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Home My WebLink AboutF2020-0375 - PermitsYn City of Newport Beach - Building Division ' 100 Civic Center Drive, Newport Beach, CA 92660 }� Permit Counter Phone (949)644-3288 Job Address: 2300 BONITA CANYON DR NB Inspector Area: FIRE Owner: CHURCH TEMPLE CORP Address: 50 E NORTH TEMPLE #2223 SALT LAKE CITY, UT 84150 Phone: Applicant: CORNWALL KENT Address: 234 NORTH EL MOINA AVE PASADENA CA 91101 Phone: 626-793-5782 Code Edit: 2019 Type of Construction: V -B -SPR Occupancy Group: 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 Construction Valuation Building PC Fee: Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee: Building Permit Fee: TOTALFEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: Y $16,000.00 IIP�FIIIIIlillIIIDILII0 VIII IIIDIVIIII7III5II II FIRE Permit: F2020-0375 Project No: 1650-2020 Inspection Requests Phone (949)644-3255 Description: COMM FIRE SPRINKLERS (23) HEADS (X2020-1845) Legal Description: P M 271.15 PAR 1 POR OF PAR Contractor: HALO FIRE PROTECTION LLC Address: 4811 E JULEP ST #124 WESCOINS MESA AZ 85205 Phone: 480-332-8762 Con State Lie: 1049731 Lie Expire: 0212812021 Bus Lie: BT30073273 Lie Exp Date: 10/31/2021 Worker's Compensation Insurance Carrier: WESCOINS Policy No: WWC3482119 Expire: 0812412021 Issued Date: 10120/2020 Setback- Front: Rear: $163.00 Left: $0.00 Right: $252.75 FEES Architect Address: Phone: State Lie Engineer: Fire Residential Alarm PC Fee : Address: $2.00 Phone: State Lic: Designer: CORNWALL KENT Address: 234 NORTH EL MOLINA AVE $0.00 PASADENA CA 91101 Phone: 626-793.5782 Special Conditions: 0, $0.00 Fire Residential Alarm PC Fee : $0.00 Records Management : $2.00 $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee: $0.00 $0.00 $0.00 $163.00 Public Works PC Fee: $0.00 $0.00 $252.75 Public Works Traffic Plan Check Fee; $0.00 $0.00 $417.75 Plan Check Fee: $163.00 Fee Due at Permit Issuance : $254.75 v o'a °GTHER DEPAPTtAENT: a Ph.AIC (y1ECYoeE�D BY--" APPROVAL TO ISSUE: ` - `wf O� coo PERMIT EXPIRES 180 DAYS AFTER fSwUA1NCF pR1j LAST 1%AL;(DYNSFECTION 0 .o0 000 0 .o` °� o00 OWNER -BUILDER 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 (_) 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 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 lega111 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 I 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 Prof tTRSto¢a, and my license is in full force and effect.Date 10' 20' uzo Contractor Signatur License Class License No WORKERS' COMPENSATION DECLARATION WARNING: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 Cade, for th pe rmance of the work for which this permit is issued. Policy No. Ell have and wMl Igaintain workers' compensation insurWe, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation policy 1e of Agerft`J — \ certify that, in the performance , if I should become sulAect to i of Applicant Date 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 ,compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thos provisions. I n i 0 /20 1 20`70 CLARATION REGA LAG CONSTRUCTION LENDING AGENCY 3reby affirm under nally 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 orauthorized 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 ordi s and state laws relating to building construction. I authorize representatives of this city or county ,[o glhtve-iden roperty for inspection purposes. `, inature of Propertv Owner or Authorized Agent Y l J Print Property Owner's or Authorized Agent's NameV, iAi40E 3T ACTION I DATE I BY •«• ••. FINAL CERTTICATEOF OCCOPANCYf SUED I I •!• •.• OFTITLE40AND �T. t tilf"TiEd sisE5TOS NOTIFICATION T0: ( •VA'•' • ❑ AQMD ❑ ASBESTOS NOITRCAITONIS NOT APPLICABLE TO PROPOS t.Q DF-Li9OUTI OM `IGNAjU�E: