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Home My WebLink AboutF2018-0576 - PermitsCity of Newport Beach -Building Division II�IIIIIIIIIIIIIIIIIIII�III�IIIIIIIIII'1111// I) 100 Civic Center Drive, Newport Beach, CA 92660 2 0 1 8 0 5 7 6 Permit Counter Phone (949)644-3288 e,1 e+3a's� FIRE Permit: F2018-0576 Project No: 0917-2018 Inspection Requests Phone (949)644-3255 Job Address: 2210 NEWPORT BLVD NB St: 1 Ft: 1 Unit: 101 Description: COMM TI FIRE SPRINKLERS (4) HEADS X2018-3023 Inspector Area: FIRE Legal Description: TR 814 LOT 1 AND LOTS 2-9 INC 1112 814 AND NEWPORT BEACH SEC A BLK Con State Lie: 423418 Owner: EI -BRIDGEPORT LLC Contractor: PACIFIC FIRE SUPPRESSION INC Architect: Address: 9952 SANTA MONICA BLVD #200 Address: 249 E EMERSON #G Address: ORANGE CA 92865 BEVERLY HILLS, CA 90212 Bus Lie: ORANGE CA 92865 Phone: Phone: 714-502.0211 Phone: State Lic: Applicant: HAMILTON CHUCK Con State Lie: 423418 Engineer: Address: 249 E EMERSON UNIT Lie Expire: 11/30/2019 Address: ORANGE CA 92865 Bus Lie: BT03042109 Phone: Lie Exp Date: 03/31/2019 Phone: State Lie: 9000 00990f Code Edit: 2016 - Worker's Compensation Insurance Designer: HAMILTON CHUCK ° ..... °°°" ® ` Type of Construction: V -B -SPR Carrier: EVEREST NATIONAL Address: 249 E ORANGE UNIT G Occupancy Group: B Policy No: 5300001686 ORANGE CA 92865 Added /New sq.ft. Bldg: 0 Expire: 09/1712019 Phone: Added /New sq. ft. Garage: 0 as°a No of Stories: 2 Issued Date: 10/24/2018 Special Conditions: No of Units: 0 Setback- Front: ° sooaoo Flood Zone: Rear: + ° Bldg Sprinklers: Y Left: Right: ° o o ease FEES Construction Valuation: $1,900.00 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: $139.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $212.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $353. Plan Check Fee : $0.00 Fee Due at Permit Issuance : $353.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: (tet FIRE APPROVAL: _ `' i APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION )WNER-BUILDER DECLARATION I hereby affirm under penalty of perjurythat 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 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 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 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 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 built or reproved 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 arn,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: ly 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 ell 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions f Chapter 9 (commencing with Section 7 00) of Division 3 of the Business and r '� o as and m license is in full force red effect. ,;, ')) ((�� [( icWse Class �fl V/ License No f 2it� Date Contractor Signature lle- VCWf ftk,' COMPENSATION DECLARATION 'ARNING: FAILURE TO SSCbRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H NDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE OSr Of i OMPENSATION}DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm undo R penalty of perjury one of the following declarations: 1 hawil and will Maintdin 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 3rpagce of thc+wark for which this permit is issued. Policy No. rv✓o•and will main'taill 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' compensatior pjirepQ%Qarrier and policy number are: • • • c arier Policy Number Expiration Date de'fi1(fy that, in tF),e'Reillitlr nc "fork for which this permit is issued, I shall not employ any person in any manner so as to become subject to thSxorkers' compensation laws of California, and if I should become sub' ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisiyng.1 .1 _ j nature of Applicant A.11T— Date M !A^11 CLARATION REGA ING NSTRUCTION LENDING AGENCY 7�D baby affirm under p ally o 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 the property owner's behalf. I have read this application and the information I have provided is correct. 1 agree to comply with all applicable city and coun i an�esd state laws relating to building construction. I authorize representatives of this city or county a Bove -identified property for inspection purposes. ACTION DATE BY DECLARATIONOFCOMPLIANCEIMTN CODEOF FOR OFFICE USE ONLY FEDERAL. REGULATIONS PART fit OF TITLE40AND AQMD RULE 1403. PERMIT€XP/RED ❑ I SUBMITTEDASBESTOS M077FICATIOPI TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED E3 ASBESTOS NOURCADONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITANAL CER77FICATEOF OCCUPANCYISSUED SIGNATURE: