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Home My WebLink AboutF2020-0432 - Permits&City of Newport Beach - Building Division II�IIIIIIIIIIIII�IIIIII�II�IIIIIIIIIIIIII II FIRE Permit: F2020-0432 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 4 3 2 Permit Counter Phone (949)644-3288 PfOJ2Ci No: 1984-2020 Inspection Requests Phone (949)644-3255 Job Address: 650 NEWPORT CENTER DR NB 1�/�� Description: COMM FIRE ALARM Ti (X2020-1334) 3 DEVICES Inspector Area: FIRE Legal Description: Owner: 660 NEWPORT CTR DR LLC Contractor: H C I SYSTEMS INC Architect: Address: 650 NEWPORT CTR DR Address: 1354 S PARKSIDE PL Address: NEWPORT BEACH CA 92660 ONTARIO CA 91761 Phone: Phone: 909-628.7773 Phone: State Lic: Applicant: HCI SYSTEMS Con State Lic: 905493 Engineer: Address: 1354 S PARKSIDE PL Lic Expire: 02128/2022 Address: ONTARIO CA 91761 Bus Lic: BT30042287 Phone: 909.284.9242 Lic Exp Date: 02128/2021 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: MAYATE JOSEPH Type of Construction: 1-ASPR Carrier: FEDERAL INSURANCE Address: 1354 S PARKSIDE PL Occupancy Group: B Policy No: 54309498 ONTARIO CA 91761 Added /New sq.ft. Bldg: 0 Expire: 09/0112021 Phone: 909-284-9242 Added /New sq. ft. Garage: 0 No of Stories: 20 Issued Date: 1012912020 Special Conditions: No of Units : 0 Setback- Front: " Flood Zone: X Rear:'' ' u d��' Bldg Sprinklers: Y Left: B Right: FEES Construction Valuation: $1,110.00 Building PC Fee : $0.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $6.00 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: $166.75. Public Works PC Fee : $0.00 $0.00 Fire Permit Fee: $237.75 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $410.50 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $410.50 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: P •00 e• es a • •oe OTHER DEPARTMENT: — o OV P 6JG Gu O Y 4 0 oPa o 0 ooc aoc o• PLAN CHECKED BY:: APPROVAL TO ISSUE: - Gt90C .� O P OPP G C` PERMIY EXPIRES 'f:80 DAYS APr5R I.4SUANCE OR LAST VALID INSPECTION .1 411 4 4 .G JE GUo OWNER -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 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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). ❑ 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 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 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 legalh sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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:hltp://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. �=HOIUISA� License Class License No D e O Contractor Signalu�/ drWORKERS' COMPENSATION DECLARATIONNARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN D DOLLARS ($100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 e of the work 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' rance 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' compensation provipiorn of Section 3700 of the Labor Code, I shall forthwith comply with those pr9visions. nature of Applica t r u e CLARATION RE R ING CONSTRUCTIO D NG AGENCY Ireby affirm under penalty of perjury that th a 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 behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or cq�ty; e r the above-identifi�dRr�erty for inspection purposes. nature of Property Owner or Authorized AgQInt1( lz �f� l Print Property Owner's or Authorized Agent's Nam J'LSQ.t ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF " FOR Of PERMITEXPIRED AQMDRULE 1403: e • • • • • o 0 ❑ I SUBM1ADASIIE*CS NObFtiCA`_M 10a PERMIT CANCELLED ❑ EPA` PERMIT EXTENDED ❑ AQMD ❑ ASBESTOS N077FICA710MISNOrAPPLICABLETO PERMIT FINAL Z,� PROPOSEODEMbtftlQ1.• •`• •`• i`` i`• 4 CERTIFICATEOF i •` •� i e• i i OCCUPANCYISSUEO SIGNATURE: •i• `s• `�• i i i�• i�` m/i7