HomeMy WebLinkAboutF2021-0362 - PermitsCity of Newport Beach - Building Division
r+w 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
.c
r�
Job Address: 3443 PACIFIC VIEW DR NB
Inspector Area: FIRE
Owner:
HARBOR DAY SCHOOL
Address:
3443 PACIFIC VIEW DR
CORONA DEL MAR, CA
Phone:
Applicant:
MONE FRANK
Address:
1075 W LAMBERT AV
BREA CA 92821
Phone:
714-989-1755
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:
2
No of Units :
0
Flood Zone:
X
Bldg Sprinklers:
Y
Construction Valuation
Building PC Fee:
Building Overtime PC Fee:
Building Extention Fee:
Building Investigation Fee:
Fire Plan Check Fee:
Fire Permit Fee:
Building Permit Fee:
TOTALFEE
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL :
Ilii iii iiiiiiliiii 0 3 ii iii II
FIRE Permit: F2021-0362
Project No : 1906-2021
Inspection Requests Phone (949)644-3255
06
Description: COMM FIRE ALARM - (X2021-1578) 123 DEVICES l
Legal Description:
IRVINE SUB LOT 463 BILK 96 POR OF LOT
Contractor:
COSCO FIRE PROTECTION INC
Architect:
Address:
1075 LAMBERT RD, BLDG D
Address:
BREA CA 92821
Phone:
714-974-8770
Phone: State Lic:
Con State Lic:
577621
Engineer:
Lic Expire:
09/30/2023
Address:
Bus Lic:
ET00022773
Lic Exp Date: 07131/2022
Worker'sation Insurance
Phone:
Designer:
State Lic:
�/�g
PEREZ DAVI
9
Carrier:CompensACE
AMERICAN INS
Address:
1075 W LAMD R 1, ,r���°°
Policy No:
WLRC68917396
BREA CA 92( ti'^
```"""`��
Expire'
01/01/2023
Phone:
714-989-1800 ��1
Issued Date: 01/18/2022 Special Conditions:
Setback- Front:
Rear:
Left:
Right:
FEES
$85,000.00
$0.00
Fire Residential Alarm PC Fee
: $0.00 Records Management:
$14.00
$0.00
Planning Counter Review:
$0.00
$0.00
Planning Zoning PC Fee :
$0.00
$0.00
$0.00
$440.75
Public Works PC Fee:
$0.00
$0.00
$632.75
Public Works Traffic Plan Check Fee; $0.00
$0.00
$1,087.50
Plan Check Fee :
$440.75 Fee Due at Permit Issuance :
$646.75
OTHER DEPARTMENT:
_
l�LAN C-HECKED BY::
\l
_
APPROVAL TO ISSUE:
PERMIT EXPIRE' 7t10 DAYS A;4[R ISFUANCk OR LAST VALID INSPECTION
��• I hereby affirm under penalty of perjury that I am exempt from the Contractors' State. License Law for the reason(s)'ihdicated below by the oheckmarx(s) I have placed next to the applicable ilem(s)
'Section 7031.5, Business and Professions Code: Any pity or county that requires a permit to construct alter, Improve, demolish, Or repair anystructure,. prior to its Issuance, also requires the applicant for
he permit to file a signadstaternent that he or she is licensed pursuant to the provisions of 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 llcensurs and the basis for the alleged exemption. Any violation of Section7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars. ($500).
❑ I, as owner of the property, or employeeswithwages as their sole compensation, will do all of or portions of the work, and the structure Is not intendedor offered forsale (Section 70",
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' Or personal effort, bulks or Improves the property, provided that the
Improvements are not Intended or offeredfor sale. If, however, the building or Improvementis sold within one -year of completion, the O.mer:Oulider will have the burden of proving that It was not bull tor
Im roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractor to construct the project (Section 7044 Business and Professions Code: The Contractors' State License Caw does not
a ply to an owner of property who builds or Improves thereon,and who contracts for the projectswith a licensed Contractor pursuant to the Contractors' State License Law).
I.am exempt from licensure under the Contractors' State License Law forthe following reason:
By my signature below I acknowledge that, except for my personal residence in which Imust have resided for at least one-year prior to completion of the Improvements ;covered by this permit, I cannot legal
sell a structure that 1 have built as an owner -builder if it hasnot been constructed an its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professlons Code, is available upon requestwhen this application issubmitted or at the following VVeb site:hdp:i/w .legfnfo-ca.govlcaiaw.htmi.
Signature of Property Owner or Authorized. Agent pate
LICENSED CONTRACTOR'S.: DECLARATION
I. hereby affinmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)`of Division 3 of the Business and Prof Sion$ e, n my licenseis in full force
sand effect- L+ .ID / C-7 G. ..7 "? G -Z a 1 / �. �,�----
License Class i License No Date �l 2 contractor Signatures y
WORKERS' COMPENSATION DECLARATION
$HALL sualHOT AN EMP1,0'reR TO gMMMAL PENALTES AND WI_ Fa1ES UP T0.
)E. INTEREST, AND ATTORNISPS FEES.
hereby affirm under penalty of perjury one of the following deolarattons;
(f10U,00a), IN ADDMON TO
I have and will maintain a certlfloste 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
lom once of the Work for which this permit is issued. Policy No..
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Codal for the perrom)ance of the work for which this. permit Is Issued, My workers'
canter and policy number are: 1/�✓-fZ G (Dq-� 1 1 ,3
�C i /t v f zx A ,�1n11j Policy Number Expiration Date ,
is of Agent. 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' compensationlaws of California, and ogre
if I should become subject to th od IS Ampensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 6, J
Iature of ApplicantX Date\el'.. Zz—
ILARATION RHrAROING CONST. TION LENDING AGENCY 7�
rebyaihrm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permltis issued (Sectlon 3097, Civil Code).
dens Name Lender's Address
ny signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county omlfn ncas • state laws relating to building construction.
I authorize representatives of this. city or county;[ nt aob Aida tified.property for inspection purposes.
._..,.,, ..c o.. -.., 1., e,—•A,,.H,..l,en An.. Print Prooerty Ownat's cr Authorized Aaenes NameW FQ�N �..'r• ��N � eta i he /2 Z-
AC77ON
RATE
Y
T7 N lM OD
FOROFACEU5EONLY
FEDERAL REGLX A,,0NS PART tf1 OFT7TLE40AND
AQMDRULE1403,
❑ 1SIrb•W,TTEDA9Mc71'SNOT.'F[CAT.ONTOr
I] =PA
171 4QM0
❑ ASBE3TOSNO,7RCA)70NISNUTAPPLICABLETO
PROPOSEDDEMOU77OX
S1GNAT1112E7
PERMITEXPIREO
PERMITCANCELLED
PERMITSaMDED
PERMIrAINAL
CERT7RCATFOF
OCCUPANCYISSUEA