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Home My WebLink AboutF2019-0416 - Permitspop City of Newport Beach - Building Division �a 4 100 Civic Center Drive, Newport Beach, CA 92660 o Permit Counter Phone (949)644-3288 Job Address: 4490 VON KARMAN AVE NB Inspector Area: FIRE Owner: VON KARMAN VENTURES LLC Address: 4490 VON KARMAN AVE NEWPORT BEACH, CA 92660 Phone: Applicant: A & D FIRESPRINKLERS INC Address: 1601 W. ORANGEWOOD AVE ORANGE CA 92868 Phone: 714-634-3923 Code Edit` 2016 Type of Construction: V -B -SPR 'Occupancy Group: B/A-3 Added /New sq ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units r g Flood Zone: Bldg Sprinklers: Y Construction Valuation Building PC Fee : Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee: TOTAL FEE PROCESSED BY: ZONING APPROVAL: $3,800.00 IIIII�FIIIA2I�II0�IIIIITI II�I�III��II4I��IIT IIIIIID FIRE Permit: F2019-0416 Project No: 1622-2019 Inspection Requests Phone (949)644-3255 Description: COMM FIRE SRPINKLERS (8 HEADS) X2019-1786 "SMART CIRCLE" Legal Description: P BK 181 PG 13 PAR 6 $0.00 $0.00 Contractor: A & D FIRESPRINKLERS INC Records Management: $0.00 $0.00 Address: 1601 W. ORANGEWOOD AVE Architect: $0.00 ORANGE CA 92868 Address: $152.00 Phone: 714-634-3923 $0.00 $197.00 Public Works Traffic Plan Check Fee; Phone: State Lie: Con State Lie: 902053 $351.00 Lie Expire: 08/31/2019 Engineer. Bus Lie: BT30045302 Address: Lie Exp Date: 11/30/2019 Phone: State Lie: Worker's Compensation Insurance Carrier:BERKSHIRE Designer: BERRY JOHN Policy No: ADWC818691 Address: 1601 W ORANGEWOOD AVE Expire: 11/01/2019 ORANGE CA 92868 Phone: 714-634-3923 Issued Date: 07/18/2019. Special Conditions: Setback- Front: Rear: Left: Right: FEES $0.00 Fire Residential Alarm PC Fee : $0.00 $0.00 Planning Counter Review : Records Management: $0.00 $0.00 Banning Zoning PC Fee: $0.00 $0.00 $152.00 Public Works PC Fee : $0.00 $197.00 Public Works Traffic Plan Check Fee; $0.00 $0.00 $351.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance OTHER DEPARTMENT: PLAN CHECKED BY:: $2.00 $0.00 $0.00 $351.00 NNER-BUILDER DECLARATION prior to its issuance, also requires the applicant 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 ttem(s) struct, a action 7031.5,. Business and Professions Code: Any city or county that requires a permit to conkar, improve, demolish, or repair any structure, p applicant for a permit o subjects the applicant to r the 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 w ith Section 7000) of Division 3 o e isiness and Professions 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 app. civil penalty of not more than five hundred dollars ($500). port -tons of the w ork, and the structure is not intended or offered for sale ❑ I, as owner of the property, orrery employees with wages as their sole compensation, w ill do (_) all of or (_) p or improves the ;action that the improvements and Pr are not sadintendeda: The or offered for sale ta 9, how ever, the bute License Law illdingtor improvementapply to an ow s sold er of pw hen one year of completion, rty w ho, through the oOw ner-Builder wtIli have the burden of proving that w as not built or improved for the purpose of sale). r of the property, am exclusively contracting w ith licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State 13 I, as ow ner er. does not apply r f ow ner property w ho builds r improves thereon, and w ho contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law icense Lawthe ). ❑ I am exempt from licensure under the Contractors' State License Law for thBy oly signature below I acknow ledge that, except for my personal residence in w hich I must ave 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 -buil E r'rf it has not been constructed in its red by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business as'gProfessionso�di , is�Jana'raoelAuthorized on reques ew en this as is submitted or at the allow ing Web si(€l7tip:/Gwww.leginfo.ca.gov/calaw.html. D -%//(n`% LIC SED CONTRACTOR'S DECLARATION . , I hereby affirm under pena I of p jury that I am licensed under provi on of Chapter 9 (commencing w ith Section '000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License No Date _ License Class "...- Contractor Signature Ns)I KrAS' COMPEMATION DECLARATION v ARWeI&:FAILURE M SCCUfic W ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($7os,66o). IN ADDITION TO THE COST 7FCWI519: AJLUR,DAMAGES ASPROVIDEDFORIN SEC TION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. herebr p y. affirm under of perjury one of the following declarations: ❑! have Gni w ili I�reiilfain a certificate of consent to self -insure for w orkers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the T�qe^, rale of the Work for which this permit is issued. Policy No. " nit will rrwir ' tata w orkers' 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' compensation s. n e carrier and policy number are:. - Expiration Date / _Policy Number v of Agen certify that, in the performance of the w ork 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 Be that, K I should become subject to thew orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant DECLARATION REGARDING CONSTRUCTION LENDING AGENCY. e I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the w ork for w hich this permit is Lender's Address ued (Section 3097, Civil Code). Lender's NameBy my signature below; I certify to each of the follow ing: I am the property ow ner or authorized to act on the property ow ner's behalf. I have read this application and the information I hyVa provided is correct. I agree to comply w ith all applicable city and co ty ordina a and state law s relating to building construction. I authorize representatives of this city or c y to ante he e-'dentified property for inspectionopertypOw ner's or Authorized Agent's N� Ili Iature of Property Ow ner or Authorized A t