HomeMy WebLinkAboutF2019003475 FIRECITY OF HUNTINGTON BEACH
DEPARTMENT OF BUILDING & SAFETY
` 2000 Main St., Huntington Beach, CA 92648 Inspector:
-s For Inspections Call: (714) 536-5241 Solorzano, Ruben (714) 374-1740
FIRE PERMIT
Permit Number: F201 M03475 Sprinklered? Yes Valuation: $5.20
Date Issued; 0522/2019 Zone: SP1-FP2 Coastal Permit?
No
Building Address: 7755 Center Ave 1060 Block No, Families:
Date Entered: 05/21/2019 Tract: No. Stories:
Building Use: C-MISC Lot: Public Building? No
Owner Contractor
PENDULUM PROPERTY PARTNERS iT R L SYSTEMS INC
5 PARK PLACE #370 9131 MILLIKEN AVENUE
'.IRVINE CA 92614 RANCHO CUCAMONGA CA 91730
;'. 9498780630 9093908392
Project Description: MODIFICATIONS TO THE EXISTING BUILDING FIRE ALARM SYSTEM TO ADD A NEW SMOKE SMOKE DETECTOR AND HORN STROBE TO
SUITE 650. INSTALLATION OF THESE DEVICES SHALL COMPLY WITH THE REQUIREMENTS STATED IN NFPA 72 AND THE 2016 CFC.
Occ. Group ,,Construction Type Occupancy Loatl
Permit Fees: Inspection: $0.00 Park & Red: $0,00 Microfilm: $0.00
Building Plan Review: $0.00 Library: $0.00 Penalty: $0.00
Planning Plan Review: $179.44 Traffic Impact: $0.00 Extension: $0.00
Processing: $246.98 Dev Impact Fees: $0.00 C/O: $0.00
SMIP: $0.00 Demolition: $0.00
Permit Total: ; $426.42
Outstanding Amount: $0.00�
Permit Details Permit Fees: Inspection Plan Review
Fire Related Items Unit TYPe .Quantity $246.98 $179.44
Fire Alarm/Methane Detection, T.I. (up to 5 devices) Pin Chit QTY 1
Fire Alarm/Methane Detection, T.I. (up to 5 devices) Insp. QTY 1
Scanning Small - 8.5" x 11" (Per Page) QTY 5
Scanning Large - 11" x 17" or Greater (Per Page) QTY 2
WORKERS' COMPENSATION DECLARATION
I hereby affirm underpaaltyof perjury one of the fo ?lowing declaradon s:
[ ] I have and will mainryin a certcate of consent to self -insure for workers' ampensadon az provided for by Section3]00 of the Labor Cods for the performance of the work for which this permit is
ssued.
{-I.have and will maintain wcrkers'ecmprnsazion insurance,asnouired by actor 3]00 of the Lab or Code, for the performance of the work for which this permit is issued. Myworkers'compensation
bcliq information is: Carrier: CALIFORNIA INS CO PolicyNumber:7389507301 Expires: 10/012019
Agent Phone(949) 8784630
[ I I certify that in the performance 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 cf Cadfomia. and
agree that if I should become subject to the workers' compensation provision of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
WARNING: FAILURE TO SECURE 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE,
INTEREST, AND ATTORNEYS FEES.
LICENSED CONTRACTOR'S DECLARATION
1 hereby afford ceder penalty of perjury that I am licensed ceder provisions of Chapter 9 (commencing with Section 7000) of Division 3 ofthe Business and Professions Code, and my license is in full
force andeffea. License Not 4I374J�cense Clazs: ClO�. ._ r- .. _ v _.
ectk to NU 1 CUMMENI;EU I80 DAYS FAUM U TP E OF 15S[!`OF�TEIIS PERMTT, OR IFTHE WORK IS ABANDONED FOR MORE THAN 180 DAY
SUBJECT TO EXPIRATTON.
OWNER -BUILDER DECLARATON (Declaration Form Attached)
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance e£the work for which this permit is issued (Sea 3097, Civ. C).
DECLARATION BY CONSTRUCTION PERMIT APPLICANT
$y my signature below, I certify m ach of the following: I am
r�C I fomia licensed contractor, or
[ j The pmperty ewner"; or
[ ]Authorizd to act on the property owner's behalf
I certify that I have read this construction application and then the information I have provided is anal. I agree [o comply with all Ciry and County ordinates and en Laws relating to building
construction.en inspection
n responsible to ensure all improvements are consistent with all applicable HOA CC&Rs. [authorize representatives of this City or -County menter upon the above-idrntifed
Calif property L inspection purposes.
California Licensed Contractor, Progeny Owner* or Authorized Agent**
I understand that all ref we sub/act to processing fa as listed in the City Matter Fee Schedule.
Signature: �� Date:
*Req aaverification £crm
**Requhes te separate authorization form