HomeMy WebLinkAboutF2021-0365 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
�. Permit Counter Phone (949)644-3288
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Job Address: 4291 UPTOWN NEWPORT DR NB
Inspector Area: FIRE
Owner: PARKHOUSE RESIDENCES, LLC
Address: 2 PARK PLACE #700
IRVINE CA 92614
Phone: 949/417-4462
Applicant: AUSTIN BRIAN
Address: 11800 STERLING AVE STE L
RIVERSIDE, CA 92503
Phone: 858-583-1541
Code Edit : 2019
Type of Construction: V-All-A-SPR
Occupancy Group: R-2/S-2
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 5
No of Units : 0
Flood Zone:
Bldg Sprinklers: N
Legal Description
*F2021-0365* FIRE Permit: F2021-0365
Project No: 1916-2021
6N S E aC,
j ( Inspection Requests Phone (949)644-3255
Description: MFR FIRE SPRINKLER SYSTEM 260 HEADS (X2020-1957)
Contractor: ON GUARD FIRE PROTECTION
Architect:
Address: 6438 ARVILLE ST
Address:
LAS VEGAS NV 89118
Phone: 702-966-8021
Phone:
State Lic:
Con State Lic 950378
Engineer:
Lic Expire: 07/31/2022
Address:
Bus Lic: BT30051770
Lic Exp Date: 0713112022
Phone:
State Lic:
Worker's Compensation Insurance
Designer:
AUSTIN BRIAN
Carrier: BERKSHIRE HATHAWAY
Address:
11800 STERLING AVE STE L
Policy No: REWC224882
RIVERSIDE, CA 92503
Expire: 02/16/2022
Phone:
Issued Date: 11130/2021
Special Conditions:
Setback- Front:
Rear:
Left:
Right:
FEES
Construction Valuation:
$71,500.00
Building PC Fee :
$0.00
Fire Residential Alarm PC Fee :
$0.00 Records Management :
$0.00
Building Overtime PC Fee:
$0.00
Planning Counter Review:
$0.00
Building Extention Fee :
$0.00
Planning Zoning PC Fee :
$0.00
$0.00
Building Investigation Fee:
Fire Plan Check Fee:
$0.00
$876.25
Public Works PC Fee :
$0.00
$0.00
Fire ermit Fee :
$1,074.75
Public Works Traffic Plan Check Fee:
$0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$1,951.00
Plan Check Fee :
$876.25 Fee Due at Permit Issuance :
$1,074.75
PROCESSED BY: Z O Z OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: •t -�J'4 `� APPROVAL TO ISSUE
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
IWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law far the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
iection 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
to 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
'rofessions 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
at 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 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
nprovements 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
nproved 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
pply 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:
'y 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
ell a structure 8,&t : ',1Gve 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
'rofess;ons Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
ignatc re of Prooertv Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wip Section 7000) of Division 3 of the Business and od ofessions Ce Incense i�full force
nd effect. 1 `,3 M V
iuenso Class License No Date Contractor Signature
1ORKERS' CCr.1?ENSATION DECLARATION
ARNING: FAILURE -C ^ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (siao,aaol, IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37D6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thl
ertormance of the work 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'
Fance carrier and policy number are:
me of Agent
I certify that, in the p�
It. if I should become
nature of Applicant
Policy Number Expiration Date
of the ark 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
hew ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pfopisions.
CLARATION REGAR011M CONSTRUCTION LENDING AGENCY
:reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
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 hav provided is correct.
I agree to comply with all applicable city and countli In ces and stat ws relating to building construction.
I authorize representatives of this city or county to enylvfhe above entified--roperty for inspection purposes.
or Authorized Agent's Name
ACTION
DATE
BY
DECLARATIONOF COMPLIANCE IMTH CODE OF
FOROFFICEUSEONLY
FEDERAL REGULATIONS PART 61 OF ITTLE 40 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERIMTCANCELLED
PERMIT EXTENDED
❑ ASBESTOS NOTIFICAPONISNOT APPLICABLE TO
PROPOSED DEMOLITION,
PERMIT FINAL
y
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CE,RTIACATEOF
OCCUPANCYISSUED
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