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Home My WebLink AboutF2019-0583 - PermitsCity of Newport Beach - Building Division IIIIIilllllllllllllllllllllll�lllllllllllllllllll FIRE Permit: F2019 -05H • �' 100 Civic Center Drive, Newport Beach CA 92660 F 2 0 1 9 0 5 a -3 Project No : 2366-2019 I+ •, Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 1713 E BAY AVE NB Description: SFR FIRE SPRINKLERS (304(85 X(200,119y-0645) Inspector Area: 1 Legal Description: BALBOA TR EAST SIDE ADD LOT 7 BLK 26 ALL -INC S112,R93u 70, ADJ ON - ttvo Owner. B DESCENDANTS Address: 1525 ORLANDO RD Contractor: Address. CRAIG FIRE PREVENTION- INC Architect 123 E CENTRAL AVE ss: 911 PASADENA CA 06 MONROVIA CA 91016 Phone: Phone. 626-357-4045 '. -Phon State Lie: Applicant JOHNATHON/CRAIG FIRE Con State Lie. 1037827 Engineer Address. 123E CENTRAL AVE Lie Expire: 0413012020 -:.Address: MONROVIA CA 91016 Bus Lie . BT30048335 Phone. 626.357.4045 -- 'tic Exp Date:,: 08/30/2020 Phone: State Lie: Code Edit : 2016 Worker's Compensation Insurance Designer: MARTINEZ ALEE Type of Construction V -B -SPR Carrier ..AMERICAN FAMILY HOME Address: 123 ECENTRAL AVE Occupancy Group: R3/U Policy No: 2EABWC000051801 MONROVIA CA 91016 Added/New sq.ft. Bldg: 0 Expire: 02/11/2020 Phone 626.352.4045 +.. Added /New sq. ft. Garage: 0 - No of Stories' 3 Issued Date: 10/28/2019 -Special Conditions HIGH DENSITY - No of Units : ;:- 0 Setback- Front Flood Zone X Rear Bldg Sprinklers:- ':Y Left: Right' i FEES Construction Valuation '$6,400.00 Building PC Fee : :. $202.00 Fire Residential Alarm PC Fee : '. $0.00' Records Management`. $0.00 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 : $�4442...0�00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $442.00 PROCESSED BY: 6 • �. �.` . OtHER.MPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL • c I. -APPROVAL TO ISSUE: e c e e c c- PERMIT EXPIRES 180 GAYS 571=TERYS8UANEe'1014?'AST VALID INSPECTION OWNER-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) (S ction 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, alsorequires 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 permitsubjects 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 L) 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 personaleffort, builds or improves the property, provided that the improvements are not intended oroffered 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 rovedforth 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 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: Byj 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 legal) 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 copyof the applicable law, Section 7044of 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.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the. Business and. Professions Code and my icense Is in full force antl effect. / y� '" 1 /�`v License'Class License No Date 112 �� Contractor Signature WORKERS' COMPENSATION DECLARATION IF WA�NING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I have and ;will maintain a certificate of consent to self-insurefor workers'compensation, issuedby the Director of Industrial Relations as provided for by Section 3700 of .the Labor Code, for th pe ormance of the work for which this permifis issued. Policy No. ;. - �I have and will ma t workers' compensation insurance, as regwred by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio surance career and p is number are: �'1 Caner ^ PoliL'ry r Expiration Date Phone # ❑' certify [hat, in the perform ce of the work far which this permit is issued, shall nofemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should becom s ct to �o rs' compensation provisions of.Section 3700 of the Labor Code, I shall forthwith comply with those pr_ovl/slgns. Sijnature of Applicant - �� Dat 2 ?M DF�CLARATION REGARDING CONSTRUCTION LEffDING AGENCY ` - I hereby. affirm under penalty of perjury that there isa constructionlending 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 property. owner's behalf.. - I have readthis application and the information I have provided is correct I agree to comply with all applicable pity and county ordinances and state. laws relating to building construction I authorize representatives of thiscity or county to er th 'dentifi .property for inspection purposes T �/ d >�- Si nature of Property Owner or Authorized Agent h !�^ Print Property Owner's orAuthorized Agent's Name �0 II e� Lrw: Da / AC77ON DATE ' BY. OECLARATIDNOFCOMPLIANCEtWTHCODEOF IF FOR • OFFICE USE ONLY FE05RI4L•REGUb-AT1@NJPARJGf 01-•ARE40AND 4QMDR:ILE 7403.: . . . IPERMITEXPfRED , (,+] d. StabI?TF04S TCS 001IF44TION TO. • ❑.• EPA ❑ AQMD PERMIT CANCELLED :. �P£RMfTEXTENDED .:.. ❑ ASBESTOS M071FICAIIONIS NOT APPLICABLE TO Prcrnosrr;oMgungN..'. ':' • • • • • • • ,..• S[G1JAJUR1!:: FERMITRNAL ^7_7-� 0 pew-- CERTFICATEOF OCCUPANCYISSUED - ZI ❑❑❑❑ ❑❑ El❑❑❑ ❑ ❑❑ r C4 M Rf M El 0000 00000000❑19 J W n I