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Home My WebLink AboutF2019-0042 - Permitsw, City of Newport Beach - Building Division IIIIIIIIIIIII�IIIIIIIIIIII�IIIIIIIIIIIIIIII II FIRE Permit: F2019-0042 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1. 9 0 0 4 2 Project No i 0172-2019 E9 .;.. Permit Counter Phone (949)644-3288 "euclw ��b. Inspection Requests Phone (949)644-3255 QACG 1 �•, /� '� 1�a Job Address: 133 NEWPORT CENTER DR NI3 Description. COMM FIRE SPRINKLERS 13 HEADS (X2019.0115) Inspector Area: FIRE Legal Description:: g ..,:-r', Owner: IRVINE CO Contractor: PACIFIC FIRE SUPPRESSION INC Architect: °•°° .Address: 550. NEWPORT CENTER DR Address:. 249 E EMERSON #G Address:' NEWPORT BEACH, CA 92660 - ORANGE CA 92865 • ° _se°aiikeeoo Phone' Phone: 714.502.0211. Phone:. o • ®®®•� _ >:.P o State Lie:No Applicant: PACIFIC FIRE SUPPRESSION INC Con State Lic:- 423418 Engineer: ^-y Address: 249 E EMERSON #G Lie Expire: 11130/2019 Address: •• ORANGE CA 92865 Bus Lie: BT03042109 i °. °'( 1_ • S e ° °. Phone: 714-502-0211 Lie Exp Date: 03131/2019 Phone: State Lie: �,° o " • ° Code Edit: 2016 Worker's Compensation Insurance Designer: HAMILTON CHUCK ®.. °' p° •oo Type of Construction: 111 -A -SPR. Carrier: EVEREST NATIONAL Address: 249 EEMERSON AVE ° Occupancy Group: B Policy No: .5300001688.. s,. � o ORANGE, CA 92865. °„oo��. n ,° Added /New sq.ft. Bldg: 0 Expire: 09/1712019 Phone: 714-283.0211 o o o ��a Added/New sq. ft. Garage: 0 °a000• •oo,o No of Stories: 1 Issued Date: 01122/2019. Special Conditions: No of Units: 0 - Setback- Front: Flood Zone: Rear. Bldg Sprinklers: - N Left. Right FEES Construction Valuation:. $5,000.00 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 Feer $139.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee : $212.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee :.. $0.00 TOTAL FEE : $353.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $353.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: 'FIRE APPROVAL: c APPROVAL TO ISSUE: i a ' PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION LDER 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) ,tion 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 applicantfor permit tofile 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 fessions 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 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 rovements 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 roved 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 ly 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•{rom 4censure under the Contractors' State License Law for the following reason: ny %ignaturelAIM 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 legal) a structure tlqVit! �1lve 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 'esslons Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.. tattlte of Propgrty Owner or Authorized Agent Date ENSED COJJT"CTOR'S DECLARATION rebX affirm fHgge4 penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wi action 7000) of Division 3 of the Business an Professions Code, and my license is in full force evect. :rte Class .' ': License No Dat f 2I k Contractor Signature RKtRS' CBIGIP�NSATION DECLARATION NVJR6 FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL VER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE T OF.OMPENSATIONAAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. reby_affim, under penalty of perjury one of the following declarations: i jiede and Alf inaintain 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 th ormance of ttfi %N&k 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' compensatiol rrWnce carrier and policy number are: 'ler Policy Number Expiration Date 1e of Agent Phone # certify that, in the perArmance of the work for which this permit is issued, I shall not employ any person in any manner so as to become sub' ct to the workers' compensation laws of California, and a if I should become plicant ubjec he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those rovisior/}s lature of Ap_ Dat r/ Lt h 9 areby affirm under enaltt/of perjury that there is a construction lending agency for the performance of the work for which this permit is lder's Name I 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 h ve provided is correct. I agree to comply with all applicable city and cou dinances andstate laws relating to building construction. I authorize representatives of this city or county er the above -identified property for inspection purposes. inature of PmDertv Owner or Authorized Aaent Print Prooertv Owner's or Authorize ACTION DATE / By ucurinarrvrr a'r wnrrurarri..c rrren i.vur yr FEDERAL REGUL4TIONSPARTOf OF TITLE40AND AQMD RULE 1403. XPIRED ❑ t SUBMITTEDASBESTOS NOTIFICATION TO:- ❑ EPA ❑ AQMD ANCELLED K7ENDED ❑ ASBESTOS NORRCADOAfIS NOT APPLICABLE TO. PROPOSED DEMOLITION TNAL MC)4WA 1TEOF ._.,...,..._.... SIGNATURE. (Section 3097, Civil Code). I/Y/