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Home My WebLink AboutF2019-0116 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII FIRE Permit: F2019-0116 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 1 1 6 Project No : 0477-2019 r. Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 109 26TH ST NB Description: SFR FIRE SPRINKLERS (24) HEADS (X2018-1239) Inspector Area: 1 Legal Description: NEWPORT BEACH CITY BILK 26 LOT 31 s `" Owner:. THON CARL F Contractor: FIREPROOF FIRE PROTECTION Architect Address: 2800 OCEAN LN Address: 1101 KINGSTON DR " Address: NEWPORT BEACH CA 92625. LA HABRA CA 90631 - +� Phone: Phone 714476-5370 Phone: State Lic: Applicant: CASEY DENISE Con State Lie: 876004 Engineer: " Address: 1101 KINGSTON DR Lie Expire: 04/30/2020 Address: ® p7 €�..: LA HABRA CA 90631 Bus Lie: BT30040107 Ys� Phone: 714476-5370 Lie Exp Date: 08131/2019 Phone: State Lie, .� e Code Edit: 2016 Worker's Compensation Insurance Designer: CASEY MONTY ;- Type of Construction: V-BSPR .Carrier: NORGUARD INS CO Address: 1101 KINGSTON DR Occupancy Group:.. R31U Policy No: MOWC002750 LA HABRA CA 90631. Added /New sq.ft.. Bldg: 0 Expire: 02115/2020 Phone: 714476-5370 Added /New, sq. ft. Garage: 0 No of Stories: 3 Issued Date: 03/0412019 Special Conditions: LIQUEFACTION AREA No of Units : 0 Setback- Front: Flood Zone: 0.2 Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $2,400.00. Building PC Fee: $202,00 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 ; $240.00 TOTAL FEE : $446.00 Plan Check Fee `. $0.00 Fee Due at Permit Issuance: $446.00 PROCESSED BY: a m_ o m °o a °c • °'QTHER DEPARTMENT: .ZONING APPROVAL:` �, PLAN CHECKED BY:: m mme o ° m .FIRE APPROVAL: APPROVAL TO ISSUE: mcc a moa eo raj .. PERMIT EXPIRE':$ 180 bAYS�AFTkR �%SUAWE OR LAST VALID INSPECTION m o c e c m o 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). ❑ 1, 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, 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 im roved 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 legalh 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 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 and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION 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 DOLLAR 100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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 ormance of the work for which this permit is issued. Policy No. I have and wii aR@intain 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' compensal Isurance carrier nd p licy number a� :arrier li y r Expiration Date lame f Agent 1 Phone # 3 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 ac iat, if I should become sL1bjlenrtD4ke workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr3yisions. nature of ApplicantX -� �� "DateV �\� CLARATION REGARDING CONSTRUCTIONy�,NDING AGENCY - 1 treby 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 ,uilding construction. I authorize representatives of this city or county ,]yp,'t thea e-IdeQtified prope or inspection purposes. nature of Prooertv Owner or Authorized Acent N Print Property Owner's or Authorized Agent's Name s`1 ACTION DATE RYDC LAf IrUN Ur t.Ulvtr"Anur vvr r n wvc air RAL RfiGy141104 PART.61 OF TIj LE40 AND PERMIT€XPIRED AQMD 140. ❑ f st�4TE AseEttlSs ho71HcdrrON7o. PERMITCANCELLED ❑ IWA : • : • • • :.. • . PERMITEXT€NDED ❑ AQMD ❑ ASBESTOS NOIIRCA170MIS NOT APPLICABLE TO PERMITFINAL ^ ^I PROPOSEDDEAV"TION. ... 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