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HomeMy WebLinkAboutF9800127 - PermitsCltyof Newport Beach Building Department , P.O, Box _1768 - - - Newport Beach, CA 92658 8915 Perma-Counter Phone NO ) ((714644-32EO/3_289 FIRE PERMIT Permit No: y9800127 - Inspection Requests -Phone -No (714) 644-3255 - _ OY✓NER-BWI-OFJILLCIARATJON'-.-- - _ I HEREBYAFFIRMUNDER PENALTY OF PERJURY THAT 1 AM EXEMPT FROM THE CONTRACTORS LICENSE LAW -FOR THE -FOE -OWING -REASON (SEC.-7031 5 EFISINES AND PROFESSIONS CODE. ANY CITYOR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, FECSUfRESPTHEAPPUC �EQRSSUCHPERMICTO FILE OR REPAIR ANY GNEO STATFMENF THAT HEPRIOR TO ITS D SHE IS LICENSED PURSUANT TOTHE PHOVISKJNS OF_THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF 1HE BUSINESS -AND PROFESSIONS CODE) OR THAT HE OR -SHE IS EXEMPT THEREFROM AM/ THE BASIS FOR THE ALLEGED - EXEMPTION: ANY VKILATION OFSECTION 70315 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT -TO AONLL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS I$0001:1: OWNEROFTHE:PROPERTV OR MY EMPLOYEESWRHWAGESASTHQRSCI£COG PENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTEPCEO OR OFFERED FOR SALE (SEC 7044BUSINESS-AND PROFESSIONS CODE' THE CONTRACTORS LICENSE: LAW -. DOES -NOT -APPLY -TO -AN -OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND ppWgqHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWNFMPLOYEES, - EV�EHE BUILDIND THAT G OR IMPROVEMENROVEMENTS TRE IS SOLDITHINN ONE YEAR OF COMPLETIDED OR OFFERED FOR MI F ON, E OWNER -BUILDER WILL HAVE THEBURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THEPURPOSEOF SALE) -- --- ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WTTH LICENSED CON- TRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044, BUSINESS AND -PROFESSIONS: CODE THE-.CONTRACTORSACENSE LAW DOES NOT APPLY TO AN OWNER OF A PROPERTY WHO BUILDS OR IMPROVES THEREON) AND WHO DONrRACTS_FOR SIICHPBOJECTS WM-A CON-_ TRACTOR(S) LICENSED PURSUANT TO THE CONTRACTORS LICENSE LAW) - - 0 I AM EXEMPT: UNDER SEC. B 8P C FOR THIS REASON DATE - ucENsEucaNTRncTdAR DEcuirinnoN - HEREBIAFFIRN UNDER viSteccoFFERiumcrEAT I NN bfpI ENSED UNDEEINNO\PSIONS OF CHAIDEMB (GOMME ,SECTION 7000) 0E DIVISION3 OF THE 8[l 4ESS AND PROFESSPNS000EAN p�> L$INRILLFORQEANpEFFECT- UCENSE,DLAS DATE _ / JP CONI{�T. 1 R i�A1 'COMPPNSATION IEC[ARATION` 1 HEWHY:AFFIF-ta- 18 RYENALTtQP ERW(ONE OF TRE(OLLOWEJ0 DECLARATIONS. - EHAVEAND NTAIN A OBa1RCA1EUF CONSENT 1 SELFNBURE FOR WORK - +'C ERSOPN EAS PROVIDED FOR-BYBECT1ON37000FTHELA60F CCOE, FOR THE PERFQRMANCEOP THEWORK FOR emice HIBPRRN1K1856UED _ LFIAVE Mob WILL•MAINTAINW0 aG.ONPENSATJ@N LNSUR- ANCE AS REQUIRED BY SECTION 3700 OF Tut LABOR CODE FOR TALE PERFORMANCE OF THE,W:RK_FOR WHICH THIS PERMITlS ISSLIEU MY, WOII TERS COPENSATION INSURANCE CARRIER ANO➢CILILY NUMO@HARE __.. ,. lAtiFORNI INDElt INS (MIS SEGTIONNEE)PIQT BE Cb}NPLETEdYF THE PERMIT SECR ONE HUNDRED OOL- I CERTIFY THAT IN THE PERFORMANCE OF. TREWORK FOR WHICH THIS PERMIT IS ISSUED, I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER 5C A5 TO BECOME SUB_ -ECT.TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE -THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS COMPENSATION PROVISIONSOF SECTION 3700 OF THE LABOR CODE ISHALL FORTHWI / Y WITH THOSE PROVE SIGNS �OATE �` 4 APPLICANI - WARNING. FAIL URE BECDRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND r o SHALLSUBJECOYEH-TOCRMIIJALPENALTIES ANaCIVIL-FINES-UP._TO-ONE HUN MED THOUSAND DOLLARS : ($100000), IN ADDITION TO THE COST OF COMPENSATION, DAM - AGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR C000, INTEREST; AND ATTORNEYS FEES - - - - CONSTRUCTION LENDING AGENCY' I HEREBY APRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION .LEND- ING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT 15 ISSUED -15EQ 3097, CIV. G) _LENDER'S NAME -. LENDERS ADDRESS - - - - - - -:- I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMA- TIONIS GORREGT-LAGREETO COMPLY -WITH ALL CRYAND:COUNTY-ORDINANCES ANDSTATE LAWS -RELATING TO BUILDING CONSTRUCTION, »ID HEREBYAUTHORIZE REPRESENTATIVES - OF THIS COUNTY TO ENTER UPON THE ABOVE -MENTIONED PROPERTY FOR INSPEC11ON RJR. POSES. - - PER SIDNA1 Vn1:PER1TTE� -- - s/s/98 DATE ADDRESS JOR ADDRESS: OWNER 11010 RERORIAL 110SPIT.SL ADDRESS: JNSP__ _- AREA: _.. cr c-RHONE -._- -- CONTRACTOR PAN'PACIPIG_PLNNEINfi CO D ADDRESS: 42COREORATFI-PARK- STE 150 _- IRVLNE CA 42714- PHONE _.213 875-1.611.._ STATE 099910 - _C LIT -Itg242016RA UeNPORT 911031997 ARCHITECT -PGR LIG -fTSP ADDRESS- __-- PHONE LIC. NO.: ----- ENGINEER: ADDRESS: PHONE - APPLICANT: PIR P/rgtC PUG - (AEPREN) 1E21 NC CAW - 1RVINE, LA 82608 PHONE `4141414-9t70= SIGNATURE OF APPLICANT I Riscellaaenas Inhitit Rees ENTER» Pt eject Valuation - FIRE -NA r ECK-FER - FIRE PFRR,IY/INSPRPTION PEE- J of NICROFIGR_Sh__ts A —PERMIT'S -_— 2S 7 OESORIPTONS_ -_. -_ __------ OF VVORRTnnnRSIIAUBn fllnn (114 A0.{ - - CONTT. ' ADD - INSTAL FIELIlIL 0,4DERGR00.AD.T_ANK --- - - -. TYPE OF OLC. - NO, OF _- CONSTRUCTION' GROUP` STORIES LEGAL DESCRIPTION'': SPECIAL - -44_ - 005011IONS. PROCESSED BY. ii ZONING APPROVAL.: E]RE - APPROVAL TOTAL FIRE/EOIT{DING PEREIT-PEES 4a_, U I'. a. (/) PLAN CHECK - -.- `D Er BY r O - 0 GRADING APPROVAL APPROVAL - ZO 0 TO ISSUE F - 200000 ; PayEPnts: 789,12 0 - 709.11 tCredit eatethAA:-- 0.00 Q 1096,00 --- - - fatal Credits:- 789,12 LT, 9alance _ 1,097 75_ 52 1,886,87 Adjastnents 0;00 Balance dae 1,097:75 As 3 OTHER DEPARTMENT - MAY 0 5 1998 CITY OF NEWPORT BEACri -APPROVALS — FIRE PROTECTION` THRUST -BLOCKS -EXCAVATION UNDERGROUND -HYDRO UNDERGROUND-PIPINGFLUSH- UNDERGROUND ROUGH PIPE SPRINKLER HYDRO TEST SPRINKLERFLOW TEST SPRINKLER ROUGHPIPE HYDRO TEST STANDPIPE FLOW TEST STANDPIPE ROUGH PIPE CHEMSYSTEM FUNCTION TEST CHEM SYSTEM APPROVAL _--- FIRE rALARM SYSTEM:err, DATE ROUGH WIRING _ - __ SYSTEM FUNCTION TEST CENTRAL STATION MONITOR f FIFE -MSC TANK-REMOVA-L ` TANKINSTALLATION/TEST PIPJNG PRESSURE TEST' MISC. INSPECTIONS: 01l Od ©ci -» FINAL - CERTIFICATEOFOCCUPANCY- _ TENANT NAME.. - - TYPE OF BUSINESS USE: DEPOSITRELEASED' FOR REFUND ON TO.