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Home My WebLink AboutF2018-0373 - PermitsCity of Newport Beach - Building Division I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIUI�IIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 a ,.... cwtisnY�n*g . Job Address: 921 CLIFF OR NB Inspector Area: 2 Owner: MASLINATI MANNAWI Address: 25376 PACIFICA AVE Occupancy Group: MISSION VIEJO, CA 92691 Phone: 0 Applicant: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR No of Units : LA HABRA CA 90631 Phone: 714.476-5370 Code Edit: 2016 Contractor: Type of Construction: VB -SPR Occupancy Group: R311.1 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Flood Zone: Lic Exp Date: Bldg Sprinklers: Y FIRE Permit: F2018-0373 Project No: 1636-2018 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (d0 HEADS) X2017-2882 Legal Description: N TR 1218 LOT 96 Contractor: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714.476-5370 Con State Lic: 876004 Lic Expire: 04130/2020 Bus Lic: BT30040107 Lic Exp Date: 0 813112 01 8 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: MOWC901180 Expire: 0211512019 Issued Date: 06/27/2018 Setback- Front: Rear: Left: Right: Architect: Address: INSPECTOR Phone: State Lic: Engineer: Address: Phone: State Lic: Construction Valuation: Designer: CASEY MONTY °®co Address: 1101 KINGSTON DR 00 0 uooc ° e LA HABRA CA 90631 0000 °oo°°o Phone: 714.476.5370 Building Overtime PC Fee: $0.00 Special Conditions: $0.00 Building Extention Fee: $0.00 Planning Zoning PC Fee : $0.00 Building Investigation Fee : $0.00 c o0 00 ° $0.00 Fire Plan Check Fee: owm ° c c 0ouco $0.00 $0.00 oc c e0000 PROCESSED BY: s ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: —.r— PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION �csr FEES Construction Valuation: $4,500.00 00 0 uooc ° e Building PC Fee : $190.00 Fire Residential Alarm PC Fee : $0.00 Records Management : • ° $6m.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 : $421.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $421.00 PROCESSED BY: s ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: —.r— PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION )WNER-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 is 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 (_) all of or (_) 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 nprovemehts 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 only 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). ] I am exempt from licensure under the Contractors' State License Law for the following reason: sy 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 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. 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 70P0) of Division 3 of the Business and Professions Code, and my lice as is in full force nd effect. '�/ �t license Class License No Dat" !� Contractor Sure - _ VORKERS' CQMPENSATION DECLARATION IARNING;,FAILURE-"SMURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN OL S ($100,0001, IN ADDITION TO THE ,DOW 00 P.OMPENSPJI 44,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm *dbLgdnalty of perjury one of the following declarations: 1 JVle 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 Ice of the wgrk for which this permit is issued. Policy No. and wififiaintain 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 and policy number are: % Policy Number Expiration Date j%Qf Agent ceRify that} ice 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 to the workers' compensation -provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. hereby affirm under penalty of perjury that there is a co action lending agency for the performance of the work for which this permit is issued (Section 3097, CIA 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 owner's behalf. I have read this application and the information I have providrrect. I agree to comply with all applicable -city and county ordinances and sta la I authorize representatives of city or counf(TFLI*r the above-identifie ACTION DATE PERMITEXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL I CERTIFICATEOF OCCUPANCYISSUED BY relating to building construction. 3perty for inspection purposes. Print Propertv Owner FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 7403. ❑ f SUBMITTEDASBESTOS NOTIFICATION TO. ❑ EPA ❑ AQMD ❑ ASBESTOS NORFICATIONIS NOT APPLICABLE TO PROPOSEDDEMOLIT/ON. SIGNATURE: