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Home My WebLink AboutF2018-0658 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII FIRE Permit: F2018-0658 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 6 5 8 Project No: 2871-2018 Permit Counter Phone (949)644-3288 `wEm�tk'a Inspection Requests Phone (949)644-3255 Job Address: 1520 KINGS RD NB Description: SFR FIRE SPRINKLERS (70) HEADS (X2017-2344) Inspector Area: 2 Owner: EPC HOLDINGS 897 LLC Address: 336 CATALINA DR Occupancy Group: NEWPORT BEACH CA 92663 Phone: 0 Applicant: VO JOHN Address: 526 N SHADY AVE No of Units: WEST COVINA CA 91790 Phone: 714-310-0194 Code Edit: 2016 992002 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 Construction Valuation: Building PC Fee : Building Overtime PC Fee: Building Extention Fee: Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee TOTALFEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $10,000.00 Legal Description: N TR 1219 BLK F LOT 3 Contractor: FIREGUARD SPRINKLER SYS INC Address: 9543 VICTORIA AVE SOUTH GATE CA 90280 Phone: 714-310-0194 Con State Lie: 992002 Lie Expire: 0413012020 Bus Lie: BT30046886 Lie Exp Date: 04/3012019 Worker's Compensation Insurance Carrier: FALLS LAKE FIRE & CASUALTY Policy No: FLA0080008.00 Expire: 12129/2018 Issued Date: 12/10/2018 Setback- Front: Rear: Left: Right: FEES $202.00 Fire Residential Alarm PC Fee $0.00 Planning Counter Review: $0.00 Planning Zoning PC Fee $0.00 $0.00 Public Works PC Fee: $0.00 Public Works Traffic Plan Check Fee; $240.00 Special Conditions: $0.00 Records Management: $4.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $446.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $446.00 OI HER gFP°ARSMENT: o•• o ° ° ° ° ° • °° LItN CHEC PKED®Y:: ° °.° •' AP°PROVAL TO ISSUE: • ••° •°° PERMIT EXPIRES 180 DAYS AFTER IgS1.,1A11b f 8R BAST ViiLIG INSPECTION °co o° Architect: Address: Phone: State Lie: ^'4° Engineer: - Address: Phone: State Lie: Designer: VO JOHN Address: 526 N SHADYDALE AVE WEST COVINA CA 91790 Phone: 714-310-0194 P0 Special Conditions: $0.00 Records Management: $4.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $446.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $446.00 OI HER gFP°ARSMENT: o•• o ° ° ° ° ° • °° LItN CHEC PKED®Y:: ° °.° •' AP°PROVAL TO ISSUE: • ••° •°° PERMIT EXPIRES 180 DAYS AFTER IgS1.,1A11b f 8R BAST ViiLIG INSPECTION °co o° IWNER-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). 7 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 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 n 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 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: :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 improvements covered by this permit, I cannot legaili ell 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://www.leginfo.ca.gov/calaw.htmi. 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 Secti n 700 ) of Division 3 of the Business and Profs sions od and ense is in full force nd effect. /', +Q icense Class License No Date 10 l U Contractor Signatur YORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDREDTHUS D DOLLARS ($100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 :mance of the work for which this permit is issued. Policy No. have and will ma' ain wfprkers' compensation insurance, as requy�d by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier and icv nhmber are: ,(� _ _ rte. / ! .^ , i of Agent a certify that, in the performan of f I should become su ct the rature of Applicant Date 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 ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision I , j ,.7,/ :reby affirm under penalty of perj rlyVthat 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 p pe owner's behalf. I have read this application and the information I he prov ed is correct. I agree to comply with all applicable city and county ordinan es and state laws relating to building construction. I authorize representatives of this city or count to ove-jdgntified property for inspection purposes. �C nature of Prooertv Owner or Authorized Aaent I Print Prooertv Owners or Authorized Aaenl's NainVC1 ACT/OM DATE BY r+cusrew rrUn wi.uasr•uslrvt.c enrnt,.wcvr X, • FEDERAL REGULATIONS PART 61 OFTITLE40AND •;IVMDRULE 1JQ. PERMITEXPIRED �❑ f SPENTIEDAS8P317O5.1rOAFICATiON TO. • • SPA PERMITCANCELLED '• • . �• AQW • • :. P£RMfTEXTEND£D LI ❑ ASBESTOSNORFICATI6NISNOTAPPC4BLETO PERMfTFtNAL PROPOSED DEMOUTION. CER77FWATEOF • OCCOPANCYISSt1ED Sl6N.bTOR�.