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HomeMy WebLinkAboutF2019-0309 - Permits1 Cityof Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ' Permit Counter Phone (949)644-3288 Job Address: 880 [PSI IRVINE AVE NB Inspector Area: FIRE Owner: UDR NEWPORT BEACH NORTH L Address: 1745 SHEA CENTER DR #200 Phone: HIGHLANDS RANCH CO 80129 Applicant: ANN MARIE/A&D SPRINKLERS Address: 7130 CONVOY CT SAN DIEGO CA 92111 Phone: 858.277-3473. Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: p No of Stories: 0 No of Units : 0 Flood Zone: X Bldg Sprinklers: N Construction Valuation: $19,479.00 Building PC Fee : Building Overtime PC Fee: Building Extention Fee: Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee: Building Permit Fee TOTALFEE: PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: ������ �������������������Iall11111111111111���� FIRE Permit: F2019-0309 Project No: 1173-2019 Inspection Requests Phone (949)644-3255 Description: COMM REPLACE/RELOCATE (E) FIRE SPRINKLER LINE (AT PARKING $ Legal Description: P BK 15 PG 36 PAR 1 UU [-te, MA -AN TI�tlGTV R e % PRINKLERS INC (ORANGEWOOD Address: 1601 W AVE Architect: ORANGE CA 92868 Address: Phone: 714.634-3923 Con State Lie: 902053 Phone: State Lie: Lie Expire: 08/31/2019 Engineer: Bus Lie: BT30045302 Address: Lie Exp Data: 11/30/2019 Worker's Compensation Insurance Phone; State Lio: Carrier: BERKSHIRE. Policy No: Designer: HAFER ALLEN ADWC818691 Expire: Address: 7130 CONVOY CT 11/01/2019 SAN DIEGO, CA 92111 Issued Date: 06/13/2019 Phone: 858.277.3473 Setback- Front: - Special Conditions: Rear: Left: Right: FEES $0.00 Fire Residential Alarm PC Fee $0.00 Planning Counter Review : $0.00 $0.00 $0.00 Records Management Planning Zoning PC Fee : $0.00 $0.00 $136.00 Public Works PC Fee $173.00 Public Works Trak Plan Check Fee; $0.00 $0.00 $0.00 $311.00 Plan Check Fee $136.00 Pee Due at Permit Issuance a a .•. OTHER BfPARIVENT: a ( + n E RpLL 6 f f L PLAN`CNFCKEDflY:: APPROVAL TO ISSUE: •na no PERMIT EXPIRES 180 DAYS AFv16ISUANi;`E+ • m ,, OIt LIST IZAL9D INSPECTION 4r� $2.00 $0.00 $0.00 $175.00 indicated below by the checkmark(s) 1 have placed next to the applicable items) 1NER-BUILDER DECLARATION q p or repair any structure, prior to its issuance, also requires the applicant for I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the improve, d applicant to a civil penalty of nfor it permit subjects the app .ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, im rove, demolish, P is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicantis not intended or offered for sale (Section 7044, permit to file a signed statement that he Pr 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 a Ifessions Code) or that he or she all of or (_) portions of the work, and the structure provided that the more than five hundred dollars ($500). or personal effort, builds or improves the property, P lt or I, as owner of the property, or my employees with wages as their soles not apply too, will do an owner )f property who, through employees' ll e the of oving that it s not siness and Professions Code: The Contractors' State License Law does not apply provements are not intended or offered for sale. If, however, the building or improvement is sold withSecbonin one year fcOm7044PlBtus Business ion, the and Professions lder (Code: The Contractors' State License aLaw doers not roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project it Ip I, 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 Section 7044 of the Business and I am exempt from property w under the Contractors' State License Law for the following reason: ma 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 raga V Date application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. :II 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 thea plicab a aw, rofessions Code, is available upon request when this app' license is in full force ignature of Property Owner or Authorized, 3 of ICENSED CoNTRACTOR'S DECLARATION �f hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of�D� C Contractor Signatus and professions e, an my Da r TO THE and effect. License Na .!cense Class NORKERS' COMPENSATION DECLARATION DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. provided for by Section 3700 of the Labor Code, for 11 YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I5 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E700,0001, IN ADDITION :OST b C (firm undo - hereby affirm under penalty of perjury one of the following declarations: Workers' compensati� ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as p p^nance of the work for which this permit is issued. Policy No. 6'I"have and aintain 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 �1 Expiration Date is of Agent _ �` certify that, in the performance of he work for which workers, compo sthis if I should become s4bi tw- M IT Ynone x -- is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ;ions of Section 3700 of the Labor Code, I shall forthwith Comply with thogso proves' ns. © /� `J _241 i,(Yl�s—ate- ignature of Applicant IECLARATION REGARDING CONSTRUCTION LENDING AGENCY Lender's Address hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work far which this permit is issued (Section 309 .enders Name ;y my signature below, I certify to each of the following: 1 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. h e a e -identified ro art for inspectionP rt Owner's or Authorized A ant's Na 1 agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or count to e c;�narure of Properly Owner or Authorized Agent ncn na "ifON OF COMpLf NCEtMTN CODEOF ___-. ,.�-.�.. can AAm ACDQN DATE I By OCCUPA�SSUEl7 ..ANMD W 1115. ` U f SoUbUTr;DASftStOS fTtFICATfON TO: gf �• ❑,•EPA•• •� s ❑ kgMD •• " 103 ASBESTOS NOTfRCA7fON/S NOT APPLICABLE TO pf pOSEDDEMO(1TION, a sic f ,&AfU6E% •. ... . Civil Code).