HomeMy WebLinkAboutF2022-0326 - PermitsCity of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 5010 CAMPUS DR NS St: 1 FI: 1 Unit: 120
Inspector Area: FIRE
Owner: IRVINE CO
Address: 111 INNOVATION
IRVINE CA 92618
Phone:
Applicant: PATRICK/CJ SUPPRESSION INC
Address: 205 LEWIS CT
CORONA CA 92882
Phone:
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: 1
No of Units : 0
Flood Zone:
Bldg Sprinklers: Y
II �F III I� 0�II� II� III II I�I�� I��I III II
FIRE Permit: F2022-0326
Project No : 1632-2022
Inspection"Requests Phone (949)644-3255
Description: COMM SPRINKLER TI - 54 HEADS (X2022-0909)
Legal Description:
N TR 9626 LOT 8
Contractor:
C J SUPPRESSION INC
Architect:
Address:
205 LEWIS COURT
Address:
CORONA CA 92882
Phone:
909-735-5560
Phone:
Con State Lic:
721124
Engineer:
Lic Expire:
05131/2023
Address:
Bus Lic:
BT30069705
Lic Exp Date:
11/3012022
Phone:
State Lic:
State Lic:
Worker's Compensation Insurance Designer: LEEMAN BRAD
Carrier: EMPL SVC GROUP Address: 205 LEWIS CT
Policy No: WC6896996 CORONA CA 92882
Expire: 12/01/2022 Phone:
Issued Date: 06128/2022 Special Conditions:
Setback- Front:
Rear:
Left:
Right:
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Construction Valuation:
$5,000.00
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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:
$228.00
Public Works PC Fee:
$0.00
$0.00
Fire Permit Fee :
$357.50
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$587.50
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$587.50
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
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OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
DWNER-BUILDER DECLARATION I- --
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 -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 7000) of Division 3 of the Business and Pro ss i s Codey and my license is in full force
and effect. �..� y�
License Class • • • • License No Da L Contractor SignatuY
V""�Y�""ORKFRS' CCfMSI.SENSATION DECLARATION
ra�RN•III&:cAILUR4T10:1et&RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE DRIED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION,OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
-4giewby affirm under penalty of perjury one of the following declarations:
LJ•I have and VM ry2iotain 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
pprferfnahce of the%ork-for which this permit is issued. Policy No.
and will•raaiMain 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 2ncfoolicy number are:
Policy Number Expiration Date
ne of.4gent .'
terliv that, in�he gei
;•if Irshould becomesF
iatu re of Applicant j
of the 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
I)e workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pJovisionse+42
Ar O Y
ereby 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)
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 county ordinances and state laws relating to building construction.
I authorize representatives of this city or county,�o /ve`identified property for inspection purposes. •�' �(� . In2�S
nature of Property Owner or Authorized Agent 1!= ,10 C� — Print Property Owner's or Authorized Agent's Name ✓L 5 D
.ACTION
DATE
BY
DECLARATION OF COMPLIANCE OATH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE40 AND
AQMO RULE 1403-
PERMIT EXPIRED
❑ I SUBMITTEDASBESTOS NOTIFICATIONTO:.
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMIT EXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
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CERTIFIC4TEOF
SIGNATURE:.
OCCUPANCYISSUED