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Home My WebLink AboutF2016-0629 - Permits��vvG4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 6 0 6 2 9 Permit Counter Phone (949)644-3288 µU n`rGlto4�T Job Address: 700 W BAY AVE NB Description: SFR FIRE SPRINKLERS (5Q J}eck 5 Inspector Area: FIRE Legal Description: TR NO 710 LOT 1 AND T6S R10W SEC 34 FOR OF E1/2 Owner: WARMINGTON JAMES P JR TRUST 1 Contractor: FIRE SPRINKLER SYSTEMS INC Architect: Address: 37 CAPE ANDOVER Address: 705 E HARRISON #200 Address: NEWPORT BEACH, CA 92660 CORONA CA 92879 Phone: Phone: 800-915-3473 Phone: Applicant: FIRE SPRINKLER SYSTEMS INC Address: 705 E HARRISON #200 Worker's Compensation Insurance CORONA CA 92879 Phone: 800-915-3473 Code Edit : 2013 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: No of Units Flood Zone: Bldg Sprinklers: R3/U 0 0 3 0 Con State Lic: 684600 Lic Expire: 02/28/2018 Bus Lic: BT30053356 Lic Exp Date: 12/31/2016 Worker's Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WSD503131400 Expire: 10/01/2017 Issued Date: 1210212016 Setback- Front: Rear: Left: Right: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: FIRE Permit: F2016-0629 Project No : 2745-2016 Inspection Requests Phone (949)644-32�55,s.o emmomo - State Lic: • mm 1 0 m o m n em n eeeo eo•• o om State Lic: 0 0 o•mon D COD 0 mmmcc eommco 0 0 o m o eeeoom c c 0 oommoc 0000 m 0 0 0 oeoo� Dm m PROCESSED BY: �c.V OTHER DEPARTMENT: ZONING APPROVAL: ff PLAN CHECKED BY:: FIRE APPROVAL: �V APPROVAL TO ISSUE: I V PERMIT EXPIRES 180 DAYS AFTER 1SSUANCEOR LAST VALID INSPECTION FEES Construction Valuation: $5,500.00 Building PC Fee: $190.00 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: $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 : $415.00 Plan Check Fee: $415.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: �c.V OTHER DEPARTMENT: ZONING APPROVAL: ff PLAN CHECKED BY:: FIRE APPROVAL: �V APPROVAL TO ISSUE: I V PERMIT EXPIRES 180 DAYS AFTER 1SSUANCEOR 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 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 L) all of or L) 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 owner of 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 -Builder will have the burden of proving that it was not built or improved for the purpose of sale). 13 1, 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 Itcensure under the Contractors' State License Law for the following reason: BY gW wgnature klelow.l 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 gall a structure TW T hive 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.html. ,Signature of Property Owner or Authorized Agent e LICENSED C9N1"I�A.CTOR'S DECLARATION hetylyjl'affirm urir%r pen Ity of perjury that I am licensed under provisions ofChapter 9 (commencing with action 7000) of Division 3 of the Business and fo n de, license is in full force Ct -(cense Class • • / 4f License No DateAQ Contractor Signature Np.ftURS' COMPENSATION DECLARATION TARNING!FAILURF•UVPQRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ibST OF LIOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. j treby$ffirm under penalty of perjury one of the following declarations: :71*have and ;ill rfi9intain 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 th6 jk4\oormance of the work for which this permit is issued. Policy No. JY}lava 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 nssssssGGGGGGrance carrier and policy number are: 1 O % l /' ;arrier?(y�. 00. Od-4hA (&CR25 Policy Number l.U5ft( ��1 � �D0 Expiration Date 1 / dame of Agent Phone # :1I Certify that, in the Performa t ork for whi permit is issued, I shall not employ any person in any manner so as to become subject tg the workers' compensation laws of California, and agree hat, if I should becomes bje t k Is co n tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Prov Ions. signature of Applicant Date n )ECLARATION REGA NSTRUCTIO LENDING AGENCY hereby affirm under p nalty 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 3y 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 proved correct. I agree to comply with all applicable city and county ordi s state laws a g to building construction. I authorize representatives of this city or county j6 an edentifiy for inspection purposes. Q ►:i�allc_ Signature of Property Owner or Authorized Agent / i� Print Property Owner's or Authorized Agent's Name / /j 1/-l"1'✓1 X Dat ACTION I DATE ` I BY I PERMIT EXPIRED I I I I PERMIT CANCELLED I I I PERMIT FINAL C€RTIFICATEOF OCCUPANCYISSUED FEDERAL REGULATIONSPART ff1 OF T17LE40AND AQMD RULE 1403. ❑ 1 SUBM/TTEDASBESTOS NOTIFICATION TO: ❑ EPA AQMD ❑ ASBESTOS N071HCA170NIS NOTAPPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: