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Home My WebLink AboutF2021-0168 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII Permit: F2021-0168 4 IIFIRE 100 Civic Center Drive, Newport p Beach, CA 92660 F 2 0 2 1 0 1 6 8 Project No :0985-2021 Permit Counter Phone (949)644-3288 r'izAersik�'1� Requests Phone (949)644-3255 .. fAInspection (5702--ol��i"" D�( Job Address: 5020 CAMPUS DR NB Description: COMM FIRE SPRINKLER MONITORING SYSTEM (5 DEVICES) ...... Inspector Area: FIRE Legal Description: N TR 9626 LOT 9 Owner: NEWPORT CAMPUS LLC Address: 4701 VON KARMEN AVE #100 Contractor: SONITROL ORANGE COUNTY LLC Architect: Address: 1334 BLUE OAKS Address: 0 NEWPORT BEACH, CA 92660 ROSEVILLE CA 95678y Phone: Phone: 949.768-1414 Phone: State Lic: 1 Applicant: SONITROL ORANGE COUNTY Con State Lic: 1030851 Engineer: Address: 1334 BLUE OAKS BLVD Lic Expire: 09/30/2021 Address: ROSEVILLE CA 92678 Bus Lic: BT30040301 Phone: 949-768.1414 Lic Exp Date: 08131/2021 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: HINKS RICHARD Type of Construction: V -B -SPR Carrier: INS CO OF THE WEST Address: 1334 BLUE OAKS Occupancy Group: B Policy No: WPL505257401 ROSEVILLE CA 92678 Added /New sq.ft. Bldg: 0 Expire: 01/01/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Issued Date: 07/13/2021 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: 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: $6.00 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: $145.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $283.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $434.00 Plan Check Fee : $171.25 Fee Due at Permit Issuance: $262.75 PROCESSED BY: ° .` °�° E° o+•OT=HER DEPARTMENT: po ZONING APPROVAL: .+ t ° E P+Lf,AN CHECKED BY:: FIRE APPROVAL: C V APPROVAL TO ISSUE: om® PERMIT EXPIRES, 180�C.§ YS 0:TJ-.-R`IS`1JANr,E.OR LAST VALID INSPECTION )WNER-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 ie 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 of more than five hundred dollars ($500). 7 I, 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, lusiness 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 nprovements 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 nproved for the purpose of sale). 1 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 pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legally ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION 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 an� ssions Co , an my license is in full force nd effect. icense Class License No Date -- �-i Contractor Signature _ l/L I/ORKERS' COMPENSATION DECLARATION IARNING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 th( rerf'amiance of the work for which this permit is issued. Policy No. I have and wilLmcnintain workeys%"mpensation insurapce, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior Ie of Agent certify that, in the rerf a of th work for Whicth ermit if I should become s b ct the rkers' con provi: lature of ADDlicant `l/� Date I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ction 3700 of the Labor Code, I shall forthwith comply with those pyrotas ions. :reby affirm underEen�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 rr Lender's Address 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 with all applicable city and count rdinances a d tate a I authorize representatives of this city or countydQ jitgr the aboy� e ( Property Owner or Authorized Agent 41 1 ACTION DATE TV BY @]�:Wi@tYtfl@:9x+1 r�:ItWtYrl��1a17d�F9�]•- I PEBMITEXTENDED I I I OCCUPANCYISSUED Is relating to building construction. property for inspection purposes. Print Prooertv Owner's or FERE, RFQ@ILATIO4fSPA,4j St OF TJTLE640AND AQMD E 9463. • • • • s e ❑ ISf43MI3f EDASA€STOS;NO71FIrrATI@NITO: AQMO ❑ ASBESTOS M017FICAIIONISNOT APPLICABLE TO PROPOSFJj ,-WI @TJON. . • • • *. SIGNATU9'JE:' Date ONLY 7„ C3�