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Home My WebLink AboutF2018-0089 - Permits� gRtp4 0 CivicCNewDportNewport Bea Beach, CAt��660g°Division etll9ll� �l;III�II�II�I��I�III��II�IIIIII y Permit Counter Phone (949)644-3288 ° • ° a • • ° ° o e o e e e e e m e eoe o e • •s• •a b Job Address: 2928 OCEAN BLVD NB Inspector Area: 5 328187 -(AND. 9543 VICTORIA AVE Owner: 2928 OCEAN LLC Address: 120TUSTIN AVE #C Con State Lie: NEWPORT BEACH CA 92663 Phone: 04130/2018 Applicant: VO JOHN Address: 526 N SHADYDALE AVE Worker's Compensation Insurance WEST COVINA CA 91790 Phone: 714-310-0194 Code Edit : 2016 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: No of Units Flood Zone: Bldg Sprinklers: Construction Valuation V -B -SPR R3 0 0 FIRE Permit: F2018-0089 Project No: 0378-2018 Inspection Requests Phone (949)644-3255 ••• e• e o o e °• 1 1Qir+e�f� m m •° e° mm m m • • • ® ®m ° •. ° Desoaiptiorx SFR - NEW FIRE SPRINKLERS (104 HEADS) X2016.1986 Legal Description: RESUB OF CORONA DEL MAR LOT 1 BILK 35 POR AS DESC IN DO -D Contractor: FIREGUARD SPRINKLER SYS INC Address: 9543 VICTORIA AVE $0.00 SOUTH GATE CA 90280 Phone: 714-310.0194 Con State Lie: 992002 Lie Expire: 04130/2018 Bus Lie: BT30046886 Lie Exp Date: 04/30/2018 Worker's Compensation Insurance Carrier: FALLS LAKE FIRE & CASUALTY Policy No: FLA0080008.00 Expire: 12/2912018 2 Issued Date: 02/1512018 0 Setback- Front: Rear: Y Left: Right: Building PC Fee : Building Overtime PC Fee: Building Extention Fee: Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee: $13,000.00 FEES $190.00 Fire Residential Alarm PC Fee $0.00 Planning Counter Review: $0.00 Planning Zoning PC Fee $0.00 VO JOHN $0.00 Public Works PC Fee: $0.00 Public Works Traffic Plan Check Fee; $225.00 II TOTAL FEE : $419.00 Plan Check Fee: PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: Architect Address: N;Q U, CTOR Phone: State Lie Engineer: Address: Phone: State Lie: Designer: VO JOHN Address: 626 N SHADYDALE AVE WEST COVINA CA 91790 Phone: Special Conditions: $0.00 Records Management : $4.00 $0.00 $0.00 $0.00 $0.00 $0.00 - $0.00 $419.00 Fee Due at Permit Issuance : $0.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION xt to the NNER-BUILDER DECLARATION .• .•. • . .• .• ••. I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for it! reasoc;s)+ndicel tad-beloµ%b` the checkmark nor have placed issuance requires lapplicant sP0 action 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alteg iiJlprovj, Qenj $ .o Yenp airy P e permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' 9t21teticense Law fChapter "a(Immencing with Section 7000) of Division 3 of the Business and "ofessions 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 It more than five hundred dollars ($500). ]I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or•.) portions oS t6 work, and the.sbuclure is not intended or offered for sale (Section 7044, usiness and Professions Code: The Contractors' State License Law does not apply to an owner of prope0g Who,.throLgd e141p:)y4es• oi!PAs*ajeffort, builds or improves the property, provided that the iprovements are not intended or offered for sale. If, however, the building or improvement is sold within 8V yeq Qf corRpll%tion•tfie Oe$ner-BhUder will have the burden of proving that it was not built or 'proved for the purpose of sale). I, as owner of the. actors to construct the pa licensed Contractor pursuant to the Contractors' State License Law). ect (Section 7044, Business and. Professions Code: The Contractors' State License Law does not property, am exclusively contracting with licensed Contr )ply to an owner of property who builds or improves thereon, and who contracts for the projects with a lice I am exempt from licensure under the Contractors' State License Law for the following reason: y 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 improvem Cents covered by this permit, I cannot lega all 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 rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Iwww.leginfo.ca.gov/calaw.htmi. Date ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ec on of Division 3 of the Business and Prof ssio Cod apd my license is in full force nd effect. D to .71100) Contractor Signatur �- icense Class License No YORKERS' COMPENSATION DECLARATION EARNING: 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 (E100,000), IN ADDITION TO T' :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 Cade, for rmance of the work for which this permit is issued. Policy No. required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensal have and will maintain workers' compensation insurance, as tTs rance carrier and policy number are: Expiration Date � mr Policy Number DF — s is of Agent certify that, in the perfor ante ofhe work for which this permit is issued, I shall not employ any person in any manner so as to become Subject the compensation laws of California, an if I should become subj ct to rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions �— Date_L ignature of Applicad IECLARATION RE DIN TRUCTION LENDING AGENCY hereby affirm under penalty of p fury that there is a construction lending agency fo fCrna Lendehe r's Address formance rice of the work for which this permit is antler's Name Iy 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 1 have 00,0ided is correct. I agree to comply with all applicable city and county orfinan es and state laws relating to building construction. I authorize representatives of this city or county to ent r the e -identified property for inspection purposes. Drin+ ornnedv owner's or Authorized Agen ACTION DATE BY FEDERAL REGULATIONSPART 61 OF TITLE40AND AQMDRULE 1403. ❑ t SUBMtTTEDASBESTOS N07FFfCATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NO77FICA7IONIS NOT APPLICABLE TO PROPOSEDDEMOLITION. SIGNATURE: :YP[RED ;ANCELLEO :KTENDED =tNAL Z ATE OF OCCU.PANCYISSUED 3097, Civil Code). Date TI a AW M o Pr 12 Fl 'Y C N c m a Cl SVapo � m c S m a O N w" d D m m c U) IL of m a u n ❑ ❑❑❑ ❑ ❑❑ U Qa U o h Ao� Aim d m U U o U v 0 TI a AW M o Pr 12 Fl 'Y C N c m a Cl SVapo � m c S m a O N w" d D m m c U) IL of m a u n ❑ ❑❑❑ ❑ ❑❑ d m V m ru ° Q N oa N 2 mU y O uj a o N Z Z E a E c C a_ EE o m `o c O m c ` �a 6 m v w rm 0. c U'� tm x a w .� Z J CL cd a d v°�I a s CL 0 `d O IL O 0 fq W ZI w 0 W i' in s IT n 0 0 0 0 ❑ ❑ 0 ❑ 0 0 ❑ ❑ ❑ to