806 -
Phone:
Phone: (714) 6356500
Phone:
Con
State 'Lic : 464915
State Lic
Applicant: ROBERT ANDERSON
Lic
Expire'.: 1013112022
Address:
Bus Lic: BT30042894
Engineer:
Phone: (714) 635-6500
Bus Lic. Expire : 05/31/2023
Address
Workers' Compensation Insurance
Phone:
-, Carrier:
Policy No :
Designer: ROBERT ANDERSON
W. C.Expire:
Address :
Phone: (714)635-6500
Code Edition : 2019
Fire Sprinklers : -NO
Construction Valuation : $3,900.00
Type of Construction : V-B
Fire Hazard Zone: fY
Occupancy Groups :
No of Units : '0
Added/New sq. ft. Bldg : 0
Bldg Height:
No of Stories : 4
Added/New sq. ft. Garage: 0
Building Setbacks
Flood Zone : X
Use Zone: PC - Northport Center
Processed By:
Public Works Approval:
ZoningApproval: pp
a.R °
°r° Plpn Check By4
O J 3 0` muJ V
Grading Approval:
SPECIAL CONDITIONS:
Approval To Issue:
I hereby aff" under penalty of perjury that i am exempt from the Contractors' State License Law for the reason(s) indicated below by
otlon 7031.5, Business and Professions Code. Any city or county that requires a permit to construct, alter. improve; demolish, or repair
is
Ixt to the: applicable
and
v of
more than five hundred dollars ($500).-
I, 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,
.mess and Professions. Code: The Contractors' State License Law does not apply to an owner of property who, through employees` ar personal effort, builds or improves the property; provided that the
ravements 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 notbuilt or
roved for the purposeof sale)..
I, as owner of the property. am exctusively contracting with licensed Contractors to construct the project (Section 7044, Business and: Professions Cade:: The Contractors' State License Law does not
ly town 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 lioensure under the Contractors' State License Law for the following reason:
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 cave€ed by this; permit,. I: Cannot leg
a structure that I have built as an owner-buikiar if it has not been constructed in its antiret4 by licensed contractors. I understand that a coov of the aoolkable law. Section 7044 of the Business and
Date
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70. 0) of ivisi n S of the Business and Professiogs e, g it y(cen i full force
Ind effect. License Class License No D e Contractor SignatureT� / �7` iC>--
VORKERS' COMPENSATION DECLARATIONtz
IARNING: FAILURE TO SECURE. WORKERS" COMPENSATION COVERAGE IS UNLAWFUL, AND. SHALL SUBJECT AN EMPLOYER TO CRIMINAL. PENALTIES AND CIVEL FINES. UPTO ONE HUNDRED: THOUSAND DOLLARS 1S100,000); IN ADDITION TO 7
DST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3703OF THE LABOR COOE, INTEREST,: AND ATTORNEYS FEES,
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'. compensation, Issued by.. the Directorot Industrial. Relations as provided for by Section 3700 of-theLabor Code, for
ormanee of the work for which this permit [a issued. Policy No.
ase 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' compensa.
certifythat,
f I should
Is
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Phone #
sued, I shall not employ any person in any manner so as to become subject to the workers' compensatton laws of California, and agre[
of Section 3700 of. the Labor Code, I shall forthwith comply with those provisions.
at 2 A
ng agencyfor the performance: of the work for which this. permit is issued (Section 3097, CrAl Code):.
By my signature below, I Canty to each of the VAIOWmg:
I am the property owner or authorized to act onihaproperty 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 an a laws relating to building construction,
I authorize representatives of this City or county tr274he -ov -ide it _..property for inspection purposes. 7 ZL
Si. nature of Property Owner or Authorized A fl Print Fro Owner's. or Authorized Agent's .Nam f3 Date
ACTION DATE BY_N DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40ANDAQMb.RULE
1493-
PERMIT "PIRED Ut SuBMirrr OS N67111 R TO
PEitMrTtAvc€tLED EpA • _ ll required alarms, latches gates and fences which serve as part of a poollspa barrier, shall
PERMrr EXTENDER OMD ' •' , •; •; ', • -be in pi ace prior to appro vat to fill pool/spa & shall remain in place & be maintained for the
PERMIT FINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO. ide,Ortne pool
ISSUED
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