The URL can be used to link to this page

Home My WebLink AboutF2019-0606 - Permits0w1D� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II FIRE Permit: F2019-0606 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 6 0 6 Project No: 2474-2019 h _ _ Permit Counter Phone (949)644-3288 ,c7 ei2¢'a Inspection Requests Phone (949)644-3255 Job Address: 4 VIA AMBRA NB Description: SFR FIRE SPRINKLERS (13 HEADS) X2019-1606 Inspector Area: 6 Legal Description: INSPECTOR Owner: MINGXIANG HAN Contractor: PRECISION FIRE SYSTEMS Architect: Address: 4 VIA AMBRA Address: 27068 LA PAZ RD #212 Address: NEWPORT COAST CA 92657 ALSO VIEJO CA 92656 Phone: 714-630-6100 Phone: 949-337-3317 Phone: State Lic: Applicant: PRECISION FIRE SYSTEMS Con State Lic: 906248 Engineer: s o•°°°e ° ° Address: 27068 LA PAZ RD #212 Lic Expire: 11/30/2019 - Address: ° • o"O ° ALSO VIEJO CA 92656 Bus Lic: BT30062678 pp°Op0 Phone: 949.337-3317 Lic Exp Date: 09130/2020 .. Phone: State Lic: ° • ° o m° Code Edit: 2016 Worker's Compensation Insurance Designer: MCSTAY MIKE °°° Type of Construction: V -B -SPR Carrier: NOVA CASUALTY CO Address: °p°O®° °• 27068 LA PAZ RD #212 .... • ® ° Occupancy Group: R31U Policy No: SISWK10000015800 ALSO VIEJO CA 92656 Added /New sq.ft. Bldg: 0 Expire: 04129/2020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 11/08/2019 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear Bldg Sprinklers: Y Left: o • ° ° ° • ° ° ° Right: •o.• FEES Construction Valuation: $3,000.00 Building PC Fee : $202.00 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: $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 : 1 $444.00 Plan Check Fee : PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: v $0.00 Fee Due at Permit Issuance : $444:00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION LDER 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 requites 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or im roved for the purpose of sale). 1, as owner of the property, am�exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegallj sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Cods, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Pignature of PrdIJIL"Owner or Authorized Agent Date (fQEN$ED CC;NTRdCTOR'S DECLARATION I hereb�7 affirm fJnder{renalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine an sio e, and my license is in full force ahki effgct. LICehse Class ' License No Date - Contractor S IIVOR4ERS' C'IJMPFNSATION DECLARATION NAfMMG: FAILURE Td SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMP OYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU DRIED THOUSAND DOLLAR ,0001, IN ADDITION TO THE 909T.OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1 har¢By affirm ender penalty of perjury one of the following declarations: [-Dave and dill 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 omianceprtpg work for which this permit is issued. Policy No. We 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' compensatiol tan ce cacrie p 0 policy np er-ar �i ier �� Policy Number �/�G✓!�/ ®000945M Expiration Date i% 2.� '/ --� `2-f7 ie of Agent Phone # certify that, in the Performa a of thalrWZk for which this permit i ssued, I shall not employ any person in any manner so as to become subj ct to the workers' compensation laws of California, and agre if I should becoma w lect.to vy <ers'Sadfp is�tierl'pTOgis ns of Section 3700 of the Labor Code, shall forthwith comply with those isions./ I hereby affiiyt rider pe perjury that there is a construction lending agency for the performance of the work for which this permit is ilidued (Section 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 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 c nc state laws relating to building construction. I authorize representatives of this city or cc nt Rt ntifi d property for inspection purposes. Signature of Property Owner or Au gent Print Property Owner's or Authorize ent's Name G D ACTION DATE BY DECLARATION OF COMPLIANCE MTNCODEOF FOR OFFICE USEONLY FEDERAL REGULATIONS PART 61 OF TITL.E40AND PERMIT EXPf RED AOMD RULE 1403. ❑ I SUBMITTED ASBESTOS H077FIC-ATION TOL PERMITCANCELLED ❑ EPA PERMIT EXTENDED ❑ AQMD ❑ ASBESTOS N017RCA770NIS NOT APPLICABLE TO PERMITFINAL (( / PROPOSED DEMOLITION. CERTIFICATEOF OCCUPANCYISSUED SIGNATURE.