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Home My WebLink AboutF2023-0138 - Permitso�2E�wnoRT City of Newport Beach � Community Development Department- Building Division 1 DO Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq</pppN)P newportbeachca.gov/inspections Combination Type - Work Class - New F 2 0 2 3 0 1 3 8 COME Permit-1:2023-0138 Plan Chcck No : PC2023-0655 Issued Date : 04/13/2023 Inspection Area : FIRE , , , PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 20221 CYPRESS ST Legal Desc : N TR 706 BLK LOT 151 TR 706 LOT 151 POR OF LOT AND POR OF LO T 152 Description: COMM FIRE ALARM SYSTEM (48) DEVICES, NEW FACP, ANNUNCIATOR, DIALER Owner: MARY MELLONE Address : 1604 PASEO DEL MAR PALOS VERDES ESTATES, CA 90274 Phone: Applicant : COSCO FIRE PROTECTION INC Address : 1075 LAMBERT RD, BLDG D BREA, CA 92821 Phone: (714)974-8770 Owner/Builder : Address : Phone Code Edition : 2022 Type of Construction : Occupancy Groups: E Bldg Height : Contractor: COSCO FIRE PROTECTION INC Architect Address : 1075 LAMBERT RD, BLDG D Address BREA, CA 92821 Phone: (714)974-8770 _ Con State Lie : 577621 Lie Expire : 09/3012023 Bus Lie: BT00022773 Bus Lie Expire : 07/31/2023 Workers' Compensation Insurance Carrier: ACE AMERICAN INSURANCE COMPANY Policy No : WLRC52021376 W. C. Expire : 1/1/2024 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units: 1 No of Stories Building Setbacks: Flood Zone : X Use Zone: SP-7 - Santa Ana Heights Specific Plan PROCESSED BY: ;� � xa n si•�. l.] r r r•� , r.�n Phone: State Lie: Engineer Address Phone: Designer: COSCO FIRE PROTECTION INC Address: 1075 LAMBERT RD, BLDG D BREA, CA 92821 Phone: (714)974-8770 Construction Valuation : $28,035.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 I hereby affirm under penalty of pervry Ihat Ian, er:empt from th4 Contractors Slate License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicableitem(s) Section 7031.5, Business and Professions Code: Any city or oounl� Ctat requires a 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 lie or she Is liconsod pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000)of Division 3 of the Business and 'rofession , Code) or that he or si,c i3 cx^rapt from I censure and the basis for the alleged exemption. Any violation of Section 7031.5 by any oppiioant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars 1$5011), I, as owner of the property, or in,, emplcyees with wcges as the,r sole compensation, will do (_) all of or U portionsofthe work, and the structure Is not Intended or offered for sale (Section 7044, tusiness and Professions Code: Tne. Couiractors' Staff L tcenst Law .rocs not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements 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 bulll 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 ContractorsState License Law does not 1pp€y 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' Stele License Law for the following reason: iy 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, yell 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://www.leginfo.ca.gov/calaw.html. >ignature of Property Owner or Authorized Agent Data .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Profess( and my license is in full force Ind effect. License Class License No i 7% 1Z� Date / L Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 (EID0,000I. IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'R FEES - hereby affirm under penalty of perjury one of the following declarations: I 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 th erformance of the work for which this permit is issued. Policy No. 3t- �ale 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' eompensatioi Isurance carder and policy number are: / Q 1 O _ Z :artier I/�Lt_ i1wt.C-Ji.l C�L�c/ Policy Number L d III �. 5 z O Z (�i Zi Expiration Date lame of Agent Phone a It certify that, in the performance of the war r 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 tat, if I should become sub ect to he wor pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date I " 13 Z hereby 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). onder's Name Lender's Address _ �y 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 correct. I agree to comply with all applicable city and c unty ordinances and stale laws relating to building Construction. I authorize representatives of this city or cotlW .n above -identified property for inspection purposes. I ionature of PrODertv Owner or Authorized ADD Print Prooerty Owner's or Authorized Aaent's NamiA A"/< I. o�l�` Dale Cl - / F" e ACTION ( DATE. I BY DEGE, TONSPARTfit ON OF COMPLIANCE ITNTLE AOANDDE OFVID RULEAL FOR OFFICE USE ONLY NOTI FICATION TO CfRIHEICATE Or OCCUPANCY ISSUED TO