Loading...
HomeMy WebLinkAboutF2020-0365 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100 CM-, Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 3 6 5 Permit Counter Phone (949)644-3288 °'�crsLua�b Job Address: 3443 PACIFIC VIEW DR NB Inspector Area: FIRE Owner: HARBOR DAY SCHOOL Address: 3443 PACIFIC VIEW DR Address: CORONA DEL MAR, CA Phone: BREA CA 92821 Applicant: COSCO FIRE PROTECTION Address: 1075 W LAMBERT RD Lie Expire: BEA, CA 92821 Phone: 714-989-1755 FIRE Permit: F2020-0365 Project No: 0125-2020 Inspection Requests Phone (949)644-3255 Description: COMM FIRE ALARMS (PORTABLE BUILDINGS)`DEVICES "HARBOR DAY Legal Description: IRVINE SUB LOT 463 SLK 96 POR OF LOT Contractor: COSCO FIRE PROTECTION INC Address: 1075 LAMBERT RD, BLDG D Policy No: BREA CA 92821 Phone: 714-974-8770 Con State Lie: 577621 Lie Expire: 0913012021 Bus Lie: BT00022773 Lie Exp Date: 0713112021 Code Edit: 2016 Worker's Compensation Insurance Type of Construction: V -B -SPR Carrier: ACE AMERICAN INS Occupancy Group: E Policy No: WLRC66042492 Added /New sq.ft. Bldg: 0 Expire: 01/01/2021 Added /New sq. ft. Garage: 0 No of Stories: 1 Issued Date: 09/1012020 No of Units : 0 Setback- Front: Flood Zone: X Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $3,000.00 Building PC Fee: $0.00 Fire Residential Alarm PC Fee: Building Overtime PC F,, -e: $0.00 Planning Counter Review: Building Extention Fee : $0.00 Planning Zoning PC Fee: Building Investigation Ff,e : $0.00 Fire Plan Check Fee: $178.00 Public Works PC Fee: Fire Permit Fee : $254.00 Public Works Traffic Plan Check Fee; Building Permit Fee: $0.00 IITOTAL FEE : $440.00 Plan Check Fee: PROCESSED BY: o o© •�• 4f 4 ZONING APPROVAL: m FIRE APPROVAL: • e Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 OJHLR ®EeARTMENT: PL,A*C41EEKED BY:: APPROVAL TO ISSUE: State Lie: State Lie DEMATA RAYMOND 1075 W LAMBERT RD BREA, CA 92821 714-989-1800 Records Management: Fee Due at Permit Issuance 000 • o 0o e0 •o e c c ¢ ¢ e PERMIT EXPIRES 180 DAYS AFPER L1S*A4(C&,DR �A$T VALID INSPECTION a o c e o •oo 00 cc e c mcc cc $8.00 $0.00 $0.00 $440.00 OWNER -BUILDER DECLARATION I hereby affirmunderpenalty of perjury that.I am exempttrom the Contractors' State License Law forthe reason(s) indicated below by the cheokmark(s) 1 have placed next to the applicable Item(s) ction 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 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 feSSlons 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 appiican to a civil penalty of more than five hundred dollars ($500). J. I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or `) portions of the work, and the structure is not intended or offered for sale (3ection 7044, 3usiness 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 -Builder will have the burden of proving that't was not built or n roved for the purpose of sale). J 1, 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 exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 pamr iL I cannot legal ;elf 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Avww.leginfo.ce.govlcalaw.html. 3lgnature of Property Owner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty oury th tj am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Di Sion 3 of the Business and Prof@sajons e, a p license Is in full force Ind effect. License Class, C: - I O /'0 License No N,7 �7 fo `Z t Date �4- f C9 ^ O Contractor Signature �(_, YORKERS' COMPENSATION DECLARATION If - 1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,40), IN ADDITION TO THI ;OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY•• FEB. hereby affirm under penalty of perjury one of the following declarations: 3 1 have 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 IF 2?Onnanceofthe work for which. this permit isIssued. PolieyNo. 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 urance carrier and ,T�',�na�v number are: Rft Friar PolfcyFl mIs rl'r Expiration Date me of Agent _ _ 4 Phone # I certify that, in the performance 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 agre t, B I should becomes fact to ile workers' tCYTpen�sation_provisions of Section 3700 of the Labor Code, I shall forthwith eomplywith those provisions. mature of Applicant ,_ bt3:__ pek,__ 0,7 - 10 - Z 0 CLARATION REGARDING CONSTRUC710M LENDING AGENCY sreby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). rder'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. 1 have read this application and the information I have provided is correct. I agree to complywith all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or coQ^ erdpr thegbov"entified property for inspection purposes. A. a CERTIFICATE OF OCCUPANCYISSUED DECLARATION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE NOTIFICATION IS NOTAYPLICA13LE TO • • • • • • • • • •