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HomeMy WebLinkAboutF2020-0442 - Permits6 wru� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIII�III�IIIIIIIIIIIIIIII II FIRE Permit: F2020-0442 �: 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 4 4 2 Project No : 2031-2020 Permit Counter Phone (949)644-3288 y<raoul� Inspection Requests Phone (949)644-3255 Job Address: 1640 SAN MIGUEL DR NB Description: COMM FIRE SPRINKLER TI (X2020-0991) 23 HEADS. rah- (D Inspector Area: FIRE Legal Description: IRVINE SUB LOT ELK 93 POR OF BILK (P M 35-1 PAR 2) $2,500.00 Owner: IRVINE CO Contractor: APEX FIRE SYSTEMS INC Architect: $0.00 Address: 3RD FL Address: 18009 SKY PARK CIRCLE #L Address: $0.00 NEWPORT BEACH, CA 92660 $0.00 IRVINE CA 92614 Building Extention Fee : $0.00 Phone: Phone: 949-387-2859 Phone: State Lic: Applicant: READ MARC Con State Lic: 732396 Engineer: $163.00 Address: 2961 W MACARTHUR BLVD STE 118 Lic Expire: 09/30/2021 Address: $252.75 SANTA ANA CA 92704 Bus Lic: ST30006908 Building Permit Fee : $0.00 Phone: 949-337-9679 Lic Exp Date: 01/31/2021 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: READ MARC Type of Construction: V-BSPR Carrier: ACE AMERICAN INS CO Address: 2961 W MACARTHUR BLVD #118 Occupancy Group: B Policy No: C68630538 SANTA ANA CA 92704 Added /New sq.ft. Bldg: 0 Expire: 11/01/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Issued Date: 11/04/2020 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: X Rear: ' t� ^ It Bldg Sprinklers: Y Lek: I �7 V iF" ECT®I l Right: PROCESSED BY: OTHER DEPARTMENT: n ZONING APPROVAL: C PLAN CHECKED BY:: FIRE APPROVAL: `�� APPROVAL TO ISSUE: o o c PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 0 � r� a oo� o ae oa oeu FEES Construction Valuation: $2,500.00 Building PC Fee: $0.00 Fire Residential Alarm PC Fee: $0.00 Records Management : $2.00 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: $163.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee : $252.75 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $417.75 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $417.75 PROCESSED BY: OTHER DEPARTMENT: n ZONING APPROVAL: C PLAN CHECKED BY:: FIRE APPROVAL: `�� APPROVAL TO ISSUE: o o c PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 0 � r� a oo� o ae oa oeu )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 permit to construct, alter, 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 '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 lot more than five hundred dollars ($500). I, as owner of the properly, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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 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 Ipply 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). 1 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 permit, I cannot legally sell 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:/AAvw.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 of Division 3 of the Business and Professions e, and my license is in full force Ind effect. t% .icense Class License No Date Contractor Signature YORKERS' COMPENSATION DECLARATION 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 ($700,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 thi erformance of the work for which this permit is issued. Policy No. 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' carrier and r bar are: �)� Policy Number C& Expiration Date of Agent certify that, in the performance of the work for which s permit is issued, I shall not employ any person in any manner so as to become subject to the if I should become subject to the worker ' o p sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. , Iature of Applicant _ )� _ Delay Ireby affirm under penalty of perjury that there it 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 the property owner's behalf. I have read this application and the information I have provided is co ct. I agree to comply with all applicable city and county ordi c s a State laws relating to building construction. I authorize representatives of this city or county t� ant a e -identified property for inspection purposes. nature of Property Owner or Authorized Aaen�t. / Print Prooertv Owner's or Authorized AGent laws of California, and ACRON DATE V' 19y DECLAHAIIONUFCOMPUANCLWIIHCUUEUF ✓ FEDERAL REGULATK)NSPART 61 OF T17L€40 AND FOR OFFICE USE ONLY AQMD RULE 1407. ❑ ISUBMITFEDASOLSTOS NOTIFICATION TO: PERMIT EXfY E ; ` • . • • • , • . PERMITC4*CE1JgD • • . "• • [3 EPA ❑ AQMD ❑ ASBESTOS NOTIRCAIIONISNOT APPLICABLE TO PERMIT EXTEND • • • PERMIT FINAL v 2 PROPOSED D€MOLITION. SIGNATURE: CERTIFIC4TE61.• ,•• ••• •.� e„ OCCUPANCYISU€O • • +