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Home My WebLink AboutF2019-0150 - Permits0x City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII FIRE Permit F2019-0150 4 100 Civic Center Drive, Newport Beach; CA 92660 Project No: 0642-2019 w ., Permit Counter Phone (949)644-3288 :r,H} Axa Inspection Requests Phone (949)644-3255- PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL:.. m •T ° •,�° °Oc PLAN CHECKED BY:: YT FIRE APPROVAL: ( l[ .1/ ° <c °• APPROVAL TO ISSUE: PCRM11-: XP16S,,f50 I.MYS=.1FTER ISSUANCE OR LAST VALID INSPECTION a m a aam amm (z �SrIZOOM S Job Address: 46115 MACARTHUR CT NB St: 1 FI: 2 Description: COMM FIRE SPRINKLERS (4) HEADS (X2019.0107) i as Inspector Area: FIRE Legal Description: P BK 196 PG 40 PAR 1 r Owner: IRVINE COMPANY Contractor: FIRE PROT SPECIALISTS Architect: Address: 550 NEWPORT CENTER DR Address: 2810 E MIRALOMA AVE Address:.. NEWPORT BEACH, CA 92660 ANAHEIM CA 92806 Phone: Phone: 714.635.6500 Phone: State Lica. - Applicant: ANDERSON ROBERT Con State Lic: 464915 Engineer: Address: 2810 E MIRALOMA AVE Lie Expire: 10/3112020 Address: ANAHEIM CA 82806 Bus Lie: BT30042894 Phone: 714-635-6500 - Lie Exp Date: 0 613 012 01 9 Phone: State Lie: ,u Code -Edit : 2016 Worker's Compensation Insurance Designer: ANDERSON ROBERT Type of Construction I-ASPR Carrier: COMP WEST INS. CO. Address: 2810 E MIRALOMA AVE Occupancy Group: B Policy No: WCV6502962 ANAHEIM CA 92806 Added /New sq.ft. Bldg: 0 Expire: 1 2/0 21201 9 Phone: 714-635-6500 Added /New sq. ft. Garage: 0 No of Stories: 4 Issued Date: 0312512019 Special Conditions: No of Units: 0 Setback- Front: Flood Zone: X Rear: - - Bldg Sprinklers: Y Left: Right: C -k irzk S FEES Construction Valuation: $1,200.00 Building PC Fee: $0.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $2.00 .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: $144.00 Public Works PC Fee: $0.00 $0.00 Fire Permit as : $185.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: $0.00 TOTAL FEE : $331.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $331.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL:.. m •T ° •,�° °Oc PLAN CHECKED BY:: YT FIRE APPROVAL: ( l[ .1/ ° <c °• APPROVAL TO ISSUE: PCRM11-: XP16S,,f50 I.MYS=.1FTER ISSUANCE OR LAST VALID INSPECTION a m a aam amm )WNER-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 is 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 Irofessions 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 got 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, lusiness 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). 7 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/oalaw.htmi. signature of Property 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 with Sect' n 70 0) of Division 3 of the Business an Pro ons Cod ,and Iy li ense is in full force nd effect. *— / r natur icense Class License No Dates Contractor Sig VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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 IN yfformance of the work for which this permit is issued. Policy No. have an aintain 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 car' r ad policy numbe{'Are:_ r e Date is of Age v Hnone B certify that, in the performance of the work fi"ich 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 if I should become sybjecpt6-fl)e work�rstorrpenVtion provisions of Section 3700 of the Labor Code, I shall forthwith comply with thosgprovissgns._ 7 7 nature of Applicant \ O / DaWV— CLARATION REG DI CONSTRUCTIONL DING 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 beWifiedop�071Y I have read this application and the information I have provided is corre I agree to comply with all applicable city and county ordi nce and stag to building construction. I authorize representatives of this city or county to )irnte he ove-i¢en for inspection purposes. Signature of Property Owner or Authorized Agent 11\Print Property Owner's or Authorized Agents Na /V'iL. — JI ACTION DATE BY DECLARATION OF COMPLIANCE tNIT CODEOF - FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OFTOLE46AND PERMITEXPIRED AQMDRULE1403. •• ,•. . ❑ ISUBMITTEDASBEST@StNOIiFW-4TlOhjfiO: •� PERMIT CANCELLED ❑ EPA i • + ,. • s PERMITEXTENDED ❑ AQMD • i• .•i •• .•• PERMIT FINAL �' [3 ASBESTOS NOTIIIGI TIOKS NOT APPLICABLE TO PROPOSEDDEMOL1710N. CERTIFICATEOF SIGNATURE: •• "' .•• ••' • • ' OCCUPANCYISSU.ED • • • • •• 's_ .