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Home My WebLink AboutF2019-0555 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II FIRE Permit: F2019-0555 100 Civic Center Drive, Newport Beach, CA 92660 II� F 2 0 1 9 0 5 5 5 Project No : 2234-2019 Permit Counter Phone (949)644-3288 °"6clrrw`' Inspection Requests Phone (949)644-3255 Job Address: 20292 SPRUCE AVE NB Description: SFR FIRE SPRINKLERS (X2019.0283) 21 HEADS�REVISED 02126/2020 REV20.0337 - Inspector Area: 8 Legal Description: N TR 1506 LOT 22 Owner: CABLE Contractor: FIREPROOF FIRE PROTECTION Architect: Address: 20292 SPRUCE AV Address: 1101 KINGSTON DR Address: �J NB CA 92660 LA HABRA CA 90631 9 Phone: Phone: 714-476-5370 Phone: State Lic: Applicant: CASEY MONTY Con State Lic: 876004 Engineer: Address: 1101 KINGSTON DR Lic Expire: 04130/2020 Address: IA HABRA CA 90631 Bus Lic: BT30040107 _I Phone: Lic Exp Date: 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: R31U Policy No: MOWC148394 LA HABRA CA 90631 Added /New sq.ft. Bldg: 0 Expire: 02/15/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Issued Date: 10/09/2019 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $2,000.00 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: \ o•o ••o• o•° O•o OTH'E%DEPARTMENT: C c ° e ® • • o ° • `� ZONING APPROVAL: ° ° ° ° ° °° • • PLA 6HIVC`KED BY:: ° • ° FIRE APPROVAL: APPROVAL TO ISSUE: a cc euo • • • ee• PERMIT EXPIRES 180,117&YS Ar-T€RdS90ANbE OR t;AST VALID INSPECTION v c o o m DWNER-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 Im roved 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 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 legall) 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,—aft license is in full force and effect. License Class License No Date b 1G Contractor Signatu WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL 5- 100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 th Vpe rmance of the work for which this permit is issued. Policy No. and wit�alntam 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' compensatioi insurance carrier?3cldbnlicY number arfnn e ' k, 1� ie of Agent 11e!!!2N I v u certify that, in the performance of the work for which this , if I should become subjec o -the -workers' compensation Iature of Applicant X \V� \). <�_�_ Date issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ns of Section 3700 of the Labor Code, I shall forthwith comply with thgse provisions. ereby affirm under penalty of perjury that there is a constfu�@on lending agency for the performance of the work for which this permit Ider's Name ( T 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 rel ting to building construction. I authorize representatives of this city or county to cih above-identifiedpr arty for inspection purposes. nature of PropertyOwner or Authorized Agent - Print Property Owner's or Authorized Age ACTION DATE BY DECLARATION OF COMPLIANCEWMTNCODEOF •FE99RAL REGULATIQNS P4RT Q -QF TITLE40A ' QMPRULLIV03.• • PERMIT EXPIRED 7 t �tt8M1J TCD:558E5TQS:i*f2CATION TOr PERMIT CANCELLED E7 EPA I PERMITEXTENDED I I I PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED ❑ AQMD ❑ ASBESTOS NOTIRCA710NIS NOTAPPLICABLE TO PROAOSEDDEMOL(TYQN."' ;'• SIGNATDIJE (Section 3097, Civil Code). 2b