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Home My WebLink AboutF2019-0320 - Permits',�yYyW1Pp City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 H ,.* Permit Counter Phone (949)644-3288 Job Address: 4201 JAMBOREE RD NIS Inspector Area; FIRE Owner: ' SHOPOFF GROUP LP Address:.. - 2PARK PLAZA, STE 700. Occupancy Group: IRVINE CA 92614 Phone: 949.417-1867 Applicant: CHRISTIAN/SMART SYSTEMS TECH Address: 9GOODYEAR No of Units : IRVINE CA 92618 Phone: 949-367-9375 Code Edit 2016 Type of Construction: V-A/1-ASPR Occupancy Group: R21S21B Added /New sq.ft. Bldg: ' 0 Added /New sq. ft. Garage: 0 No of Stories: 5 No of Units : 0 Flood Zone: X. Bldg Sprinklers: Y IIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII0 II FIRE Permit: F2019-0320 Project No : 1196-2019 Inspection Requests Phone (949)644-3255 o m o0oommm e em m oomoo mmomco ommmoo c 0 0 c c 000000 0 0 mono FEES Description: MFR - TWO-WAY COMMUNICATION SYSTEM AT ELEVATOR LANDINGS Legal Description: N 7R 7953 LOT 2 $5,000.00 Contractor: SMART SYSTEMS TECHNOLOGIES INC Architect: fin'" `'PP Address: - 9 GOODYEAR Address: t''c Building Overtime PC Fee: IRVINE CA 92618 Planning Counter Review: G'`c Phone: 949-367.9375 Phone: State Lic: ' Con State Lic: 766364 Engineer: $0.00 Lic Expire: 0713112019 Address: Fire Plan Check Fee: Bus Lic BT20100934. $0.00 $0.00 Lic Exp Date: 0 913 01201 9 Phone: - State Lic: Worker's Compensation Insurance Designer: Carrier: EVEREST NATIONAL INS Address:. - Policy No: 5300002651191 $775.50 Expire: 0410112020 Phone: Issued Date: 0612812019 Special Conditions: Setback- Front Rear. Left: Right: o m o0oommm e em m oomoo mmomco ommmoo c 0 0 c c 000000 0 0 mono PROCESSED BY: C^.�1� V \ OTHER DEPARTMENT:. ZONING APPROVAL: PLAN CHECKED BY:: —T 1 FIRE APPROVAL: Q`S APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Construction Valuation: $5,000.00 Building PC Fee : $202.00 Fire Residential Alarm PC Fee: $0.00 Records Management :" $30.00 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: $228.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee: $209.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: $0.00 TOTAL FEE : ` $917.00 Plan Check Fee : $141.50 Fee Due at Permit Issuance : $775.50 PROCESSED BY: C^.�1� V \ OTHER DEPARTMENT:. ZONING APPROVAL: PLAN CHECKED BY:: —T 1 FIRE APPROVAL: Q`S 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 resson(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). - ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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). 111, 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 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). ❑ 1 am exempt fmm licensure under the Contractors' State License Law for the following reason: BY my siggnaturei:elow•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 sell a Btr4cture that J Dgve 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 P4ofessidns Col, isavailable upon request when this application is submitted or at tlle(ollowing Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property owner or Authorized Agent Date LdCL#JAD COORACTOR'S DECLARATION I hereby affirm urSer ftalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 7000) of Division 3 of the Business a Professio Code, d my 'aat d left dt. se is in full force L�cie��eClass • •• License No Date G—L%�� Contractor Signatur 4fpR E!RS' COMPENSATION DECLARATION WVGOB- IV yO FAILURE JON,CURE GES AS PROVIDED FORMSECTION OJT IS THE UNLAWFUL, AND CODE, SUBJECT AN EMPLOY ATTORNEYS FEES. RIMINAL PENALTIES AND CIVIL FINES UP T ONE HUNDRED THOUSAND DOLLARS (E ,TION TO TH l liereby affirm LFRIVIl4ialty of perjury one of the following declarations: •••• • 1 ra�Pe 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 tl o,Orformance of i ww;org 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' Nmce carrier and policy number are: Policy Number to of Agent rnone r 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 su if I should become sybject tp IlYe worJlers' corrgonsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those of Applicant hereby affirm undernalty of perjury that there is ns Ion lending agency for the performance of the work for which this permit is p Ender's Name Lender's Address ly 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 Ihe a provided is correct. I agree to comply with all applicable city and coun oeo�nordinances and state laws relating to building construction. I authorize representatives of this city or county erKpKaboyti 'ed property for inspection purposes. Date the workers' compensation laws of California, and _ 2S—! (Section 3097, Civil Code). Name ACTION DATE BY ucr.wrwarvn �e a.umeun,rrn urr,vu�vr If FEDERAL REGULA7IONSPART61 OFTTTLE40AND AQMD RULE 1403. P€RMITTEXPIRED ❑ ISUBMiTTEDASBESTOSMGJIFICATIONTO: ❑ EPA ❑ AQMD PERMITCANCELLED P€RMITEXT€NDED 0 ASBEDDEMOU ASBESTOS AONIS NOT APPLICABLE TO PERNNTFINAL3 CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED