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HomeMy WebLinkAboutF2020-0368 - Permits94�rysvr,gf City of Newport Beach - Building Division IIII�IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII FIRE Permit: F2020-0368 100 Civio Center Drive, Newport Beach, CA 92660 III F 2 0 2 0 0 3 6 8 I II Project NO : 0125-2020 Permit Counter Phone (949)644-3288 �`rirYliYH�b Inspection Requests Phone (949)644-3255 Job Address: 3443 PACIFIC VIEW DR NB Description: COMM FIRE ALARMS (11) DEVICES (PORTABLE BATHROOM BLDG) Inspector Area: FIRE Legal Description: IRVINE SUB LOT 463 BLK 96 POR OF LOT IM Owner: HARBOR DAY SCHOOL Contractor: J P T CONSTRUCTION INC Architect: Address: 3443 PACIFIC VIEW DR Address: 409 62ND ST Address: CORONA DEL MAR, CA NEWPORT BEACH CA 92663 0 Phone: Phone: 714-336-1966 Phone: State Lie: Applicant: COSCO FIRE PROTECTION Con State Lie: 879360 Engineer: LU Address: 1075 W LAMBi?RT RD Lie Expire: 06130/2022 Address: BEA, CA 9282. Bus Lie: BT30014788 Le Phone: 714-969-1755 Lie Exp Date: 01131/2021 Phone: State Lie: co Code Edit : 2016 Worker's Compensation Insurance Designer: DEMATA RAYMOND Type of Construction: V-BSPR Carrier: WESCO Address: 1075 W LAMBERT RD Occupancy Group: E Policy No: WWC3462916 BREA, CA 92821 Added /New sq.ft. Bldg: 0 Expire: 04107/2021 Phone: 714.989-1800 Added/New sq. ft. Garage: 0 No of Stories: 1 Issued Date: 09/1012020 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: X Rear: Bldg Sprinklers: N Left: Right: FEES Construction Valuation: $3,000.00 Building PC Fee : $0.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $8.00 Building Overtime PC Fae: $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: $184.75 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee: $263.75 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL PEE : $45�6.550� Plan Check Fee : $0.00 Fee Due at Permit Issuance : $456.50 PROCESSED BY: ° ° ° e • • m OT•6iER DEPARTMENT. ®m m m ZONING APPROVAL: r cc e. m m o 0 `o `c e - • •PL1N'CQEri KED BY:: m ° FIRE APPROVAL : _� APPROVAL TO ISSUE: oma s o amo mo ec o 0 PERMIT EXPIRES 180 DAYS Af9'ER ISSIIArdCkAOR t.AZT VALID INSPECTION • m m oom co mm m ® dmo 00 I hereby affirm under penalty 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 Item(s) (Section 7031.5, Business and Professlons Code: Any city or county that requires a permit to construct, atter, Improve,. demolish, or repair any structure, prior to Its Issuance, also requires the applicant for ,he 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 Drofessions 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 applicalt to a civil penalty of iot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sale compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professlons Code: The Contractors' State License Law does nut 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 tW it was not built or mproved for the purpose of sale). 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 3 apply to an owner of property who builds or Improves thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law). r am exempt from licensure under the Contractors' State License Law for the following reason; 3y my signature below 1 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 permlt, I cannot legalh ,ell a structure that I have built as an owner -builder If it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and rrofessions Code, is available upon request when this application is submitted or at the following Web aite:http:/Awww.leginfo.co.gov/calaw.himl. 31gnature of Property Owner or Authorized Agent Date _ICENSED CONTRACTOR'S' DECLARATION hereby affirm under penalty o�perjury th tj am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Division 3 of the Business end Prof�sJons C e, a Ihense is In full force Intl effect. License Class C: - IOC- J (p License No S7'7 fe I Date q4- ((9 •• OContractor Signature �(„�7._.�„ YORKERS' COMPENSATION DECLARATION /^+ IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SNALL SUBUeCT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3766 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. THOUSAND DOLLARS (S100.060), IN ADDITION TO THE hereby affirm under penalty of perjury one of the following declarations: 1 I 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 thl Yormance of the work for whichthis 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' ranee carrier and pdit number are: is of Agent certify that, in the pi R I should become Store of Applicant Date of the work forwhich this permit Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws cf California, and agre, eworkers' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. pe ©`!—/D —%O IS7RUCTt I stinuor: AOPNrV ireby 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). 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 theproperty 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 ordinances and state laws relating to building construction. I authorize representatives of this city or col t�b enter th"ov 4yentifred property for Inspection purposes. , Uc4Uv lIvn Ur �UNrrueNt t wnN CUUL OF FEUEKAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITCANCELLEO EPA • • • • • �• ••• ••• PERMIT EXTENDED PERMIT FINAL ASBESTOS NOTIFICATION 15 NOTAPPLIOABLE TO • ° CERTIFICATE OF PB POSE DEDLI,. ON n OCCUPANCYISSUED SIGNATO . • • • • • • • • • •