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Home My WebLink AboutF2020-0027 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIllllllllllllllllnlllllllllllllllllii III FIRE Permit: FZo2o-0027 C+4 100 it C Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 F 2 Project No : 0125-2020 .� °�4�YnYpy� Inspection Requests Phone (949)644-3255 Job Address: 3443 PACIFIC VIEW DR NB Description: COMM FIRE ALARMS (20) DEVICES (PORTABLE BUILDINGS) DEVICES Inspector Area: FIRE Legal Description: IRVINE SUB LOT 463 SLK 96 FOR OF LOT Owner: HARBOR DAY SCHOOL Contractor: COSCO FIRE PROTECTION INC Architect: Address: 3443 PACIFIC VIEW DR Address: 1075 LAMBERT RD, BLDG D Address: q /�-"J1 CORONA DEL MAR, CA BREA CA 92821 Phone: Phone: 714-974-8770 Phone: State Lie: 0 Applicant: COSCO FIRE PROTECTION Con State Lie: 577621 Engineer: Address: 1075 W LAMBERT RD Lie Expire: 09/30/2021 Address: BEA, CA 92821 Bus Lie: BT00022773 IJ Phone: 714.989-1755 Lie Exp Date: 07131/2021 Phone: State Lie: 0. Code Edit : 2016 Worker's Compensation Insurance Designer: DEMATA RAYMOND 6J ) Type of Construction: V-B-SPR Carrier: ACE AMERICAN INS Address: 1075 W LAMBERT RD Occupancy Group: E Policy No: WLRC66042492 BREA, CA 92821 Added /New sq.ft. Bldg: 0 Expire: 01101/2021 Phone: 714-989-1800 ®" Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 0911012020 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: X Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $5,000.00 Building PC Fee: $0.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $8.00 Building Overtime PC Fee: $0.00 Planning Counter Review: $0.00 Building Extention Fee $0.00 Planning Zoning PC Fee : $0.00 Building Investigation Fie: $0.00 $0.00 Fire Plan Check Fee: $205.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $293.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $506.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $506.00 PROCESSED BY: r.c Amo of OTFSER DOPARTMENT: ZONING APPROVAL: oEc v n 6n e0® PLAN BH;=&ED BY:: FIREAPPROVAL: �' APPROVAL TO ISSUE: eco e o 0 00® o 0 Afi E G 4 C PERMIT EXPIRES 180 DADS AFTER POUAME`('R LXSt-VALIDINSPECTION O L L A 040 0U GO 6 C GOO 600 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) Indicated below by the checkmark(s) I have placed next to the apolicable item(s) 'Section 7031.5, Business and Professions Code: Any city of county that requires a permit to construct, atter, improve, demolish, or repair any structure, prior to its Issuance, also requi-es the applicant for the penvR 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 S 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 fora permit subjects the applicart to a civil penalty of ict more than five hundred dollars ($500). 1, as owner of the property, ormy employees with wages as their sale compensation, will do (_) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law doesnot apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements 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 �m roved forthe 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 doesnotreply 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: 3y my signature below i acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the Improvements covered by this permitI cannot legallj :elf a structure that I have built as an owner -builder if It has not been constructed In Its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of tha Business and °rofessions Code, is available upon request when this application is submitted or at the following Web site;httpa/www. leginto,ca.gov/calaw.himl. iignature of Property Owner or Authorized Agent Date _ICENSED CONTRACTOR'S' DECLARATION hereby affirm under penalty o�pe u th t am licensed under provisions of Chapter 9 (commencing with Section 70 )of Div)ston 3 of the Business and Prof sa nsCgfe, a Ocense is in full force and effect. License Class C _ uroy �2-a / (a Licese No S 7 "7 02, 1 Date oq-V. Contractor Signature �:k.•l YORKERS' COMPENSATION DECLARATION MRNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBAeCT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I5000I%00), IN AMMON TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR COOS, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 thr eplonnance of the work for which: this permit is issued. Policy No. _. I have 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' compen urance carrier and gtlfloynumber are: f1t{ mer _ \ . ., Poll daY /5. Expiration Date /�\ 64 tin of Agent I Phone # I Certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws a California, and t, if I should becom�JectCto orkers' pensation provisions of Section 3700 of the Labor Code, I shall forthwith complywith those provisions. nature of Applicant p _ /p - ZQ CLARATION REGUCTI LENDING AGENCY Dk— rreby 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). liter's Name Lenders 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 colliflux enfRr the/ajbov"entrFied property for Inspection purposes. DATE REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE FOR OFFICE USE ONLY PERMIT CANCELLED OEPA • • • • • • • • • e PERMIT EXTENDED L Ufamo • • • r i • • • • PERMIT FINAL r r ).., ASBESTOS NOTIFICATION IS NOPAPPLICARLE TO CERTIFICATE OF PROPOSE 0 QLI ON OCCUPANCYISSUED SfONATU , • • • • • • • • • • ••• ••• • • •• •• •••