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Home My WebLink AboutF2022-0325 - Permits0Proj,�� City of Newport Beach - Building Division IIIII�IIIIIIIIIIIIIIIIIIIIIIIIIII II FIRE Permit: F2O22-0325 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 3 2 5 r Permit Counter Phone (949)644-3288 ect No : 1629-2022 �`uA,a�ac'� Inspection Requests Phone (949)644-3255 Job Address: 5020 CAMPUS DR NB St: 1 Ft: 1 Unit: 230 Description: COMM FIRE SPRINKLER TI - (X2022-0908) 16 HEADS Inspector Area: FIRE Legal Description: N TR 9626 LOT 9 Owner: IRVINE CO Contractor: C J SUPPRESSION INC Architect:z_ II ��yy �k g Address: 111 INNOVATION Address: 205 LEWIS COURT Address: 05 1 ! �.! IRVINE CA 92618 CORONA CA 92882 Phone: Phone: 909-735-5560 Phone: State Lie: Applicant: PATRICK/CJ SUPPRESSION INC Con State Lic: 721124 Engineer: Address: 205 LEWIS CT Lie Expire: 05/31/2023 Address: CORONA CA 92882 Bus Lie: BT30069705 Phone: Lie Exp Date: 11130/2022 Phone: State Lie: ° °°°°• Code Edit: 2019 Worker's Compensation Insurance Designer: LEEMAN BRAD Type of Construction: V-B-SPR Carrier: EMPL SVC GROUP Address: oo®a 205 LEWIS CT • 000000 Occupancy Group: B Policy No: WC5896996 ° ° ° CORONA CA 92882 Added /New sq.ft. Bldg: 0 Expire: 1210112022 Phone: Added /New sq. ft. Garage: 0 ° o No of Stories: 1 Issued Date: 06128/2022 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: - •°•`•" aoa• Bldg Sprinklers: Y Left: ° ..... Right: FEES Construction Valuation: $3,683.33 ° °• 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: $152.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $234.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $388.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $388.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL : OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION IWNER-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 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 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 nprovements 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). 7 I am exempt from licensure 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 legall, 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 of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION 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 Prof Code_, and my license is in full force nd effect. icense Class • • License No Dat�`, �— Contractor Signatur 14Fr,ARS' COMPENSATION DECLARATION RRNING:}AILURE•rOEECURE 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 OJT OF.COMPENSATIOR tAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. ber%,j Affirm und& penalty of perjury one of the following declarations: 1.1 have and will maiMain 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 th WQrf �ratance of the'vorefor which this permit is issued. Policy No. • •• A312.and w�l rfl%irjNdin 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' compensatioi tsa�ee carrier and policy number are: ,%?," • • Policy Number Expiration Date 124e ofADent • • • Phone # that, in the parformance a work 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 Iould bfigQlfie;ubject t workers' compeRsafiom provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. oX� of Applicant y lit./ Date l 2 " 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 ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordi and state laws relating to building construction. I authorize representatives of this city or coup_ o e% t above-identAe"roperty for inspection purposes. �J� / .:___...__ _�.,____....,...__. _. �........:_..a � �� o.t.,. o.,...va., n—�or'o ..r a„n,.. 1—H An—+'< N nma 111 natPY ACTION DATE RY DECLARATION OF COMPLIANCE V✓tTN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATiONSPART01 OFTITLE40AND AQMDRULE 4403. PERMfTEXPIRED ❑ I SUBMITTEUASBESTOS NOTIFICATIONTO:. ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF SIGNATURE: OCCUPANCYISSUEi