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Home My WebLink AboutF2019-0251 - PermitsYF1 City of Newport Beach - Building Division IIIIIIIIIIIIIIIillllll�lillllllllllllll `. 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 2 5 h _ Permit Counter Phone (949)644-3288 E yes 1 FIRE Permit: F2019-0251. Project No: 0949-2019 Inspection Requests Phone (949)644-3255 Job Address: 1501 MARINERS DR N13 Description: SFR NEW FIRE SPRINKELRS (57) HEADS (X2018.3597) $7,500.00 - *REVISED 07/15/2019 Building PC Fee: $202.00 Inspector Area: 3 Legal Description: N TR 3004 LOT 38 Building Overtime PC Fee: $0.00 Planning Counter Review: Owner: HALL RANDALL Contractor: FIREGUARD SPRINKLER SYS INC Architect: Planning Zoning PC Fee : $0.00 Address: 1501 MARINERS DR Address: 9543 VICTORIA AVE Address: $0.00 NEWPORT BEACH, CA 92660 $0.00 SOUTH GATE CA 90280 $0.00 $0.00 Fire Permit Fee : Phone: Phone: 714-310-0194 Phone: State Lie: $240.00 Applicant: VO JOHN Con State Lie: 992002 Engineer: $446.00 Plan Check Fee : Address: 526 N SHADYDALE AVE Lie Expire: 04130/2020 Address: WEST COVINA, CA 91790 Bus Lic: BT30046886 Phone: 714-310-0194 Lie Exp Date: 05131/2020 Phone: State Lie, Code Edit: 2016 Worker's Compensation Insurance Designer: VO JOHN Type of Construction: V -B -SPR Carrier: FALLS LAKE FIRE & CASUALTY Address: 526 N SHADYDALE AVE e.�.. Occupancy Group: R31U Policy No: FLA0080008 WEST COVINA, CA 91790 Added /New sq.ft. Bldg: 0 Expire: 12129/2019 Phone: 714-310-0194 Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 0 412 912 01 9 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: N Left: Right: PROCESSED BY: ® m * a_ a "m'. .6JHER'aEPAV1MENT: ZONING APPROVAL: E m 4 =, 4 I :PLAN CffacIQE4CP BY:: FIRE APPROVAL: �� `E ` pAPPROVAL TO ISSUE: V I 0 4. m PERMIT EXPIRES 180 DAYS AETERJS�SU1fK1C� (}R cAST'VhLID INSPECTION FEES Construction Valuation: $7,500.00 Building PC Fee: $202.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $4.00 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 : $446.00 Plan Check Fee : $446.00 Fee Due at Permit Issuance: $0.00 PROCESSED BY: ® m * a_ a "m'. .6JHER'aEPAV1MENT: ZONING APPROVAL: E m 4 =, 4 I :PLAN CffacIQE4CP BY:: FIRE APPROVAL: �� `E ` pAPPROVAL TO ISSUE: V I 0 4. m PERMIT EXPIRES 180 DAYS AETERJS�SU1fK1C� (}R cAST'VhLID INSPECTION ER -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 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 (_) all of or U 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 Improved 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). ❑ I 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 legalh 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect' n 70 90) of Division 3 of the Business and Profes ions od and my license is in full force and effect.1j 4� -1cense Class License No Date - � I Contractor Signatur NORKERS' COMPENSATION DECLARATION IT--T— NG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THWdAND DOLLARS ($100,000), IN ADDITION TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 .a of the work for which this permit is issued. Policy No. have and wi - 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' rri rance came a IicY number: ie of Agent certify that, in the pf , if I should become Date I oftie 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 �lorkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio4. Signature of Applicant A I1 / I DECLARATION REMRDIII CO5 RUCTION LENDING AGENCY I hereby affirm under penalty of peri ry that there is a construction lending agency for the performance of the work for which this permit is issued (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 pro a owner's behalf. I have read this application and the information I have provi ed is correct. 1 agree to comply with all applicable city and cou ty o divan as and state laws relating to building construction. 1 authorize representatives of this city or cou ty en er the bove-identified property for inspection purposes. // Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam,,( < In 11 AC77ON DATE BY DECLARATION OF COMPLIANCEWITH CODEOF L FOR40FRCEUSEOIVLY Ff0ERAL(2EGU .ATIONSPARTBf OFTITLE40AND t1QIWD.RYC61�LGi. 1SLONITEPAWEVUS.fnTIFICATIONTO. . 13 . FSA .. .. 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