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Home My WebLink AboutF2019-0531 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII FIRE Permit: F2019-0531 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 5 3 1 Project No; 2129-2019 0 Permit Counter Phone (949)644-3288 .Inspection Requests Phone (949)644-3255 Job Address: 20411 BIRCH ST NB - Description. COMM FIRE SPRINKLERS (8) HEADS (X2019-2306) Inspector Area: FIRE Legal Description: TR 706 LOT 61 62 AND POR. OF LOTS 63 64 65 & 66. - Owner FERRADO BAYVIEW LLC: Contractor: FIRE SAFETY FIRST Architect Address: 20411 SW BIRCH ST #360 — . Address: 1170 E FRUIT ST. Address: NEWPORT BEACH,CA 92660 - SANTA ANA CA 92701 Phone Phone: 714.836.4800 X137 Phone: State Lic: - - Applicant:. MANNY/FIRE FIRST .Con State Lie: 599761 Engineer. Address:. "1170 EFRUIT ST Lie Expire: 0813112020 Address: SANTA ANA CA 92701 Bus Lie: BT00009906 - Phone. 714.836-4800 Lie Exp Date: 06/30/2020 Phone: State Lie: Code Edit : 2016 Worker's. Compensation Insurance Designer: SANCHEZURIEC - Type of Construction II -A -SPR - .Carrier: CYPRESS INS CO Address:-- 1170 E FRUIT ST Occupancy Group: B Policy No`. BRWC916820. - SANTA ANA CA 92701 Added /New sq.ft. Bldg: 0 Expire: . 11/0112019 Phone: 714-836-4800 Added /New sq. k.. Garage: 0 - No of Stories: 3 Issued Date: 1010112019 Special Conditions: No of Units : 0 Setback- Front Flood Zone: X Rear. Bldg Sprinklers:.. Y Left: Right: N, FEES Construction Valuation: $4,250.00 - - Building PC Fee : $0.00 Fire Residential Alarm PC Fee : $0.00 - Records Management: : $2.00 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: - $152.00 Public Works PC Fee: $0.00 $0.00. - Fire Permit Fee . $197.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $351.00 Plan Check Fee: $152.00 Fee Due at Permit Issuance : $199.00 PROCESSED Bt ' - OTHER DEPARTMENT: ZONING APPROVAL: n � „z� ` PLAN CHECKED BY:: FIRE APPROVAL: Ver 4 APPROVAL TO ISSUE: G . " ° ° s, ` ° PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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) lection 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 ie 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 L) 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 n roved for the purpose of sale). - I, as owner of the property, am exclusivelycontracting 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). I 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 legall, 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.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 Sect! n 7 00) of Division 3 of the Business and *eionsCode an y lic rise is in full force nd effect. icense Class License No Date Contractor Signat re IIORKERS' 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 THE OST 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: 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 Code, for th amance of the work for which this permit is issued. Policy No. 3I h ve 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' compensatioi aur nce carrier and policy number are: ler Policy Number Expiration Date Name of Agent Phone # I certify that, in the perfor an he work f whi this poisissLXid, I shall not employ any person in any manner so as to become subject to the wor ers' mpensation laws of California, and agrethat, if I should become subj t t t r m sationaction 3700 of the Labor Code, I shall forthwith comply with thos rov' ions. Signature of Applicant D to DECLARATION REG C S RUCTION CENDING A ENCY I hereby affirm under penalty f perjury that there is a constru tion lending agency for the performance of the work for which this permit is issued ( action 3097, Civil Code). Lender's Name Lender's Address By my signature below, I Certify to each of the following I am the property owner or authorized to act on the roperty owner's behalf. I have read this application and the information I h e provided is correct. I agree to comply with all applicable city and count rd' �nces a stat w relating o building construction. - i authorize representatives of this city or co ty toe to a !dent' party for inspection purposes. I(J Signature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Name Date AC77ON DATE BY DECLARATIONOFCOMPUANCEMTNCODEOF FOR OFFICE USEONLY FEDERAL REGULATIONSPART &1 OFTITLE40AND AQMDRULE 1403: .,. ,. •• ':• •� . PEFMtTEXPlRED ❑ ISUBMITTEDASBESTOSN071FICATIONTO: ❑ EPA - a PERMITCANCELLED ❑ AQMD ❑ ASBESTOS NOTiNCATTONIS NOT APPLICABLE TO. • e PERMIT EXTENDED PERMIT FINAL : ( ( ( PROPOSED DEMOLITION ... •'• •• CERTfFfCATEOF OCCOPANCYISSUED SIGNATURE: ; - . �• • • •••