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Home My WebLink AboutF2020-0100 - PermitsCity of Newport Beach - Building Division 11111111111111p11111111p11111111p11111111p111p1JillFIRE Permit: F2020-0100 I* al 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 1 0 0 Project No: 0445-2020 Permit Counter Phone (949)644-3288 U e � c�#ryi �4sa Inspection Requests Phone (949)644-3255 Job Address: 5000 BIRCH ST NS St: 1 FI: 8 Unit: 8500 Description: COMM FIRE SPRINKLERS 90 HEADS (X2019-2678) Inspector Area: FIRE Owner: JOHN HANCOCK LIFE INS Address: 865 S FIGUEROA ST #3320 LOS ANGELES CA 90017 Phone: Applicant: SANCHEZ URIEL Address: 1170 E. FRUIT ST SANTA ANA, CA 92701 Phone: 714-263-2817 EXT.129 Code Edit: 2016 BT00009906 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: Rear: Bldg Sprinklers: Y Legal Description: P BK 181 PG 13 PAR 5 Contractor: FIRE SAFETY FIRST Address: 1170 E FRUIT ST SANTA ANA CA 92701 Phone: 714-8364800 X137 Con State Lic: 599761 Lic Expire: 08/3112020 Bus Lic: BT00009906 Lic Exp Date: 06/3012020 Worker's Compensation Insurance Carrier: CYPRESS INS CO Policy No: BRWC916820 Expire: 11/0112020 Issued Date: 03126/2020 Setback- Front: Fire Residential Alarm PC Fee: $0.00 Rear: $4.00 Left: $0.00 Right: $0.00 Architect Address: Phone: State Lic Engineer: Address: Phone: State Lic: Designer: SANCHEZ URIEL Address: 1170 E. FRUIT ST SANTA ANA, CA 92701 Phone: 714-263.2817 EXT.129 Special Conditions: S --t= \lc- 1114-3aq ---1[ -7 FIRE APPROVAL: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID1NSPEErION �°, • • ° • ° ° 00 000 O O fl0 00 UOU 1 ck-.; I U FEES Construction Valuation: $9,000.00 Building PC Fee : $0.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $4.00 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: $316.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee : $443.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $763.00 Plan Check Fee : $316.00 Fee Due at Permit Issuance : $447.00 PROCESSED BY: _ OTHER DEPARTMEgNT•Oo ZONING APPROVAL: - C U G G 0 PLAN CHECKED Bye: ° °UG U� • �° FIRE APPROVAL: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID1NSPEErION �°, • • ° • ° ° 00 000 O O fl0 00 UOU 1 ck-.; I U I hereby affirm under penalty of perjury that 1 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 is 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). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 n roved for the purpose of sale). - 1, 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 pply 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: ly 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, 1 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 requestwhen this application is submitted or at the following Web ske:http://www.leginfo.ca.govlcalaw.html. : signature of 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 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. (cense Class License No Data�O3/26/2020 Contractor SignaturP� -S&W 0CiP.[aa.P.e VORKERS' COMPENSATION DECLARATION ARMING; 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 ($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: 3 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 thl kformance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date 1e of Agent Phone # certify that, in the performance of the work forwhich 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 subjectto the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iature of Appticant.X -s&ye Qa6d Date—] -03/26/2020 weby 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). 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 owners 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 en {r^th•e, ^abf�v�e-I n ified property for inspection purposes. - nature of Prooertv Owner or Authorized Aoent \.ei�CfFc •i'R G Print Prooertv Owners or Authorized Acent's Name V Steve Jukel ACT70N I DATE I SY rcm(Wif ❑.crrrtm • • • J: ••• • ❑ ISUBM77TEDASBESTOS M077FICATION TO. PERMIT CANCELLED • • • • ' • • • • • • i ❑ EPA PER/VIIT EXTENDED • • • • . • • -- • • ❑ AOMD ❑ ASBLSTOSN077RCA770NISNOTAPPLICABLE TO PERMITRNAL v Y21PJ1 PROPOSEDDEMOLIT701L CERTIRCATEOF OGCUPANCYfSSUEJ • • • • • • • • • • • SIGNATURE: ••• •• •• • • ••• ••