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Home My WebLink AboutF2018-0652 - Permitsr: City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII FIRE Permit: F2018-0652 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 6 5. 2 Project No.: 2853-2018 Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Job Address: 4340 VON KARMAN AVE NB St: 1 FI: 2 Unit: 220 Description: COMM FIRE SPRINKLERS 28 HEADS (X2018.3623) Inspector Area: FIRE legal Description: N TR 8762 LOT 3 '. Owner: PRES-4340 VON KARMAN L P Contractor: PACIFIC FIRE SUPPRESSION Architect: Address: 4300 VON KARMAN AVE Address: 249 E EMERSON #G Address: NEWPORT BEACH, CA 92660 714-283.0211.. ORANGE CA 92865 Phone: Phone: - 714.502.0211 Phone: State Lic: .Applicant: MCMILLAN TOM Con State Lie: 423418:. Engineer. Address:: 249E EMERSON UNIT G Lie Expire: 11130/2019 Address: ORANGE, CA 92865 Bus Lie: BT03042109 '.. Phone: 714283.0211 - Lie Exp Date: 03/31/2019 Phone:: State Lie: Code Edit: 2018 Worker's Compensation Insurance Designer: HAMILTON CHUCK Type of Construction`.. V -B -SPR Carrier: EVEREST NATIONAL Address: 249 E EMERSON G Occupancy Group:. B Policy No: 5300001686 ORANGE, CA 92865 '.. Added /Newsq.ft. Bldg: 0 Expire: 09117/2019 Phone: 714-283.0211.. Added /New sq. ft. Garage: 0 No of Stories; 2 Issued Date: 02108/2019 Special Conditions: a i" „ ',j,�: No of Units[ ' 0 Setback- front: Rear. Flood Zone ° Bldg SprnLlers: Y Left: - coo°co Right: Con"sV` Etion Valgatioe: c0000 c o- EBuilding PC Fee`:" `E,uAldip§ Overtiofd P6 Fee: Builgivg Extentirin 5°ee: 4Building Investigation Fee: ri're flan Check,R=e: ,Fdr�,Pe?mlt Feb a °Building Permit dee,:,. f6fAL FEE : G PROCESSED BY: - ZONING APPROVAL: FIRE APPROVAL: $8,500.00 $0.00 $0.00 $0.00 $0.00 $182.00 $308.00 $0.00 $494.00 FEES Fire Residential Alarm PC Fee Planning Counter Review: Planning Zoning PC Fee: Public Works PC Fee: Public Works Traffic Plan Check Fee; Plan Check Fee: $0.00 $0.00 $0.00 $0.00 $0.00 $182.00 OTHER DEPARTMENT: Records Management: $4.00 $0.00 $0.00 Fee Due at Permit Issuance $312.00 PLAN CHECKED BY:: . APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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). ❑ I, 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 im roved 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: Bymy 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 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.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION !L I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ion 00) of Division 3 of the Business and P.v�P ;�i„d-ffly license is in full farce and effect. License Class License No Da Contractor SignatyrrZ/ WORKERS' 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 DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I, hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi 3e rmance of the work for which this permit is issued. Policy No. I h e and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior s ce carrier and policy numb r,are: ` rc2 "arr' ��N'PiVG$'� taut^-wi' Policy Number 73 000D� �0 Expiration Date/ % �"! •: • ....... ° Vame of Agent Phone # .. :1I certify that, in the performance of the wo w ich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation Iiv090f'"alifornif, anti agree :hat, if I should become s ars' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision. ...... signature of App cani Dates (� •. DECLARATION REGkR CONSTRUCTION LENDING AGENCY �, • • • • • • • ° 0 0 0 hereby affirm under pena 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 • • • ° Imy 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 'd It is correct. I agree to comply with all applicable city and cou ty ordi as and state laws relating to building construction. • ; • ° ° ° I authorize representatives of this city or coun ante h tified property for inspection purposes. \ �,///�� f° mature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name "' 4 /T' e ACTION DATE BY DECLARATIONOF COMPLIANCEWITH CODEOF - FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OFTITLE40AND AQMD RULE 1463. PERMITLXPIRED Q 1 SUBM/TT€DASBESTOS X071FICATION TO: Q EPA Q AQMD PERMITCANCELLED PERA41TEXTENDED Q ASB€STOS NOIIHCA170NIS NOT APPLtCABL.E TO PROPOSED DEMOLITION. PERMITFINAL IYL.I?i` CER77FICATE OF ___...,-.. _...-_..__ SIGNATURE: