HomeMy WebLinkAboutF2007-0245 - PermitsCity of Newport Beach
Job Address: 1 HOAG DR NB
Inspector Area: 4- - CNw wi
OF LOT 7
Owner:
Address:
Phone:
Building Department
PO Box 1768 Newport Beach, California 92658-8915
HOAG MEMORIAL HOSPITAL
1 HOAG DR
NEWPORT BEACH CA 92660
Applicant: DETECTION LOGIC
Address: 7605 N SAN FERNANDO RD
BURBANK CA 91505
Phone: 818-683-1552
Code Edit : 2001
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
No of Units :
Flood Zone:
Bldg Sprinklers:
V-N,SPR
E3
0
0
1
0
N
Legal Description:
Contractor:
Address:
Phone:
Con State Lic
Lic Expire:
Bus Lic:
Lic Exp Date:
Worker's Com pe
Carrier:
Policy No:
Expire:
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GISECQMBdPermitNo: F2007-0245
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Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255
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Description: FIRE ALARM SYSTEM
1593-2007 (B2005.1525)
IRVINE SUB BLK 2 LOTS 169 & 170 POR OF LOTS & BLK 1 172 POR
DETECTION LOGIC FIRE PROTECTION INC
7605 NORTH SAN FERNANDO RD
BURBANK CA 91505
818-683-1552
713099
10/31/2007
BT01072507
06/30/2008
nsation Insurance
ACE FIRE
C44895973
01101 /2008
Issued Date: 09/07/2007
Setback- Front:
Rear:
Left:
Right:
• . -
•
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Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
• . -•• •
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INSPECiu:
State Lic:
State Lic:
£ LE: 114-5q5-4-1a(2
Construction Valuation:
Building Overtime Plan Check :
Plan check Exten Fee:
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL :
$19,372.00
$0.00
$0.00
TOTAL FEE:
FEES
Fire Plan Check Fee :
Fire Permit/Inspection Fee:
Records Management:
Investigation Fee:
Residential Issuance Fee
$231.98
$322.20
$35.00
$0.00
$0.00
$589.18 TOTAL PAYMENT : $0.00 TOTAL DUE : $589.18
J
OTHER DEPARTM
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECT!
Counter Review :
Zoning Plan Check Fee:
$0.00
$0.00
$0.00
$0.00
OWNER -BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON
EC. 7031.5, SDPROFESSIONS TY CITY OR COUNTY WHICH OIRES A IASGNEDE LISH.ORREPARANYSTRUC ERIORTOSISSUA ISSUANCE, REQUIRES THE PERMIT TOERMIT TO CONSTRUCT,
PERMIT EXPIRED
DATE:
BY:
STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9 (COMMENCING
WITH SEC. 7000) OF DIV. 3 OF THE BUSINESS AND PROFESSIONS CODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE
ALLEGED EXEMPTION. ANY VIOLATION OF SEC. 7031.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF
NOR
IS
MORE THAN FIVE HUNDRED DOLLARS ($500):
COMPENSATION, WILL OD THE WORK, AND THE STRUC
PERMIT CANCELLED
TORE
NOT
THROUGH
THE
THAT
I. AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES
APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON. AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR
HIS OR HER OWN EMPLOYEES. PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE. IF, HOWEVER.
BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLETION, THE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVING
HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE.):
PERMIT EXTENSION
MI
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC.
i
7044.
BUILDS
TRACTORS
BUSINESS AND PROFESSIONS CODE: THE CONSTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF THE PROPERTY WHO
OR IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S) LICENSED PURSUANT TO THE CON-
LICENSE LAW.).
FIRE PROTECTION
PERMIT FINAL
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I AM EXEMPT UNDER SEC B. & P.C. FOR THIS REASON
DATE OWNER
FOR OFFICE USE ONLY
LICENSED CONTRACTORS DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SEC. 7000) OF
DIVISION 3 OF THE BUSINESS AND/PROFESSIONS CODE, AND MY LICENSE IS IN FULL FORCT AND EFFECT.
LICE B'E CLASS CIO / 16 LICENSE NO. 7 U Q 9 q
TOR 17 frreCT1 0 Al t— k C.
WORKERS'
I HEREBY
❑
OF
•
ANCE
CARRIER
COMPENSAT N DECLARATION
AFFIRM UNDER PENALTY, F PERJURY ONE OF THE FOLLOWING DECLARATIONS
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONENT TO SELF -INSURE FOR WORKERS COMPENSATION, AS PROVIDED FOR BY SEC 3700
THE LABOR CODE. FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.
I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REQUIRED BY SEC 3700 OF THE LABOR CODE. FOR THE PERFORM-
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, MY WORKERS COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE:
POLICY NUMBER
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS).
❑ 1 CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT 15 ISSUED, I SHALL NOT EMPLOY ANY PERSON IN ANY
MANNER SO AS TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME
SUBJECT TO THE WORKERS COMPENSATION PROVISIONS OF SEC. 3700 OF THE LABOR CODE. I SHALL FORTHWITH COMPLY WITH THOSE
PRO NS.
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WARNING: FAILURE TO SECURE WOR RS' COMPENSATION COVERAGE 15 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO 0• HUNDRED THOUSAND DOLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES
AS PROVIDED FOR IN SEC. 3706 OF ' E LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I 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 (SEC. 3097, CIV.C).
LENDERS NAME
LENDER'S ADDRESS
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I CERTIFY THAT I HAVE READ THIS APPLCATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL CITY
AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS
COUNTY TO ENTER UPON THE ABOVE-MENTIONEDENy�PROPERTY FOR INSPECTION PURPOSES
RMITTEE NAME (PRINT) �(L n /2 A j
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