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Home My WebLink AboutF2020-0062 - Permitswtr,$ City of Newport Beach - Building DivisionII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II FIRE Permit: F2020-0062 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0289-2020 *} Permit Counter Phone (949)644-3288 v ��trsrru"' Inspection Requests Phone (949)644-3255 Job Address: 5000 BIRCH ST NB St: 1 FI: 8 Unit: 8500 Description: COMM FIRE ALARM (15) DEVICES (X2019-2678) Inspector Area: FIRE Owner: JOHN HANCOCK LIFE INS Address: 865 S FIGUEROA ST #3320 LOS ANGELES CA 90017 Phone: Applicant: RICKIFIRE SAFETY FIRST Address: 1170 E FRUIT ST SANTA ANA CA 92701 Phone: 714-836-4800 Code Edit: 2016 P BK 181 PG 13 PAR 5 Type of Construction: I -A -SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 10 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y Construction Valuation Building PC Fee : Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee: $2,000.00 Legal Description: P BK 181 PG 13 PAR 5 Contractor: FIRE SAFETY FIRST Address: 1170 E FRUIT ST CYPRESS INS CO SANTA ANA CA 92701 Phone: 714-836-4800 X137 Con State Lic: 599761 Lic Expire: 08/31/2020 Bus Lic: BT00009906 Lic Exp Date: 0613012020 Worker's Compensation Insurance Carrier: CYPRESS INS CO Policy No: BRWC916820 Expire: 11101/2020 Issued Date: 02/11/2020 Setback- Front: J Rear: State Lic: Left: Designer: Right: FEES Architect: Fire Residential Alarm PC Fee: (J Address: Planning Counter Review : �10 Phone: State Lic: rn Engineer: $0.00 Address: Public Works PC Fee: J Phone: State Lic: ®1 Designer: MENDOZA GABY Address: 1170 E FRUIT ST �•s SANTA ANA CA 92701 Phone: 714-836-4800 Special Conditions: I 11`k-3S'0=g3a13 $0.00 Fire Residential Alarm PC Fee: $0.00 Records Management : $4.00 $0.00 Planning Counter Review : $0.00 $0.00 Planning Zoning PC Fee : $0.00 $0.00 $0.00 $217.00 Public Works PC Fee: $0.00 $0.00 $265.00 Public Works Traffic Plan Check Fee; $0.00 $0.00 TOTAL FEE : $486.00 Plan Check Fee: $0.00 PROCESSED BY: oom °.• ••Q„THEI%QVPAIRTMENT: m • ZONING APPROVAL: °° • E ° ° ° PLAN CHECIJEQ BY:: m •0 • G ° FIRE APPROVAL: ° N APPROVAL TO ISSUE: Fee Due at Permit Issuance: $486.00 cc ° ¢°u a• PERMIT EXPIRES 180 DAYS AP�o ER'I SUA&C& dR IAST-VALID INSPECTION m m• ° ° OU° 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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 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). ❑ 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 legal) 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 Profess'Q�ns Jamy license is in full force and effect. License Class License No Date (- Contractor Signature NORKERS' COMPENSATION DECLARATION 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 LARS ($100,000(, IN ADDITION TO THE COST 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: 1 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 304ormance of the work for which this permit is issued. Policy No. I have and will ' tain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatio Lance carrier nd p Icy number rrierc r Expiration Date meof AgentJVUE Phone# I certify that, in the performance of a w0r fo ich per it 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 t, if I should become s ject tot r e m e a on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2-, Q� 2i (nature of Applicant Date. CLARATION REGA DING CONSTRUCTION LEOOING A NCY 5reby affirm under penalty of perjury that there is a nstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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 have provided is c ect. I agree to comply with all applicable city and county ordi an a st to ws relating to building construction. I authorize representatives of this city or county to a th o id ' led roperty for inspection purposes. /)`�� mature of Property Owner or Authorized Agent � Print PropertyOwner's or Authorized Agent's Nam / �. v e ACTION DATE BY V DECLARATION OFCOMPLIANCE MTN CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND • A01IDRULP1403.• ••• [} I SUBMITTED ASBESrOSVO.VFICATION TO: • • d 99A :. • - • • PERMITEXPIRED • PERMiTCANCELLED • ❑ AQMD- •� �•� PERMIT EXTENDED ❑ ASBESTOS M077FICATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERM(TFINAL V, (-lOt'L✓L1S CERTIFICATE OF OCCUPANCYISSUED IGI1iTUREr •�� :�'