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Home My WebLink AboutF2022-0153 - Permitsl'o City of Newport Beach - Building Division 1111111111111111111111111111lil1111111111111111111FIRE Permit: F2022-0153 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 1 5 3 p Project No : 0753-2022 Permit Counter Phone (949)644-3288 . �rarvaau'�1`' Inspection Requests Phone (949)644-3255 �0(051K Job Address: 2547 EASTBLUFF DR NB Description: COMM FIRE APRINKLER SYSTEM 10 HEADS (X2021-3427) Inspector Area: FIRE Owner: IRVINE COMPANY Address: 550 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: Applicant: SHELTON FIRE PROTECTION CO INC Address: 22745 LA PALMA AVENUE YORBA LINDA CA 92887 Phone: 714-692-3573 Code Edit : 2019 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: Construction Valuation: V-B-SPR B 0 0 Legal Description: PM 49-22 PARS 23 & POR PAR 1. Contractor: SHELTON FIRE PROTECTION CO INC Address: 22745 LA PALMA AVENUE YORBA LINDA CA 92887 Phone: 714-692-3573 Con State Lie: 677631 Lie Expire: 05/31/2023 Bus Lie: BT30074829 Lie Exp Date: 03/31/2022 Worker's Compensation Insurance Carrier: AMERICAN FAMILY HOME INS CO Policy No: 5FA5WC800092700 Expire: 03/01/2023 1 Issued Date: 03/2212022 0 Setback- Front: Rear: N Left: Right: 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: $9,200.00 $0.00 $0.00 $0.00 $0.00 $140.00 $214.50 $0.00 $356.50 FIRE APPROVAL: s2l/ FEES Fire Residential Alarm PC Fee Planning Counter Review: Planning Zoning PC Fee : Public Works PC Fee: Public Works Traffic Plan Check Fee: Plan Check Fee : Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: State Lie: State Lie: ESTES KYLE 22745 LA PALMA AVE YORBA LINDA, CA 92887 GSI - 33y -,119 Lo $0.00 Records Management $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: p A,N � eese ril 0 o ° • ° m 000 �e0 m ° ° • o 0 •e m e.:m o m • m • ee • 0 rom m .d+1ti 0 om o • • • m. mo monoo m • mecoo om o 6 mm0000 4 f p m m • oo ° o 00 ® 000uoo p °p mVVV $2.00 $0.00 $0.00 $356.50 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION LDER 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 'rofessions 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 of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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 1lprovements 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). 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). I am exempt from Iicensure 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://www.leginfo.ca.gov/calaw.html. signature otli Owner or Authorized Agent Date .ICENSED G1711ETRACTOR'S DECLARATION 4ar1by affirm VIn(%penalty of perjury that I am licensed under provisions of Chapter 9 (commencing it a tion 7000) of Division 3 of the Business a P fessions Coed y lic nse is in full force nd effect. :. • r� iconse Class License No Data �c/- Contractor Signature IIO'RKERS•' COMPENSATION DECLARATION IARAILyIG: FAILUgarTO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HIND ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE bliTt COMPENSATIQIII, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LAaOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm underpenalty of perjury one of the following declarations: --[-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 IN %jiliormance of4he Wgrk for which this permit is issued. Policy No. - ha. a and ml►%stain 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' compensatior Isar a carries and policy number are: larrt2r '.•. Policy Number Expiration Date me of Agent Phor I certify that, in the perfdTPYllance of the work oFwRiph this permit is issued, I shall not employ any person in any manner so as to become t, if I should becom¢`qub' ct;o ttyg wgrk compe sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with tho nature of Applicant 1�11. s CLARATION REGA ING ST lYC [ON LENDING AGENCY Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is Ider's Name 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 coty ordinances ay�d s relating to building construction. I authorize representatives of this city or co l I(ify(to a te�he�bg4 Identified roperty for inspection purposes. nature of Property Owner or Authorized Agent ��/0 I , . Print Property Owner's or Authorized A enI g to the workers' compensation laws of California, and (Section 3097, Civil Code). ACTION DATE •8Y DECLARATION OF COMPLIANCE l49TH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 69 OF TITLE 40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION'. PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: