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Home My WebLink AboutF2022-0114 - PermitsCity of M�wport Beach - Building Division *F2022--0114* 1J0 Civ':c Center Drive, Newport Beach, CA 92660 F • Permit Counter Phone (949)644-3288 V A 1 FIRE Permit: F2022-0114 Project No : 0590-2022 Inspection Requests Phone (949)644-3255 Job Address: 4000>kAICA WAY NB Description: COMM FIRE SPRINKLER TI - 436 HEADS (X2019-1471) Inspector Area: FIRE Legal Description: IRVINE SUB LOT 169 BILK 2 POR OF LOT Owner: NEWPORT BEACH PROPCO LP Contractor: A R D FIRE Architect: Address: 300 EAST MARKET ST #100 Address: 7130 CONVOY CT Address: ' LOUSIVILLE, KY 40202 SAN DIEGO CA 92111 Phone: Phone: 858-277-3473 Phone: State Lic: , Applicant: TOPINIO JR Con State Lic: 1069002 Engineer: , Address: 1601 W ORANGEWOOD AV Lic Expire: 09/30/2022 Address: ' ORANGE CA 92868 Bus Lic: BT30073130, Phone: 714-634-3923 Lic Exp Date: 10/3112022 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: TOPINIO JR Type of Construction: V-B-SPR Carrier: ZURICH AMERICAN INS CO Address: 1601 W ORANGEWOOD AV Occupancy Group: B Policy No: GLO100923506 ORANGE CA 92868 , Added /New sq.ft. Bldg: 0 Expire: 01/0112023 Phone: 714-634-3923 Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 03/30/2022 Special Conditions: - No of Units : 0 Setback- Front: LANDSLIDE RISK Flood Zone: X Rear: Bldg Sprinklers: Y Left: Right: ' 1 I 1 ' YIDC-46y -71`Y-3DS-,,)—) FEES Construction Valuation: $44,000.00 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: $992.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $1,599.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $2,597.00 Plan Check Fee : $992.00 Fee Due at Permit Issuance : $1,605.00 PROCESSED BY: 13'7 OTHER DEPARTMENT: ZONING APPROVAL: I^ / PLAN CHECKED BY:: FIRE APPROVAL: V " " APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION DWNER-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 U all of or J 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`r)T licensure under the Contractors' State License Law for the following reason: By my signature h-low 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 legall,. ,PII P cf,ucture 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 Profess,ons CcJe, is available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw. html. Sgna:ure of Property Owner or Authorized Agent Date LIC`=LASED CONTRACTOR'S DECLARATION I here.hy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 70 0) of Division 3 of the Business and Professions Code, Znd my license is in full force anU ?ffect. License Class C �i0 License No kilt iO02 Date 3 ZZ Contractor Signature WORKERS' CZ;NIPENSATION DECLARATION WARNING: FAILURE IJ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirmunder penalty of perjury one of the following declarations: U I hove and Mill ncintain 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 perfgrmance of `he 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' 'ante carrier and policy number are: ier AW09kil Ys4:-zmeQ1Car! Policy Number f�� W C,00$3\ O Expiration Date ie of Agent certify that, in the performar , if I should become subject of 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 he workocompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. a5!11c\ �� 31aa 22 CLARATION REGARDING CVVSTRUION LENDING AGENCY areby affirm under penalty of p ury that here 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 ord' antes and state laws relating to building construction. I authorize representatives of this city or county to an ov Identified property for inspection purposes. y 1 nature of Property Owner or Authorized Agent_ )C Print Property Owner's or Authorized Agent's Name (` e_ 'T0�\�3) X 31sa l z7 ACTION DATE BY DECLARATION OF COMPLIANCE VA TN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 51 OF TIRE 40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NO 77FICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS M077RCA7I0NIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL - CERTIRCATEOF SIGNATURE:: OCCUPANCY ISSUED