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Home My WebLink AboutF2019-0505 - PermitsCity of Newport Beach - Building Division llllllllllllllllllllillllllllllllllllllllll Permit: F2019-0505 PROC MSLE'i`1IBY: ..o ! Construction Valuation:. $3,000.00 ` � PLAN 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: .FIRE 100 Civic Center Drive, Newport. Beach, CA 92660 $0.00 F 2 0 1 9 0 5 0 5 Project No `. 2003-2019 . 0,nl; Permit Counter Phone (949)644-3288 r $0.00 Fire Plan Check Fee: $0.00 Public Works PC Fee: $0.00 -'. $0.00 Fire Permit Fee .. n rnw*Pr Public Works Traffic Plan Check Fee; $0.00 Inspection Requests Phone (949)644-3255 $240.00 Job Address:2826 CATALPA ST NB TOTAL FEE : Description: SFR FIRE SPRINKLERS (30 HEADS) X2019-1047 Inspector Area 8 Legal Description: N TR 5018 LOT 71 Owner: ANDREW YUNGWOO PARK Contractor: FIREPROOF FIRE PROTECTION - Architect Address: - 2826 CATALPA ST Address: 1101 KINGSTON DR Address: NEWPORT BEACH CA 92660 LA HABRA CA 90631 Phone: Phone: 714-476.5370 Phone: State Lie: Applicant: FIREPROOF FIRE PROTECTION Con State Lie: 876004 Engineer. - Address: 1101 KINGSTON DR Lie Expire: 04130/2020 Address: LA HABRACA 90631 Bus Lic: BT30040107 Phone: 714.476.5370 Lie Exp Dater 07/31/2020 Phone: - State Lic:. Code Edit- 2016 Worker's Compensation Insurance - Designer: CASEY MONTY Type of Construction: V -B -SPR Carrier: NORGUARD INS CO Address: 1101 KINGSTON DR Occupancy. Group: R3/U Policy No: MOWC002760 'LA HA13RA CA 90631 Added /New sq.ft. Bldg: 0 .Expire: 0211512020 Phone:- Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 09118/2019 Special Conditions: of : - 0 Setback- Front' Fl ZoneOT or Flood Zone Rear. C2. , a p�..�y Bldg Sprinklers: Y Left: ` `-^� "" Right FEES PROC MSLE'i`1IBY: ..o ! Construction Valuation:. $3,000.00 ` � PLAN 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 r $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 : $202.00 Fee Due at Permit Issuance : $244.00 PROC MSLE'i`1IBY: ..o ! OTHER DEPARTMENT: ZOKVOIY AP.RROVALe ° ` � PLAN CHECKED BY:: FIRE APPROVAL: ° "o APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST 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) (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). ❑. 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 Lawdoes 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 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 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.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 m�Iinse is in full force and effect.. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL S 700,0001, IN ADDITION TO THE COST 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: 111 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 thr uerformance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date is of Agent rnone s certify that, in the performance of the 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of S& CLARATION REGAf;H1NG CONSTRUC N LENDING AGENCY ;reby affirm under penalty of perjury that tere' a construction lending agency for the performance of the work for which this permit is iss d (Section 3097, Civil Code). 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 provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE IBY DEC RATfONOFCOMPIJANCEMTHCODEOF FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMDRU1E14U3. 1 SUBMfTTEDASBESTOS M 77FICATIDN TO: [3 EPA ❑ AQMD ASBESTOS NOflACATIONIS MOTAPPLiCABLE TO PROPOSED DEMO I VOM SIGNATURE., PERMITEXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL vqEl CERTIFtCATEOF -----.-"------ Date U � • • r _ •e • o 0 v