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HomeMy WebLinkAboutF2019-0621 - Permitswacy City of Newport Beach - Building Division IIIII�IIIIII'IIIIIIIIIIIIIIIIIII'11111111 II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 6 2 1 F Permit Counter Phone (949)644-3288 v n Job Address: 953 NEWPORT CENTER DR NB Inspector Area: FIRE Owner: IRVINE CO Address: 550 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: Applicant: D C FIRE PROTECTION Address: 14772 HARPER ST MIDWAY CITY CA 92655 Phone: 714-373-1800 Code Edit : 2016 Type of Construction: III -B -SPR Occupancy Group: M Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Flood Zone: Bldg Sprinklers: N FIRE Permit: F2019-0621 Project No: 2522-2019 Inspection Requests Phone (949)644-3255 Description: COMM FIRE SPRINKLERS 6 HEADS (X2019-2970) Legal Description: P BK 221 PG 30 PAR 6 Contractor: D C FIRE PROTECTION Address: 14772 HARPER ST Designer: MIDWAY CITY CA 92655 Phone: 714-373-1800 Con State Lic: 584285 Lic Expire: 0113112020 Bus Lic: BT30046894 Lic Exp Date: 1013112020 Worker's Compensation Insurance Carrier: WIC EXEMPT Policy No: (NO EMPLOYEES) Expire: Issued Date: 11/15/2019 Setback- Front: Rear: Left: Right: Architect Address: JNSPE e'® mee000 Phone: State Lic Engineer: Address: Phone: State Lic: Designer: CORPUZ DANIEL Address: 14772 HARPER ST Building PC Fee : MIDWAY CITY, CA 92655 Phone: 714309-0144 Special Conditions: mememe o 0 m e o e mmo oe o e e mmmomo m o e opo e• O o eeo e o 0 oeoco •e o e eooro 0 e eocoo c m o oemoo� 0 eee000 O OemO ®em00(' momo PROCESSED BY:� ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Construction Valuation: $1,500.00 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 Building Extention Fee : $0.00 Planning Zoning PC Fee : $0.00 Building Investigation Fee: $0.00 $0.00 Fire Plan Check Fee: $148.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee : $191.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: $0.00 TOTAL FEE : $341.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $341.00 PROCESSED BY:� ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION )WNER-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 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 Irofessions 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 (_) all of or (_) 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 mprovements 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 �15m roved for tha pprppy'e of sale). Iy a owner of the proparty am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Ipp�y fo:an owrgt Mrjlperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 2 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y Thy signature btlow 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 pll a gtructurellht 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 3rofessions Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. iignaluris of Prpperty.Owner or Authorized Agent Date MSED C:014TRACTOR'S DECLARATION fi2Rfiy affirm Unger penalty of perjury that I am licensed under provisions of Chapter 9 (commencing /TO tion 7000) of Division 3 of the Busines/HUNDRED ns Code, and my license is in full force TO �ffe�ct. S / Contractor Signatu .icense Class .:...: License No Date YOfMERS' COMPENSATION DECLARATION FARR.. :DST OF FAILURE TOR, AM WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYIMINAL PENALTIES AND CIVIL FINES UP TOO THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST OF COMPENSATOR, DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 thl erformance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: Policy Number Expiratic of Agent Phone # Date that, in the performprnce 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 ould become subj (co the p9q#rs_com2ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions/ z nature of Applicant � Date_ CLARATION REGARNG CONSTRUCTI E DING AGENCY :reby affirm under pe Ity of perjury that th is a construction lending agency for the performance of the work for which this permit is issued 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 h e provided is correct. 1 agree to comply with all applicable city and coun ordinances and state laws elating to building construction. I authorize representatives of this city or county Rte t b -identified roparty for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nero ;ion 3097, Civil Code). DG .-% L( ( It ACTION DATE Y DECLARATION OF COMPLIANCE tMTH CODE OF FOR OFFICE US ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMDRULE1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIRCARONIS NOTAPPLICABL.E TO PROPOSED DEMOLITION, PERMITFINAt CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: