HomeMy WebLinkAboutF2019-0138 - PermitsCity of Newport Beach - Building Division 111p111111111p111111111111111111p111111p1111111111
4 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 1 3 8
Permit Counter Phone (949)644-3288
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Job Address: 101 15TH ST NB
Inspector Area: FIRE
Owner: JOSEPH ANGELO
Address: 610 NEWPORT CENTER DR
NEWPORT BEACH CA 92660
Phone
Applicant: MCSTAY MIKE
Address: 27068 LA PAZ RD #212
ALISO VIEJO CA 92656
Phone: 949-337-3317
Code Edit: 2016
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
No of Units
Flood Zone:
Bldg Sprinklers:
Construction Valuation
V-B-SPR
R3/BIM
0
0
FIRE Permit: F2019-0138
Project No : 0570-2019
Inspection Requests Phone (949)644-3255
Description: COMMIRES MIXED USE FIRE SPRINKLERS (X2 075) (64,HEADS)
Legal Description: NEWPORT BEACH SEC B LOT 1 BILK 15 AND LOT 2 BLK 15
Contractor: PRECISION FIRE SYSTEMS Architect:
Address: 27068 LA PAZ RD #212 Address:
ALISO VIEJO CA 92656
Phone: 949-337-3317
Con State Lic: 906248
Lic Expire: 1113012019
Bus Lic: BT30052678
Lic Exp Date: 09/3012019
Worker's Compensation Insurance
Carrier: EXEMPT NO EMPLOYEES
Policy No:
Expire:
2 Issued Date: 03119/2019
0 Setback- Front:
Rear:
Y Left:
Right:
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:
$30,000.00
FEES
Phone: State Lic
Engineer:
Address:
Phone:
State Lic:
Designer:
MCSTAY MIKE
Address:
27068 LA PAZ RD #212
ALISO VIEJO CA 92656
Phone:
949-337-3317
Special Conditions:
$0.00
Fire Residential Alarm PC Fee:
$0.00 Records Management :
$12.00
$0.00
Planning Counter Review:
$0.00
$0.00
Planning Zoning PC Fee:
$0.00
$0.00
$0.00
$264.00
Public Works PC Fee:
$0.00
$0.00
$365.00
Public Works Traffic Plan Check Fee;
$0.00
$0.00
$641.00
Plan Check Fee:
$264.00 Fee Due at Permit Issuance :
$377.00
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
OWNER -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)
(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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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).
❑ 1, as owner c'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).
11 1 am -xempt from lioensure under the Contractors' State License Law for the following reason:
By my signature oelow l 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 o strLcture that-, 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 avrilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Uwner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I ileleoy affirm wider pe,lalty of perjury that I am licensed u der provisions of hapter 9 (c cme IP�Section 700 of Division 3 of the Business and Prof to ode, and my licen d8-I f force
a,L) _frLct.
U=re glass License Date Contractor Signature
V.ORKERS' C mr'E3lSATION DECLARATION
AA:1::L1G: ?ALLURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED LARS ($100,0001, IN ADDITION TO THE
COST OF GOMPENSA.IJN, DwMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES.
I hereby affirm un�6r Fanalty of perjury one of the following declarations:
❑ 1 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 thr
performance 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'
rance carrier and policy number are:
Policy Number Expiration Date
of Agent
I ertify that, in the performance of the work for which this permit is issued, I shall not emplo any manner so as to ecome subject to the wor roc ensation laws of California, and ogre
t , if I should become or =ation provisions of Section a Labor Code, I s all forthwith c y with those provisions.
Signature of Apptkant Date
DECLARATION REGAR95ING CONSTRUCTION LENDI G
I hereby affirm under penalty of perjury that there is a con t ion lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode).
Lender's Name Lender's Address
By my signature below, I certify to each of the foll ing:
1 am the property owner or authorized to act on a property owner's behalf.
have read this application and the informatto rovided is correct.
I agree to comply with all applicable c' nd county o ina and state laws relaC wilding construction.
I authorize representatives of th' Ity or county to he ab e-identified arty
for inspection purposes. _
Signature of Property Owner or thonzed Age Print Property Owner's or Authorized Me ' e De e
ACTION
DATE
8
DECLARATION OF COMPLIANCE WITH CODE OF
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS M077FICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS M017FICATIONIS NOT APPLICABLETO
PROPOSED DEMOLITION.
SIGNATURE:
FOROFFICE USE ONLY
PERMIT EXPIRED
PERMITCANCELLED
PERMITEXTENDED
PERMITFINAL
. .
CERTIFICATEOF
OCCUPANCYISSUED