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Home My WebLink AboutF2019-0463 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII FIRE Permit: F2019-0463 100 Civic Center Drive, Newport Beach, CA 92660. F 2 0 1.. 9 0 4 6 3 Project No : 1816-2019 . Permit Counter Phone (949)644-3268 Inspection Requests Phone. (949)644-3255 Job Address: 2555 VISTA DEL ORO NIS Description. COMM FIRE ALARMS 23 DEVICES (X2019-0768) Inspector Area: FIRE Legal Description: 1816-2019 �1 A--�e IRVINE SUB LOT SLK 52 FOR OF BILK AS PER DD -7522/161 OR- I SPE �® p,..5 i./ i Owner:. CITY OF NEWPORT BEACH Contractor: H C I SYSTEMS INC Architect: Address: 2555 VISTA DEL ORO Address: 1354 S PARKSIDE PIL Address: NEWPORT BEACH, CA 92660 ONTARIO CA 91761 Phone: Phone: 909-628-7773 Phone: State Lie: Applicant: H C I SYSTEMS INC Con State Lie:. 905493 Engineer. Address: 1354 S PARKSIDE PIL :tic Expire; 0212912020 Address: - ONTARIO CA 91761 Bus Lie: BT30042287 Phone 909.629-7773 Lie Exp Date:-. 02128/2020 Phone: State Lie: Code Edit: 2016" Worker's Compensation Insurance Designer: SWANSON MARC] °.°••° Type of Construction. - V -B -SPR Carrier: FEDERAL INSURANCE Address:. 1354 S PARKSIDE PL • m m m o Occupancy Group: BIA3 Policy No: • ° • ° 54309498 ONTARIO CA 91761 ° ° m • ° • ° ° Added /New sq.ff. Bldg: 0 Expire: 09101/2019 Phone: 909.628-7773 m m Added /New sq. ft. Garage: 0 No of Stories: 1 Issued Date: 08113/2019 Special Conditions: e m o ° o o • ° No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: N Left: Right:. 0 000mmo FEES ° mommmm Construction Valuation: $5,388.00 ' Building PC Fee : $0.00 Fire. Residential Alarm PC Fee `. $0.00 Records Management: - $0.00 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: $233.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $289.00 Public Works Traffic Plan Check Fee; $0.00 - Building Permit Fee : $0.00 TOT FEE : $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: OTHER DEPARTME ZONING APPROVAL:. PLAN CHECKED IS :: FIRE APPROVAL. ✓� APPROVAL TO ISSUE: ERM1T EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicantfor ie 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 of more than five hundred dollars ($500). I, as owner of the property, 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, lusiness 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 n roved 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 ,st pply 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' 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 legail) 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. cignatureof Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professi n Code, and y cense is in full force nd effect. icense Class License No Dat Contractor Signature VORKERS' C81W1ANSATION DECLARATION 6VIIIly14: FAILURr.ToAEcURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST ONCOMPEaSAVION 4AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. h�e•reby affirm under penalty of perjury one of the following declarations: TI'Pfave 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 rho nce o1'thO 6,IEtk for which this permit is issued. Policy No. t!�vlland will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work forwhich this permit is issued. My workers' compensatiol cardlr and policy number are: e} Policy Number Expiration Date I-NIp1e of Agent • •. • Phone # d4qpj4fy that, in the performance the work for hic 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 ,atif Ichould gee ome subject to workers: com e)nation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision ... ignature of Applicant Qat hereby affirm under pel{lty of perjury that there is a construction lending agency for the performance of the work for which. this permit ie Issued (Section 3097, Civil Code). Ender'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 pri I have read this application and the information I have I agree to comply with all applicable city and county of I authorize representatives of this city or county to Ont AC77ON FINAL OCCUPANCYISSUEO laws relating to building construction... ed property for inspection purposes. Print Prooertv Owner's or Authorized BY uEl.V3f Ifj jv Vrt.UINYLFIIYA.0 MYf In UV"C air FEDERAL REGULATIONS PART Of OF TITLE40AN0 AOMD RULE 1403. ❑ I SUBM€TTEDASBESTOS NO77FICATION TO. El EPA ❑ AQMD ❑ ASBESTOS M017RCARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: