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Home My WebLink AboutF2019-0464 - PermitsCity of Newport Beach - Building Division ��IIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �� 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 4 6 4 Permit Counter Phone (949)644-3288 �AtlYfii6�Pb FIRE Permit: F2019-0464 Project No ; 1817-2019 Inspection Requests Phone (949)644-3255 Job Address: 2240 UNIVERSITY DR NB Description: COMM-- INSTALL ANSUL R-102 WET CHEMICAL FIRE HOOD SYSTEM 06/30/2020 Phone: State Lie: 1817-2019 Inspector Area: FIRE Legal Description: PM 176-42 PAR 3 POR OF PAR Owner: NEWPORT JEWISH CENTER INC Contractor: PARACLETE FIRE & SAFETY INC Architect: Address: 2240 UNIVERSITY DR #200 Address: 2950 SATURN UNIT I Address: Occupancy Group: BIAS NEWPORT BEACH, CA 92660 Policy No: BREA CA 92821 <. Phone: Phone: 714-577-5779: - Phone: State Applicant: AVILA CRISTINA Con State Lie: 854489 Engineer: Address: 2950 SATURN UNIT I Lie Expire: 10/31/2019 Address: BREA CA 92821 Bus Lic: BT30028344 No of Stories: 1 Phone: 714.577-5779 Lie Exp Date: 06/30/2020 Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer. .Type of Construction: V-A- SPR Carrier: STATE COMP INS Address: Occupancy Group: BIAS Policy No: 9170545 Added /New sq.ft. Bldg: 0 Expire: 12/13/2019 Phone: Added /New sq. ft. Garage: 0 = ° No of Stories: 1 Issued Date: 0811312019 Special Conditions: No of Units : 0 Setback- Front Flood Zone: Rear. O O° i0 °. Bldg Sprinklers: Y Left: Right:.. FEES.°Op0 Construction Valuation: $4,000.00 Building PC Fee : $0.00 Fire Residential Alarm PC Fee: $0.00 Management: - p $4.00 Building Overtime PC Feer $0.00 Planning Counter Review: $0.00 .Records p p ^ m Building Extention Fee : $0.00 Planning Zoning PC Fee : $0.00 Building Investigation Fee : $0.00. $0.00 Fire Plan Check Fee: $136.00 Public Works PC Fee, $0.00 $0.00. Fire Permit Fee'. $220.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL E : $360.00 Plan Check Fee : $0.00 F at Permit Issuance : $360.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: - APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 he 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 lot 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, tusiness 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 n 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 Ipply 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: Iy 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 rrofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 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 Section 7000) of Division 3 of the Business and Profe Ion e, my license is in full force Ind effect./y / f' / p .!cerise (� se Class 1 .�� 0 License No -`t'` % O q Da Contractor Signature VORKERS' COMPENSATION DECLARATION 1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE LOST OF COMPEN%T".DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm tW@61adhalty of perjury one of the following declarations: h timie 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 lh� nce of the woi for which this permit is issued. Policy No. and will lhaintain 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' carrier egtl eelicy number are: Policy Number Expiration Date pf Agent;', eKify that, in the pi irJ should become atur ofAD6lfcvaRP� for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of perjury that there is a construction lending agency for the performance of the work for whichthis 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 I have read this application and the information I have pr I agree to comply with all applicable city and county ryHiryfn I authorize representatives of this city or county to t' ACT70N PER1V7IT FINAL CERTWICATEOF OCCUPANCYISSUED DATE laws relating to building construction. ed property for inspection purposes. Print Prooertv Owner &1f ucu. I fly/r ur LUIYJruAfllC 1Y11. I., y, FEDERAL REGULATIONS PART 61 OF TITLE40AIVD AOMO RULE 4403. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD r ❑ ASBESTOS NOTFITCARON1S NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE.,