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Home My WebLink Aboutf2021-0634 - Permits0�11fi�: City of Newport Beach - Building Division IIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII II FIRE Permit: F2021-0634 L,@ 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 6 3 4 Project No: 2988-2021 '-� Permit Counter Phone (949)644-3288 ni�r��4k Inspection Requests Phone (949)644-3255 Job Address: 1087 NEWPORT CENTER DR NB Description: COMM FIRE SPRINKLER TI RELOCATE 13 HEADS (x2021-2598) Rj" A `^ S Inspector Area: FIRE Owner: IRVINE CO Address: 550 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: Applicant: JESSE/PACIFIC FIRE SUPPRESSION Address: 249 E EMERSON AV UNIT G ORANGE CA 92865 Phone: 714-283-0211 Code Edit : 2019 Type of Construction:. V-BSPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units: 0 Flood Zone: Bldg Sprinklers: Y Legal Description: P BK 221 PG 30 PAR 6 Contractor: PACIFIC FIRE SUPPRESSION INC Address: 249 E EMERSON #G ORANGE CA 92865 Phone: 714-502-0211 Con State Lic: 423418 Lic Expire: 1113012023 Bus Lic: BT03042109 Lic Exp Date: 0313112022 Worker's Compensation Insurance Carrier: EVEREST NATIONAL INS Policy No: 530004928211 Expire: 0610112022 Architect: Address: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: HAMILTON CHUCK Address: 249 E EMERSON AV UNIT G ORANGE CA 92865 Phone: Issued Date: 12/21/2021 Special Conditions: ,�/�g Setback- Rear® a°'j� dd sc Left: 4 FEES Construction Valuation: $6,500.00 Building PC Fee : $0.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $2.00 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: $146.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $224.25 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $372.25 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $372.26 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: J-1171 OTHE1. R DEPART, ENT:. """ _ ° s PVNt,IECKEQBY% APPROVAL TO ISSUE: _ PERMIT EXPIRES 180 DAYS AFTER ISSUANCI:06? LET 6'ACID�INSPECTION 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 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L 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 -Builder will 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 licensure 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 legally 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.htmi. 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 7 00) of Division 3 of the Business a7DRED ions Co ,and my license is in full force and effect. r1, License Class License No Date U Contractor Signaiuv� WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE OUSAND 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 IN performance of the work for which this permit is issued. Policy No. and will maintain 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' ,carrier and policy number are: ie of Agent certify that, in the performance , if I should become SrbJWt to 1 Policy Number Date 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 ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision§. _ I Signature of Applicant 1- :!Q11a Date; I DECLARATION REGARDCONSI TION LENDING AGENCY I hereby affirm under penal of perjury t there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 informationJn rovid disc rect. I agree to comply with all applicable city and con d state lawsrelating to building construction. 1 authorize representatives of this city or county ove-identified property for inspection purposes. f11',///�� / / n ' Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name /j,/V° `^ G1 Y� L Dat >1?7 ACTION DATE gY DECLARATION OF COMPLIANCE VATH CODE OF FOR OFFICE USE ONLY • • ••• ••• F VERhit VEGULATIONS PART 61 OF TITLE40 AND A D RYLE 1401 •❑ I SAMITTED ASBESTOS NOTIFICATION TO:. • ❑ • EPA ❑ AOMD PERMIT EXPIRED • • • • • • • PERMfT CANCELLED • • PERWITEXTENDED �❑RDPMFD DEMOLIT>ON TIONIS NOT APPLICABLE TO PERMIT FINAL a- a •• CER77FICATEOF • • • • OCCUPANCYISSUED • • • �S '''