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F2020-0364 - Permits
City ocNeroportBeacport ha-Builch, CA ding Division IIIIIIFIII�20I003IIII�64��IIIII ry Permit Counter Phone (949)644-3288 `�x4rriiaK`' m Job Address: 3443 PACIFIC VIEW DR He Inspector Area: FIRE Owner: HARBOR DAY SCHOOL Address: 3443 PACIFIC AEW DR CORONA DEL MAR, CA Phone: Applicant: COSCO FIRE PROTECTION Address: 1075 W LAMBI_RT RD BEA, CA 92821 Phone: 714-989-1755 Code Edit: 2016 Contractor: Type of Construction: V -B -SPR Occupancy Group: E Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y FIRE Permit: F2020-0364 . Project No : 0125-2020 Inspection Requests Phone (949)644-3255 Description: COMM FIRE ALARMS (8) DEVICES (PORTABLE BUILDINGS) DEVICES Legal Description: IRVINE SUB LOT 463 BLK 96 POR OF LOT Contractor: COSCO FIRE PROTECTION INC Address: 1075 LAMBERT RD, BLDG D State Lie: BREA CA 92821 Phone: 714-974-8770 Con State Lie: 577621 Lie Expire: 09/3012021 Bus Lie: BT00022773 Lie Exp Date: 07/31/2021 Worker's Compensation Insurance Carrier: ACE AMERICAN INS Policy No: WLRC66042492 Expire: 01101/2021 Issued Date: 09/10/2020 Setback- Front: Rear: Left: Right: Architect Address: Phone: State Lie Engineer: Address: Phone: State Lie: Designer: DEMATA RAYMOND Address: 1075 W LAMBERT RD Building PC Fee: BREA, CA 92821 Phone: 714-989-1800 Special Conditions: PROCESSED BY: C, -J1 r r % ¢ ¢ < ©¢ m ¢ m m m m OTHER DEPARTMENT: e e e m s¢ ZONING APPROVAL: pLRp11;FiGCKED BY:: FIRE APPROVAL: APPROVAL TO. ISSUE: o¢m m m om• mm m mme c a a ¢ PERMIT EXPIRES 180 OAFS AFTER ISSUANCOOR L"IISiT VALID INSPECTION mmm om mm ¢ m mov ¢¢ t�T� FEES Construction Valuation: $3,000.00 Building PC Fee: $0.00 Fire Residential Alarm PC Fee: $0.00 Records Management : $8.00 Building Overtime PC Fie: $0.00 Planning Counter Review: $0.00 Building Extention Fee: $0.00 Planning Zoning PC Fee : $0.00 Building Investigation F,;e : $0.00 $0.00 Fire Plan Check Fee: $178.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee : $254.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $440,00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $440.00 PROCESSED BY: C, -J1 r r % ¢ ¢ < ©¢ m ¢ m m m m OTHER DEPARTMENT: e e e m s¢ ZONING APPROVAL: pLRp11;FiGCKED BY:: FIRE APPROVAL: APPROVAL TO. ISSUE: o¢m m m om• mm m mme c a a ¢ PERMIT EXPIRES 180 OAFS AFTER ISSUANCOOR L"IISiT VALID INSPECTION mmm om mm ¢ m mov ¢¢ t�T� 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 Contraetore' State License Law (Chapter.9 (commencing with Section 7000) of Division 3 ofthe 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 applicant to a civil penalty of not more than five hundred dollars ($500). 131, as owner of the property, or my employees with wages as their sole compensation, wilt do (_) 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 ofproperty who, through employees' or personal effort, builds or improves the propert',, 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). ❑ 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 ❑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 Iegait, sell 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 the Business and Professions Code, is avallable upon request when this application Is submitted or at the following Web site:http:/ vAw✓•leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty o�per}ury th t am licensed under provisions of Chapter 9 rynencing with Section 70 ) of Div'sion 3 of the Business and Prot�anjans Cafe, a license Is in full force and effect. License Class C' - lO- / (D License No fG` 7'7 ((ee I Date V' 9•• ©Contractor Signature u;dl✓15"'S---•�� JYORKERS' COMPENSATION DECLARATION TT—"•— NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SO¢JEOT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5700p00), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION $706 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 th !9"Or mance of the work for whichthis 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' compensation naurance caller and number are: :arrierPolimb.L^yRtl Expiration Date fame of AgentV U71 }} .0 `.—..® J` Phone# :1I 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 of California, and agree hat, if I should becomes lett to�'A a worke�rrs' pensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Pgnaturs of Applicant ;7 -� Q rt _ Jp - Z.O )ECLARATION 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 (Section 3097, Civil Code). .ender's Name Lender's Address ly 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 correct. I agree to comply withall applicable city and'. ^CAo,u�nty ordinances and state laws relating to building Construction. I authorize representatives of this city or covQ& enter tha,�bov"antrfted property for inspection purposes. r FOR OFFICE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE u,w�rvn, �[v WPWIVJ IYV IItIW I1VNMM • •• •• PERMITCANCELLED OEPA • • • • • �• PERMIT EXTENDED gN10 • PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PR POSE D OLI,, SON OCCUPANCY ISSUED S10NATU