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HomeMy WebLinkAboutF2020-0088 - Permits�•, ,�� City of Newport Beach - Building Division o 100 Civic Center Drive, Newport Beach, CA 92660 ,. Permit Counter Phone (949)644-3288 �'''�,irori�•b fi Job Address: 700 NEWPORT CENTER DR NB St: 1 FI: 1 Inspector Area: FIRE Owner: PACIFIC MUTUAL LIFE Address: 700 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: Applicant: H C I SYSTEMS INC Address: 1354 S PARKSIDE PL ONTARIO CA 91761 Phone: 909-628-7773 Code Edit : 2019 Type of Construction: I -A Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 6 No of Units : 0 Flood Zone: Bldg Sprinklers: N II IIS II I ILII II DVIU VIII �I�III0 I II I�III III II FIRE Permit: F2020-0088 Project No : 0390-2020 Inspection Requests Phone (949)644-3255 Description: COMM FIRE ALARM 1 DEVICE & RELOCATE EXISTING CONTROL PANEL, Legal Description: IRVINE SUB LOT BLK 55 POR OF BLK Contractor: H C 1 SYSTEMS INC Address: 1354 S PARKSIDE PL FEDERAL INSURANCE ONTARIO CA 91761 Phone: 909-626-7773 Con State Lic: 905493 Lic Expire: 0212912020 Bus Lic: BT30042287 Lic Exp Date: 02/28/2020 Worker's Compensation Insurance Carrier: FEDERAL INSURANCE Policy No: 54309498 Expire: 0910112020 Issued Date: 02125/2020 Setback- Front: Rear: Left: Right: Architect: I N S IF g- e FEES Address: 1� V i T.i' Construction Valuation: $12,750.00 eeee +e Phone: State Lic: V. '. • ee o �"•"� Engineer: e e ° • ° o Address: - ee e o� e e • • ° • n Phone: State Lic: 0 oca •• o Designer: 0 o m MAYATE JOSEPH •• m memco Address: 1354 S PARKSIDE PL a o 0 0< ONTARIO, CA 91761 • e a me m e c o 0 Phone: 909-957.5200 Public Works PC Fee : $0.00 $0.00 000©oo Special Conditions: oeoo • ° •000 0 • . o o ° PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Construction Valuation: $12,750.00 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: $189.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $223.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: $0.00 TOTAL FEE : $418.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $418.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION )WNER-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, priorto its issuance, also requires the applicant for is 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 of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the rlprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exemptfTM 1igensure under the Contractors' State License Law for the following reason: ly my signature beiora I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally N aSiriicture that I hese built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Yofessi8ns Codb„ j$•av'Dilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 'ignatwe of Property Owner or Authorized Agent Date 26WED CONTRACTOR'S DECLARATION hereby affirm uJer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ection 7000) of Division 3 of the Business and rofe Jons C e, a d my license is in full force icense Class ... • License No Date - Contractor Signature i.•.. Q?1WRS' COMPENSATION DECLARATION �Q$IVa(C JAILURE TOSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 1$T. F COMPENSAIMON, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Rereby affirm under peaalty of perjury one of the following declarations: ..... I.Ftaye and vgiR MaTrQain 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 the e4ormance of the wa* for which this permit is issued. Policy No. �I 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' compensatiol rance carrier and policy number are: Policy Number ie of Agent Phone; certify that, in the perfor n 4 of the work for which this permit is issued, I shall not employ any person in any manner so as to become SL if I should become sub' ct o the workers' cpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those iature of Aoolicant (AA /'A N if A.r1^ l\ Date Date the workers' compensation laws of California, and �reby affirm under peaalty of)Jerjury that there is a construction lending agency for the performance of the work for which this permit is isdued (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 Inannek rty owner'sSy ehalf. I have read this application and the information I videcj�is co act. I agree to comply with all applicable city and counand tate laws relating to building construction. authorize representatives of this city or county t ehe a ove- entified property for inspection purposes.r- Signature of Property Owner or Authorized Agent c Print Property Owner's or Authorized Agent's Name " Date .J a" V ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE US 5ONLY 111 1 11 FEDERAL REGULATIONS PART Gf OF TI7LE40AND 11 . _....... _. El f SUBMITTED ASBESTOS N071FICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS N07IRCA7701VIS NOTAPPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL t-kp mm S CERURCATEOF SIGNATURE: OCCUPANCYISSUED