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Home My WebLink AboutF2019-0455 - Permits'.,_� City of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II FIRE Permit: F2019-0455 100 Civic Center Drive, Newport Beach, CA 92660 Project No :1787-2019 �, ,,, r} Permit Counter Phone (949)644-3288 � m +zr��ys+t* Inspection Requests Phone (949)644-3255 Job Address: 1722 W OCEAN FRONT NB Description: NEW SFR FIRE SPRINKLERS (X2019-0077) 37 HE DS Inspector Area: 1 Legal Description: NEWPORT BEACH SEC B BILK 17 LOT 11 Owner: COLLINS JIM Contractor: FIREPROOF FIRE PROTECTION Architect: Address: 1722 W OCEAN FRONT Address: 1101 KINGSTON DR Address: NEWPORT BEACH CA 92663 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: 04/30/2022 Address: LA HABRA CA 90631 Bus Lic: BT30040107 Phone: 714-476-5370 Lie Exp Date: 08/31/2021 Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer: CASEY MONTY Type of Construction: V -B -SPR Carrier: SECURITY NATIONAL INS Address: 1101 KINGSTON DR Occupancy Group: R3/U Policy No: SWC1326710 LA HABRA CA 90631 Added /New sq.ft. Bldg: 0 Expire: 02/15/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 0810812019 Special Conditions: 5110/21 No of Units : 0 Setback- Front: revised # of heads Flood Zone: Rear: Bldg Sprinklers: Y Left: Right: 41 IPA= FEESa Construction Valuation: $3,800.00 Building PC Fee: $202.00 Fire Residential Alarm PC Fee: $O�QO s"LLy -% Records Management: $6.00 Building Overtime PC Fee: $0.00 Planning Counter Review: ,,, $OtDO 'a 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 : $448.00 Plan Check Fee: $448.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: , APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 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.html. 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 license is in full force and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION VARNING: 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 :OST 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: 1 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 the )erformance of the work for which this permit is issued. Policy No. :1I have 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' compensation nsurance carrier and policy number are: :arrier Policy Number Expiration Date Jame of Agent Phone # 71 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 agree hat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Uate CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (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 Prooertv Owner or Authorized Acent _ Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY utLLAH Ituav yr wrviruarvue vvr to uuuc ur run urret.c we vrvir FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. PERMITEXPIRED ❑ ]SUBMITTED ASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AQMD - PERMIT CANCELLED PERMfTEXTENDED ❑ ASBESTOS NORACARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL /Y CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED ,