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F2021-0466 - Permits
0r�r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II FIRE Permit: F2021-0466 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 4 6 6 Project No : 2336-2021 .. Permit Counter Phone (949)644-3288 ra s °'a2zrv�u+'`' Inspection Requests Phone (949)644-3255 Job Address: 1800 QUAIL ST NB Description: COMM REPLACE (E) SPRINKLER WATERFLOW STATION MONITORING - Inspector Area: FIRE Owner: 1800 QUAIL LLC Address: 1800 QUALI ST NEWPORT BEACH CA 92660 Phone: Applicant: STANDT GAIL Address: 1983 N BATAVIA ORANGE CA 92865 Phone: 714-456.9191 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 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 TOTAL FEE $900.00 Legal Description: Contractor: STRATEX SOLUTIONS INC Address: 1938 NORTH BATAVIA ST #E ORANGE CA 92665 Phone: 714-456.9191 Con State Lic: 874378 Lic Expire: 03/31/2022 Bus Lic: BT30056170 Lic Exp Date: 08/31/2022 Worker's Compensation Insurance Carrier: SIRIUS AMERICA INS Policy No: WC37552 Expire: 03/1412022 Issued Date: 10/05/2021 Setback- Front: Rear: Left: Right: FEES $0.00 Fire Residential Alarm PC Fee $0.00 Planning Counter Review: $0.00 Planning Zoning PC Fee $0.00 $145.00 Public Works PC Fee: $283.00 Public Works Traffic Plan Check Fee; $0.00 $432.00 Plan Check Fee Architect Address: Phone: State Lic Engineer: Address: Phone: State Lic: Designer: STANDT GAIL Address: 1938 N BATAVIA AT #E ORANGE CA 92865 Phone: 714.456-9191 Special Conditions: $0.00 Records Management $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : PROCESSED BY: • ° ° • ° ° (31VIEFt btPARTMENT: m ZONING APPROVAL: v • Y Y • e Y PLANT elf ECKED BY:: FIRE APPROVAL: Jr APPROVAL TO ISSUE: 0 oY• �• PERMIT EXPIRES 180 DAYS AATERISeUANO6 OR. LRST VALID INSPECTION o Y c o •Y• •Y Y• • Y YYY iY $4.00 $0.00 $0.00 $432.00 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 Iicensure 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 (_) all of or L) 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-Builderwill 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 Iicensure 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 legal) 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.htm]. 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 Professions ode, and my license is in full force and effect. �., y 3 License Class �/b License No 0 Date �� Contractor Signatur 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: 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 the performance of the work for which this permit is issued. Policy No. have and wil ,ante carrier 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' Date ie of Agent ° ---- certify that, in the performance of the wo k 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 if I should become auW2ct to the v rs' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those ,provisions. Y .2 ignature of Applicant '-J ✓`� _ ECLARATION REGA DING CONSTRUCTION LENDING AGENCY 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 (Section 3097, Civil Code). ender's Name Lender's Address y 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 county o Inances and}tat e laws relating to building construction. I authorize representatives of this city or county t ter the a 'denti for inspection purposes. Innalure of Prnnertv Owner or Authorized AGent Print Property Owner's or Authorized Agent's Name/ ! / AG7LON DA7E BY DECLARATION OF COMPLIANCE WITH _CODE OF FOR OFFICE W39EIWREG04ATIOVSPART.61 QF.VTLE40AND PERMIT EXPIRED AgMD %&E 14V3.° [t 19UBMI%TTE&AS1E1T©S;aF1GATION TO: PERMIT CANCELLED " Ef• •EPA • •' • ° . • • • • PERMIT EXTENDED [3 ACTMD ❑ ASBESTOS N077RCA77ON1S NOT APPLICABLE TO PERMIT FINAL PROPO&E0QEA4OLfTrfON.• •.. CERTIFICATE OF SIONA*TUREj OCCUPANCYfSSUED _ •• ••• • •. °°'