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Home My WebLink AboutF2019-0593 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII FIRE Permit: F2019-0593 100 Civic Center Drive Newport Beach, CA 92660 :. F 2 9 1 9 0 5 9 3 Project No : 2423-2019. E ..Permit Counter Phone (949)644-3288 '�k41'rrrsa ,. Inspection Requests Phone (949)644-3255 Job Address: 1 1 BAYSIDE DR NB ', Description: COMM FIRE SPRINKLERS (25) HEADS (X2018-39IA WAB _ Inspector Area: FIRE Legal Description:P BK 171 PG 40 PAR 1 ' Owner. BAYSIDE SQUARE LLC Contractor: PACIFIC FIRE SUPPRESSION INC Architect: Address: 220 NEWPORT CENTER DR #11-557 Address: .249 E EMERSON #G Address: NEWPORT BEACH CA 92660 ORANGE CA 92865 Phone. Phone; 714-502-0211 Phone: State Lic Applicant: JESSIE/PACIFIC FIRE Con. State Lic: 423418 - Engineer: - A Address. 249 E EMERSON AVE #G Lic Expire: 11/3012019 - Address: " ORANGE CA 92865 Bus Lic: BT03042109 _I —®1 Phone 714-283-0211 Lic Exp Date. 03/3112020 Phone: State Lic Code Edit: 2016 Worker's Compensation Insurance Designer: HAMILTON CRAIG .Type of Construction: V -B -SPR Carrier INSURANCE CO OF THE WEST Address:. 249 E EMERSON#G Occupancy Group: B Policy No: WSD506070900 ORANGE CA 92866 - Added /New sq.ft. Bldg:: 0 Expire: 09117/2020 Phone: 714-283-0211 Added /New sq. ft. Garage: 0 '.. No of Stories: 2 Issued Date: 11/0412019 Special Conditions: .LIQUEFACTION AREA No of Units : 0 Setback- Front: - Flood Zone: ' X Rear. Bldg Sprinklers: Y Left: Right FEES Construction Valuation: $4,850.00 - Building PC Fee : $202.00 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: $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: $0.00 - TOTAL FEE : $206.00 Plan Check Fee: $0.00' Fee Due at Permit Issuance : $206.00 . PROCESSED BY: _ p.. ANHE&DEPARTMENT: • ZONING APPROVAL: a` m �, ¢ ®� • PLAN-CIIECKED BY:: u & ` FIRE APPROVAL: d • e APPROVAL TO ISSUE: Y PERMIT EXPIRES 180 MAYS A,F7 R°JSSUh1NiE Oid L94ST VALID INSPECTION Y 3. N i N• .404 OY Y• • • Yi• •� 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 U 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 licensedContractorsto 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 1 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 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.html. 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 S ct'on 7 00) of Division 3 of the Busines4Pf Code, and my license is in full force and effect.License Class License No Dat Contractor Signatu WORKERS' COMPENSATION DECLARATION 1 11 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 DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 :e of the work for which this permit is issued. Policy No. have and`wil aintain workers' comp@nsation insurance„as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' policy lame of Agen - V k Phone 9. 31 certify that, In the perform a of the work for which this permit is issued, I shall not employ any person in any manner so as to become sub, tat, if I should beco; s Ct to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those signature of Applic Dates IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ender's Name Lender's Address Iymy 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 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 tole njsr q,%qlVel- dentifiedpfoperty for inspection purposes. AC77ON I DATE FINAL r o1 OF TITLE 4D.AND KWF[CLtTION TO: LURCA710MIS NOT APPLICABLE TO Date compensation laws of California, and 3097, Civil Code). FOR OFFICE USE