HomeMy WebLinkAboutF2020-0363 - PermitsWww <, 10 Cl of Newenter Dport Newport Beach, CA92660bog Division IIII IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII FIRE Permit: F2020-0363
*., Permit Counter Phone (949)644-3288 P Project No : 0125-2020
```4/1'OYp�b Inspection Requests Phone (949)644-3255
Job Address: 3443 PACIFICVIEW DR NB
Description: COMM FIRE ALARMS (9) DEVICES (PORTABLE BUILDINGS) DEVICES
Inspector Area: FIRE
Legal Description: IRVINE SUB LOT 463 BILK 96 POR OF LOT
Owner: HARBOR DAY SCHOOL
Contractor: COSCO FIRE PROTECTION INC Architect:
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Address: 3443 PACIFIC VIEW DR
Address: 1075 LAMBERT RD, BLDG D Address:
CORONA DEL MAR, CA
BREA CA 92821
Phone:
Phone: 714-974.8770 Phone: State Lie:
Applicant: COSCO FIRE PROTECTION
Con State Lie: 577621 Engineer:
Address: 1075 W LAME ERT RD
Lie Expire: 09/30/2021 Address:
BEA, CA 92821
Bus Lie: BT00022773
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Phone: 714-989-1755
Lie Exp Date: 0713112021 Phone: State Lie:
0.0.
Code Edit: 2016
Worker's Compensation Insurance Designer: DEMATA RAYMOND
Type of Construction: V -B -SPR
Carrier: ACE AMERICAN INS Address: 1075 W LAMBERT RD
Occupancy Group: E
Policy No: WLRC66042492 BREA, CA 92821
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Added /New sq.ft. Bldg: 0
Expire: 01/01/2021 Phone: 714-989-1800
Added /New sq. ft. Garage: D
No of Stories: 1
Issued Date: 09/10/2020 Special Conditions:
No of Units: 0
Setback- Front:
Flood Zone: X
Rear:
Bldg Sprinklers: Y
Left:
Right:
FEES
Construction Valuation: $3,000.00
Building PC Fee:
Building Overtime PC Fee:
$0.00 Fire Residential Alarm PC Fee: $0.00 Records Management :
$0.00
$8.00
Planning Counter Review: $0.00
Building Extention Fee
$0.00 Planning Zoning PC Fee : $0.00
Building Investigation Fee:
$0.00
Fire Plan Check Fee:
$180.25 Public Works PC Fee: $0.00
$0.00
$0.00
Fire Permit Fee :
$257.25 Public Works Traffic Plan Check Fee; $0.00
Building Permit Fee:
$0.00
TOTAL FEE :
$445.50 Plan Check Fee: $0.00 Fee Due at Permit Issuance :
$445.50
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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 apolicable Item(s)
(Section 7031.5, Business end Professions Codec Any city or county that requires a permit to construct, atter, Improve, demolish, or repair any structure, prior to Its Issuance, also regui-es the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the proAslons of the Contractors' State License Law (Chapter.9 (commencing with Section 7000) of Division of the Business and
Professions Code) or that he Grsl a is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars (5500).
❑ 1, as owner of the property, onmy employees With wages as their sole compensation, will do U 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 doesnot applyto an owner of property who, through employees' or personat effort, builds orimproves 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
EIImj�roved forthe purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe 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).
fJ I am exempt from licensure under the Contractors' State License Law for the following reason.
By 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
sell a structure that I have built as an owner -builder 1f 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 available upon request when this application is submitted or at the following Web site:http:MwAv.leginfb,ce.govtcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S'. DECLARATION
I hereby affirm under penaltyo�perjury th t1 am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Divr'sion 3 of the Business and Pro ns a fe, a ilcenae is in full force
and effect. License Class C'+IO C -/l License No 57'7 fe'LI Date �4-!O- OContractor Signature V. � �
NORKERS' COMPENSATION DECLARATION 7°
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,1001, IN ADDITION TO THE
COer OF COMPENSATION, DAMAGES A9 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:
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 th,
Hr3 mance of the work for whichthis 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'
ranoe carder and MTW number are:
1e of Agent
certify that, in the pi
N I should become
Date
the work forwhich this permit is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws o`Califomia, and
workers' c ppensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
A.,- L� _ C)7—/o—ZO
hereby 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).
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 owners behalf.
I have read this application and the information I have provided Is correct.
I agree to comply withall applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or cotifLt to eptr thq*ov"entdied property for inspection purposes. r
CER17RC47 OF
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION 15 NOSAPPLRA9LE TCP