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Home My WebLink AboutF2019-0056 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 0 5 6 Permit Counter Phone (949)644-3288 Job Address: 4701 SURREY DR NB Inspector Area: 5 Owner: PLEASANTVILLE RD PTRS Address: 1 CORPORATE PLAZA DR #110 NEWPORT BEACH CA 92660 Phone: Applicant: FIREGUARD SPRINKLER SYS INC Address: 9543 VICTORIA AVE SOUTH GATE CA 90280 Phone: 714.310-0194 Code Edit: 2016 Type of Construction:. V -B -SPR Occupancy Group: R31U Added /New sq.ft. Bldg:. 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units [ 0 Flood Zone: 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: FIRE Permit: F2019-0056 Project No : 0242-2019 Inspection Requests Phone (949)644-3255 ne '.m• s•• o ass •• r ° ° ° • • OTHER DEPARTMENT: ° c ° • s • - +f «h s PLAN CHECKED BY:: APPROVAL TO ISSUE: PEPMIT kXPIRIFS f80WfS ArTaR ISSUANCE OR LAST VALID INSPECTION $4.00 $0.00 $0.00 $0.00 Description: SFR FIRE SPRINKLERS (47HEADS) X2018.0177 •REVISED. REV19-0344 Legal Description: N TR 3519 LOT 67 $0.00 Records Management: $0.00 Contractor: FIREGUARD SPRINKLER SYS INC Architect: Planning Zoning PC Fee: Address: 9543 VICTORIA AVE Address: - SOUTH GATE CA 90280' $0.00 $0.00 Phone: 714-310-0194 Phone: State Lie: Con State Lie: 992002 Engineer: $446.00 Fee Due at Permit Issuance Lie Expire: 04130/2020 Address: Bus Lie: BT30046886 Lie Exp Date: 0413012019 Phone: State Lip: Worker's Compensation Insurance Designer: VO JOHN Carrier: FALLS LAKE FIRE 8,CASUALTY . Address: 526 N SHADYDALE AVE Policy No: FLA0080008 WEST COVINA CA 91790 Expire: 1212912019 Phone: Issued Date: 0112912019 Special Conditions: Setback- Front: Rear: Left: . Right ne '.m• s•• o ass •• r ° ° ° • • OTHER DEPARTMENT: ° c ° • s • - +f «h s PLAN CHECKED BY:: APPROVAL TO ISSUE: PEPMIT kXPIRIFS f80WfS ArTaR ISSUANCE OR LAST VALID INSPECTION $4.00 $0.00 $0.00 $0.00 FEES $8,000.00 $202.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee: $0.00 $0.00 $0.00 Public Works PC Fee: $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $240.00 $446.00 Plan Check Fee: $446.00 Fee Due at Permit Issuance ne '.m• s•• o ass •• r ° ° ° • • OTHER DEPARTMENT: ° c ° • s • - +f «h s PLAN CHECKED BY:: APPROVAL TO ISSUE: PEPMIT kXPIRIFS f80WfS ArTaR ISSUANCE OR LAST VALID INSPECTION $4.00 $0.00 $0.00 $0.00 )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 Irofessions 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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). 1, 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below 1 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, 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 Irofessions 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 miz-77 lo 7000)Sion 3 of the Business and P fess ns Code, end my license is in full force nd effect. Ind;Aicense Class License No DaplContractor Signatur VORKERS' 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 ($100,00D), IN ADDITION TO TKE 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 erfornance of the work for which this permit is issued.. Policy No. and willrl 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' carrier a Dolicv number are: .. is of Agent �\ certify that, in the phi if I should become iature of Applicant Date r of t 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 the rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i , �.: �reby affirm under penalty of pe6 4 that there is a construction lending agency for the performance of the work for which this permit is 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 prAed is correct. I agree to comply with all applicable city and county ordipstrules and state laws relating to building construction. I authorize representatives of this city or count enter the Bove -identified property for inspection purposes. nature of.Prooertv Owner or Authorized Acent Print Propertv Owner's or Authorized Agenl (Section 3097, Civil Code). 0 V Gy ACTIDN DATE V BY utr-+-/+ +rrW1"ter-vrnrursrva.c rrrrn�wc�r rin vrrrr.c rs�c vrv�r FEDERAL REGULATIONS PAf?f til Of'TITL'E 40ANB • : . PERMITEXPIR€D AQMDRULE 1403. - • e s ❑ ISUBMITTED ASOE$17%J1O1F{CAT1QNjOt PERNRTCANCELLED ❑ EPA " • ' ' " PERA41TEXT€NDED ❑ AQMD ❑ ASBESTOS NOHHCARONJS NOT APPLICABLE TO PERMITFINAI PROPOSED DEMOLITIQM-: • • : . • • • • • .0. •:• .. CERTPRCAT€QF ' " • " • • ' SIGNATURE: " • " •• • ffCCt/.PANCYLSSDED " : • " • • •• ••• • •• •• •••