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Home My WebLink AboutF2019-0564 - Permits,e City of Newport Beach - Building DivisionIIIIIII�11111111111�11111181111111111111111111 FIRE Permit: F2019-0564 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2262-2019 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 1280 BISON AVE NB St: B Ft: 1 Unit: B-11 Description: COMM FIRE SPRINKLER TI (X2019-1905) 7 HEADS. Inspector Area: FIRE Legal Description: N TR 12309 LOT 6 Owner IRVINE CO Contractor: H 2 O. FIRE PROTECTION INC Architect:.. " '.Address: 550 NEWPORT CENTER DR Address: 449 W FOOTHILL BLVD Address: NEWPORT BEACH, CA 92660 GLENDORA CA 91741 Phone: Phone: 909.394-7979 - Phone: State Lic: Applicant NATHAN/H2O FIRE PROTECTION INC" .Con State Lic: 897997 Engineer: Address: 449 W FOOTHILL BLVD STE 282 Lic Expire: 06/30/2020 Address:. GLENDORA CA 91741-3363. ". Bus Lic. BT30064153 Phone: ,: Lic Exp Date: 08/31/2020 Phone: : State Lic: Code Edit 2016 Worker's Compensation Insurance - Designer: JABBOUR NAJI EDWARD Type of Construction V -B -SPR Carrier: BENCHMARK Address: 449 W FOOTHILL BLVD STE 282 'Occupancy Group: B Policy No: CSTS011543 ' GLENDORA CA 91741-3363 Added /New sq.ft. Bldg:. b - Expire: 12101/2019 - Phone Added /New sq. ft. Garage: -. 0 No of Stories: 1 Issued Date: 10116/2019 Special Conditions: No of Units: 0 Setback- Front: - ®� Flood Zone Bldg Sprinklers: Y Rear Left: Right FEES Construction Valuation: $3,500.00 _ 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 - BuildingExtention Fee : $0.00 Planning Zoning PC Fee :. $0.00 - Building Investigation Fee: $0.00. $0.00 Fire Plan Check Fee: - $150.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee ; $194.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $346.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $346.00 {! PROCESSED BY: OTI1ERbhPARTd5NY:e° ZONING APPROVAL: ;PL -,%N CHECKEDoBJ:r FIRE APPROVAL: APPROVAL. TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE 6R LAS€ VAC 1q IN°JP°ECT9nN OWNER -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 a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for 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 with Section 7000) of Division 3 of the Business 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 applicant for a permit subjects the applicant to a civil penalty of not 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an ownerof property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it. was not built or improved for the purpose of sale). 11 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 apply 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: By 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 Iegall� 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 Professions 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 LICENSED CONTRACTOR'S DECLARATION /,' I 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 Profession � D ry license is in full force and effect. License Class License No Date 1` Contractor Signaturg, NORKERS' COMPENSATION DECLARATION PV NARNING: 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 ($10%000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ifl 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 the 1e ormance of the work for which this permit is issued. Policy No. ave 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' compensation once carrier and policy number are: of Agent Policy Number Expiration Date Phone # certify that, in the performance of the work 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 if I should become subject to the worke%,c�yege5j»fi provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of DECLARATION REGARDING CONSTROCTIOVLENDING AGENCY 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). 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 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county,to enter the.b led property for inspection purposes. s n� Date ACTION DATE BY DECLARATIONOFCOMPLIA CEWITHCODEOF FOR)OFFIC€ USE ONLY •.. • .•• • JUERAf-REGULATIONSPART87OFTITLE40ANU AQMD RULE 1403. Me I�dMMITTEDASBESTOS NO7IFICATION TOr •: Q EPA ❑ AQMD - .. PERMITEXPiRED : : . : ..' PERMITCANCELLED • • : :•• P€RMITEXTENDED ❑ ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO e •P•RQP•OSED DEMOLITION. i :RIGNIT11RE. PERMIT FINAL ISr,• • • • • CERTfRCATE OF • • • • • • • • • OCCUPANCYfSSUED • • • • • • •.