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Home My WebLink AboutF2018-0336 - Permits'1y City of Newport Beach - Building Division *F2018-0336* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 FIRE Permit: F2018-0336 Project No: 2745-2016 Inspection Requests Phone (949)644-3255 Job Address: 700 W BAY AVE NB Description: SFR FIRE SPRINKLER 12 HEADS *ADDITIONAL SCOPE* REVISED 2115118 Inspector Area: 1 Legal Description: TR NO 710 LOT 1 AND T6S R10W SEC 34 POR OF E112 Owner: WARMINGTON JAMES P JR TRUST 1 Contractor: FIRE SPRINKLER SYSTEMS INC Address: 37 CAPE ANDOVER Address: 705 E HARRISON #200 NEWPORT BEACH, CA 92660 CORONA CA 92879 Phone: Phone: 800-915-3473 Applicant: FIRE SPRINKLER SYSTEMS INC Con State Lie: 684600 Address: 705 E HARRISON #200 Lie Expire: 02/29/2020 CORONA CA 92879 Bus Lie: BT30027990 Phone: 800.915.3473 Lie Exp Date: 05/20/2019 Code Edit : 2013 Worker's Compensation Insurance Type of Construction: V-BSPR Carrier: INS CO OF THE WEST Occupancy Group: R31U Policy No: WSD5031314 Added /New sq.ft. Bldg: 0 Expire: 10/01/2018 Added /New sq. ft. Garage: 0 Building Investigation Fee : $0.00 No of Stories: 3 Issued Date: 06/08/2018 No of Units : 0 Setback- Front: Fire an Check Fee: Flood Zone: Rear: $0.00 Bldg Sprinklers: N Left: Fire Permit Fee : $0.00 Right: $0.00 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: �� chi, State Lie' State Lic: �' O�p ooco 0 0 0000 ooco 0 0 0 00 0 0 cern 0 0 cc0000 0 0 0 0 0 0 ° 00 0 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 0 FEES Construction Valuation: $5,500.00 ® °Dote Building PC Fee : $190.00 Fire Residential Alarm PC Fee : $0.00 Records Management: ° ° $� 0.00 Dote° Building ve ime Fee: $0.00 PlanningCounter Review: $0.00 00000° ° Building Extention Fee : $0.00 Planning Zoning PC Fee : $0.00 ° Building Investigation Fee : $0.00 ° AD, Fire an Check Fee: $0.00 Public Works PC Fee: $0.00 ° ° '$0 .00 ... Fire Permit Fee : $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $225.00 TOTAL FEE : $425.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $425.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION IWNER-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 items) ;action 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 le 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 ($500). ] 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not p ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure -under the Contractors' State License Law for the following reason: Iy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://Www.leginfo.ca.gov/calaw.htmi. '�ignaturgro$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 (commencin=CRIMINAL sion 3 of the Business d Professio ode, and my license is in full force pid effect. ;dense Class License No DaContractor Signet e IIORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), 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: .... I have and rjll,rp9intain 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, fort ormance of the work for which this permit is issued. Policy No. ... .... 0e and �ill'roaintain 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' compensatiol murance carrier find policy number are: :arller� Policy Number Expiration Date am e%f Agent' • rnune ]I certify that, iIt t")erform nce of the work for which this ermit is issued, I shall not employ any person in any manner so as to become su tat,lf lshould become subj ct to the workers' com on provisions of Section 700 of the Labor Code, I shall forthwith comply with those .... 18iIgtilieofApplAnt Da . E6LARATIOPJ JgQa NG CONS DING AGENCY hereby affirm under p Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issue ahaa,.t NJm _ __ Lender's Address mg8ignaturerlyAlOW,11 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 havevided is correct. I agree to comply with all applicable city and county o finances and sW laws relating to building construction. I authorize representatives of this city or county toe er thea entified prope for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent' ACTION DATE BY UECLARATIONOFCOMPUANCEtMTNCODEOt- FEDERAL REGULATIONSPART 61 OF TDLE40AND AQMDRULE 1403. I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA [3 AQMD ❑ ASBESTOS NOTIFICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMFT€xPtR€D PERMlTCANCELLED FX PERMiTT€LADED PERMITFINAL lCi-1f—I9 D�.v',_. OCCUPANCYtSSUED I I SIGNATURE: tothe workers' compensation laws of California, and (Section 3097, Civil Code). ❑ ❑ J ❑ ❑ ❑ ❑ 0 Wb hWE 1 m S 3 z z �= eJ tli Wb hWE 1 m S i a s� r l L • I. 10 19 m