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HomeMy WebLinkAboutF2018-0422 - PermitsCity of Newport Beach - Building Division > 100 Civic Center Drive, Newport Beach, CA 92660 H Permit Counter Phone (949)644-3288 m Job Address: 618 NARCISSUS AVE NB Inspector Area: 5 Owner: CASSIS ABRAHAM GEORGE Address: 501 ORCHIS AVE CORONA DEL MAR CA 92625 Phone: Applicant: VO JOHN Address: 9543 VICTORIA AVE SOUTH GATE CA 90280 Phone: 714-310-0194 Code Edit: 2016 Type of Construction: V -B -SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y FIRE Permit: F2018-0422 11111 F 2 9 1 6 9 4 2 211111 Project No: 1800-2018 �+ ULICArF Inspection Requests Phone (949)644-3255 i State Lie: State Lie: Worker's Compensation Insurance Description: SFRRRE. SPRINKLERS (38) HEADS (X2017-1155) Legal Description: CORONA DEL MAR SLK 641 LOT 20 Carrier: FALLS LAKE FIRE & CASUALTY Contractor: FIREGUARD SPRINKLER SYS INC Architect: Address: 9543 VICTORIA AVE Address: Phone: SOUTH GATE CA 90280 Fire Residential Alarm PC Fee : Phone: 714-310-0194 Phone: Con State Lie: 992002 Engineer: Lie Expire: 04130/2020 Address: Bus Lie: BT30046886 Lie Exp Date: 04130/2019 Phone: State Lie: State Lie: Worker's Compensation Insurance Designer: VO JOHN Carrier: FALLS LAKE FIRE & CASUALTY Address: 9543 VICTORIA AVE Policy No: FLA0080008-00 SOUTH GATE CA 90280 Expire: 12/2912018 Phone: 714.310.0194 Issued Date: 0 810 612 01 8 Special Conditions: Setback- Front: Rear: Left: Right: PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Construction Valuation: $6,000.00 Building PC Fee : $190.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $4.00 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: $0.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee : $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee: $225.00 TOTAL FEE : $419.00 Plan Check Fee : $419.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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) 3eclion 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 1e 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do.C.) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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). 1, 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 1 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 legalh ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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. ',ignature 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 Professions Code, and my license is in full force nd effect. icense Class License No Date Contractor Signature COMPENSATION DECLARATION 'ARNING: 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 I OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TD5 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 erformance of the work for which this permit is issued. Policy No. ]I have 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' compensa Isurance carrier and policy number are: Policy Number Date ne of Agent rnone ff 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 of California, and , if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Uate iECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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 y 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 to enter the above -identified property for inspection purposes. ACTION DATE BY DECLARATION OFCOMPUANCEMTHCODEOF FOR OFFICE USE ONLY FEDERAL REGULA77ONS PART 61 OFT17LE40AND AOMO RULE 1403. PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NO7/F/CATION T0:- ❑ EPA ❑ AOMD P€RMITCANCELLED PERMITLkTENDED ❑ ASBESTOS N017RCA170MIS NOTAPPUCABLE TO PROPOSEDDEMOUTION. 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