HomeMy WebLinkAboutF2022-0293 - PermitsCity of Newport Beach - Building Division IIIII�IIII'IIIIIIIIIII�IIllllllllllllll II
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 2 9 3
w Permit Counter Phone (949)644-3288
Job Address: 1113 NEWPORT CENTER DR NS
Inspector Area: FIRE
Owner: IRVINE CO
Address: 550 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
Phone:
Applicant:
JESSIE/PACIFIC FIRE SUPPRESSION
Address:
249 E EMERSON AV
ORANGE CA 92865
Phone:
714-283-0211
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: 1
No of Units : 0
Flood Zone: X
Bldg Sprinklers: Y
FIRE Permit: F2022-0293
Project No : 1477-2022
Inspection Requests Phone (949)644-3255
Description: COMM FIRE SPRINKLER TI - 29 HEADS (X2022-0469)
Legal Description:
P BK 221 PG 30 PAR 8
Contractor:
PACIFIC FIRE SUPPRESSION INC
Address:
249 E EMERSON #G
ORANGE CA 92865
Phone:
714-502-0211
Con State Lic:
423418
Lic Expire:
11/3012023
Bus Lic:
BT03042109
Lic Exp Date:
03/31/2023
Worker's Compensation
Insurance
Carrier:
EVEREST NATIONAL INS
Policy No:
530004928211
Expire:
09/17/2022
Issued Date: 06/08/2022
Setback- Front:
Rear:
Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
State Lic
State Lic
HAMILTON CHUCK
249 E EMERSON AV
ORANGE CA 92865
r e1� N O
FEES
Construction Valuation:
$10,000.00
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:
$178.00
Public Works PC Fee:
$0.00
$0.00
Fire Permit as,
$276.25
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee:
$0.00
TOTAL FEE :
$456.25
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$456.25
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
t
C OTHER DEPARTMENT:
PLAN CHECYeE°D BYa:
APPROVAL°r0136i1E:
Y °
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LA&f!7ALIWNSPECTION "
� a e � a a .• ° r
IWNER-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
ie 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
of more than five hundred dollars ($500).
1 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,
'usiness 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).
1 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:
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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.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 Secctii n 7000) of Division 3 of the Business and o ions C de, and my license is in full force
is effect.
icU 22 Contractor Signat
ense Class License No Dat
IIORKERS' COMPENSATION DECLARATION
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
under penalty of perjury one of the following declarations:
I 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
Ice 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 Code, for the performance of the work for which this permit is issued. My workers' compensa
carrier and policy number are:
Policy Number Expiration Date
of Agent
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' compensation laws of California, and
if I should become subject to the workers' cgKpftation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. If 7,
of Applicant
CLARATION REGARDING CONSTRUCTrUN DING AGENCY vy
Ireby affirm under penalty of perjury that there 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 have provided is correct.
I agree to comply with all applicable city and county ordi and state laws relating to building construction. l p
I authorize representatives of this city or county to enti r °V I ied property for inspection purposes.
�I illDateah/k
ACTION
DATE
BY
DECLARATION OFCOMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TI7LE40 AND
• AQMDRULE f403.
PERMIT EXPIRED
• •
❑ I SUBMITTED ASBESTOS NO nFICARON TO.
[IEPA
• ❑ AQMDASBESTOS '.
PERMIT CANCELLED
•
PERMITEXTENDED
° • . • •
•
PROPOSED EMOOLITOIYpDONIS NOT APPLJCASL€ TO
°
MATURE:
PERMIT FINAL
•
/f S �-
CERTIFICATEOF
•a
•s
`
OCCUPANCYISSUED
• • s
e