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Home My WebLink AboutF2022-0323 - Permitsx'txrar City of Newport Beach - Building Division II�IIIIIIIIII'IIIIIIIIIIII�I�IIIIIIIIIIIIIII II FIRE Permit: F2022-0323 } 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 1626-2022 Permit Counter Phone (949)644-3288 e�:+xraa Inspection Requests Phone (949)644-3255 Job Address: 5020 CAMPUS DR NB St: 1 FI: 1 Unit: 200 Description: COMM FIRE SPRINKLER TI - 58 HEADS (X2022-0907) Inspector Area: FIRE Legal Description: N TR 9626 LOT 9 Owner: NEWPORT CAMPUS LLC Contractor: C J SUPPRESSION INC Architect: LLL [ /�^a��!!,, S g g S g C e� r� Address: 5020 CAMPUS DR Address: 205 LEWIS COURT Address: ! �i i V i l NEWPORT BEACH, CA 92660 CORONA CA 92882 Phone: Phone: 909-735-5560 Phone: State Lic: Applicant: PATRICK/CJ SUPPRESION INC Con State Lic: 721124 Engineer: Address: 205 LEWIS CT Lic Expire: 05131/2023 Address: CORONA CA 92882 Bus Lic: BT30069705 ° .... Phone: 951-735-5560 Lic Exp Date: 11/3012022 Phone: State Lic: e° °000 Code Edit: 2019 Worker's Compensation Insurance Designer: LEEMAN BRAD Type of Construction: V-B-SPR Carrier: EMPL SVC GROUP Address: 205 LEWIS CT Occupancy Group: B Policy No: WC5896996 CORONA CA 92882 Added lNew sq.ft. Bldg: 0 Expire: 12/0112022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Issued Date: 06/28/2022 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: ° Bldg Sprinklers: Y Left: Right: 00000° FEES Construction Valuation: $5,500.00 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: $236.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $370.50 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $608.50 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $608.60 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: -T\ OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID 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 U all of or U 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 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 Iegallt 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm upftlftalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr ns Code, and my license is in full force and effect. • • Lioeas"lass .... License No �Z Contractor Signaturd`LT� WORISERS' COMPENSATION DECLARATION WKRRING: FAILURE TOCECURE 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 CDST QF•COMPENSA=ION,.DOMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I D ftebf Affirm uAq%rpe;alty of perjury one of the following declarations: I I have and wiN 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 th( Re rmacce of the ZvOG�for which this permit is issued. Policy No. r�Y Viand 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' compensatior Isurencs carrier and policy number are: mer • •••• • Policy Number Expiration Date %n .of -Agent • •• Phone# ]I certify that, in1Re performance of the work forwhich 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 agree tat, if I should become subject workers' com22nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applican)c ai� .1� Dates IECLARATION REGARD ONSTRUCTION LENDING 7— 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 Iy 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' correct. I agree to comply with all applicable city and county ordina a and state laws r ating to building construction. /� I authorize representatives of this city or Cou ty toe ve-identifi property for inspection purposes. ' J� fi r,e ,;� signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name r S Date AC77ON DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATHINSPART 61 OF TITLE40ANO AQMD RULE 1403. PERMITEXPIRED ❑ I SUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS N077FICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERNIICATE p"Z f}e�—. CERTIFICATEOf SIGNATURE: OCCUPANCYISSUED