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Home My WebLink AboutF2023-0285 - Permits�EwPoRT City of Newport Beach II IIIIIIIN IIIIIIIII I� llllll llllll lll�l��l ��l�u III COMB Permit: F2023-0285 Community Development Department -Building Division F 2 0 2 3 0 2 8 5 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1449 u r+7 S Permit Counter Phone: (949) 718-1888 Issued Date : 06/14/2023 a. newportbeachca.gov/civic c9G/Fp0.N�P Inspection Area :FIRE Combination Type - Work Class - Other PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 1101 NEWPORT CENTER DR Description: COMM UNDERGROUND FIRE LINE SWEEP Ownet': IRVINE CO Address : 111 INNOVATION IRVINE, CA 92618 Phone: Applicant: COSCO FIRE PROTECTION INC Address : 1075 LAMBERT RD, BLDG D BREA, CA 92821 Phone: (714)974-8770 Owner/Builder : Address : Phone: Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone: Use Zone: 2022 I I -A A2/M X PC - North Newport Center Legal Desc : P BK 221 PG 30 PAR 7 Contractor: COSCO FIRE PROTECTION INC Address : 1075 LAMBERT RD, BLDG D BREA, CA 92821 Phone: (714)974-8770 Con State Lic : 577621 Lic Expire : 09/30/2023 Bus Lic : BT00022773 Bus Lic Expire : 07/31/2023 Workers' Compensation Insurance Carrier: ACE AMERICAN INSURANCE COMPANY Policy No: WLRC52021376 W. C. Expire: 1/1/2024 Fire Sprinklers : YES Fire Hazard Zone : NO No of Units : 0 No of Stories: 4 PROCESSED BY: SPECIAL CONDITIONS: Architect Address : '•- Phone :> State Lic Engineer: Address : �•_. r Phone:j�7 a, Designer: COSCO FIRE PROTECTION INC Address: 1075 LAMBERT RD, BLDG D BREA, CA 92821 Phone: (714)974-8770 Construction Valuation : $2,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 I hereby affrm under penally of perjury that I am exempt from the Contractors State license Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable ftem(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 fife 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 ' rofessiohs 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 Tot more than Five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portlons-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 mprovements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or mproved 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 ra ly 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). LJ I am exempt from licensureunder the Contractors' State License Law for the fallowing 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 bythle permit, I cannot legalil soil a structure that I have built as an owner -builder if ithas not been constructed in its entirety by licensed contractors, I understand that a copy of theapplicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:hUp://www.Wglnfo.ce4ov/calaw.html. 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 00) of Division 3-o1 the Business and Prof dims Ced , a ny license Is in full force and effect. License Class License No Date -I4- 27 Contractor Signature PORKERS' COMPENSATION DECLARATION \ !ARMING: FAILURE TO SECURE WORxERS' COMPENSATION COVERAGE re UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CR PakALTIES AND CIVIL PINES UP TO ONE HUNDREITHOUSAND DOLLARS HH00,000), IN ADOnx3N TO THE :DST OF COMPENSATION;DAMAGES AS PROVIDED FOR IN SECTION 3704 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury One of the following declarations: I I have and will mainler) a Certificate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN performance of the work for which this permit is issued. Policy No. eve 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' compensatior insurance carder and policy number are'. ;artier Policy Number Expiration Dale lame of Agent Phone 0 :11 certify that. In the p rfor once of the work for which this permit is Issued, I shall not employ any person in any manner sous to become subject to the works pensation laws of California, and agree hat, if I should become t to the 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lignature of Applicant Date -1 Y - "L S )ECLARATION REGARD CONS UCTIO DING AGENCY hereby affirm under pen ty !jury that there is a construction landing agency forme performance of the work for which this permit is issued (Section 3097, .oil .ode). .ander s Name Lender's Address ly my signature below, I certify to each of the following I aril the property owner or authorized to act on the property owner's behalf. I have read this application and the informaBglve provided. is correcL _ I agree to comply with all applicable. city and u ordinances and slate laws relating to building construction. I authorize representatives of this city or count enter the_4bQveddon!gl-. D or nspaction purposes. ACTION DATE BY ) \DELLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ✓/ REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 1 SUBMITTED AS BESTOS NOTIFICATION TO PERMITCANCELLED I IIA _ PERMITMENDED i OMC' PERMIT FINAL ASB@STw NOTIFICATION IS NOT APPUCARLE TO CERITHCATEOF �' PROPOSED DEMOLITION OCCUPANCy155UEO SIGNATURE: Contractor's Material and Test Certificate for Underground Piping PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. Property name Restoration Hardware NB Date 12/04/24 Property address 1101 Newport Center Dr, Newport Beach, CA 92660 Accepted by approving authorities (names) Address Plans Installation conforms to accepted plans ❑ Ves ❑ No Equipment used is approved 0 Y. ❑ No If no, state deviations Has person in charge of fire equipment been instructed as to location of ❑ Yes ❑ No control valves and care and maintenance of this new equipment? If no, explain Instructions Have copies of appropriate instructions and care and maintenance ❑ Yes ❑ No charts been left on premises? If no, explain Location Supplies buildings N/A Pipe types and class PVC C900 DR 18 Type'joint ASTM D3139 Pipe conforms to AWWA C9 standard 0Yes ❑No Fittings conform to ASSTM A53 standard 0 Yes ❑ No Underground If no, explain pipes and joints Joints needing anchorage clamped, strapped, or blocked in 0 Yes ❑ No accordance with standard If no, explain Flushing: Flow the required rate until water is clear as indicated by no collection of foreign material in burlap bags at outlets such as hydrants and blow -offs. Flush in accordance with the requirements of 10.10.2.1.3. Hydrostatic: All piping and attached appurtenances subjected to system working pressure shall be hydrostatically tested at 200 psi (13.8 bar) or 50 psi (3.4 bar) in excess of the system working pressure, whichever is greater, and shall maintain that pressure t5 psi (0.34 bar) for 2 hours. Test Hydrostatic Testing Allowance: Where additional water is added to the system to maintain the test pressures required by 10.10.2.2.1, description the amount of water shall be measured and shall not exceed the limits of the following equation (for metric equation, see 10.10.2.2.6): SDI L = testing allowance (makeup water), in gallons per hour L = S = length of pipe tested, in feet 148,000 0 = nominal diameter of the pipe, in inches P = average test pressure during the hydrostatic test, in pounds per square inch (gauge) New underground piping flushed accordinq to 0 Yes ❑ No AMA C605 standard by Paulus Engineering Inc If no, explain How flushing flow was obtained Through what type opening 0 Public water ❑ Tank or reservoir ❑ Fire 0 Hydrant butt ❑ Open Flushing pump pipe tests Lead-ins flushed according to standard by (company) ❑Yes 0 No If no, explain Not Installed by Paulus How flushing flow was obtained Through what type opening ❑ Public water ❑ Tank or reservoir ❑ Fire pump ❑ Y connection to flange ❑ Open pipe and spigot 1 of 2 2016 Edition raw,{ Hydrostatic All new underground piping hydrostatically tested at Joints covered test 235 psi for 4 hours O Yes ® No Total amount of leakage measured Leakage gallons hours No Leaks Detected test Allowable leakage gallons hours Forward flow Foward flow test performed in accordance with 10.10.2.5.2: test of backflow ® Yes 0 No preventer Number installed Type and make All operate satisfactorily Hydrants 0 L] Yes ® No Water control valves left wide open ® Yes U No If no, state reason Control valves Hose threads of fire department connections and hydrants interchangeable with ® Yes [3 No those of fire department answering alarm Date left in service 7/ 19/23 Remarks Name of installing contractor Paulus Engineering Inc Tests witnessed by Signatures For property owner (signed) Title - Date For installing contractor (signed) Title Date A�o�tU'ac� Project Manager 12/04/24 Additional explanation and notes Final 2016 Edition W yrs11Pa