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HomeMy WebLinkAboutF2019-0379 - Permits (2)City of Newport Beach - Building Division a.+ ' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Gk , II F IIIIII VIII VIII III III 0III3 IVII ILII III II FIRE Permit: F2019-0379 Project No : 1498-2019 Inspection Requests Phone (949)644-3255 Job Address: 2001 BAYADERE TER NB Description SFR FIRE SPRINKLERS (99) HEADS (X2017-3658) *REVISED`:) Construction Valuation: `REV7.9471T1 Inspector Area: 5. Legal Description: N TR 2813 LOT 177 $0.00 Records Management : $4.00 Building Overtime PC Fee; Owner: HAYWARD GREGORY Address: 506 ROCKFOD PIL Contractor: Address: FIREGUARD SPRINKLER SYS INC 9543 VICTORIA AVE Architect: Address: Building Extention Fee : $0.00 CORONA DEL MAR CA 92625 $0.00 SOUTH GATE CA 90280 Building Investigation Fee : - p\ Phone: Phone: 714-310-0194 Phone: State Lie: V $0.00 Fire Permit Fee : $0.00 Public Works Traffic Plan Check Fee; $0.00 Applicant: VO JOHN Con State Lie: 992002 Engineer: TOTAL FEE : Address: 526 N SHADYDALE AVE Lie Expire: 04/30/2020 Address: M WEST COVINA CA 91790 Bus Lie: BT30046886 Phone: 714-310-0194 Lie Exp Date: 05/31/2020 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 Occupancy Group: R31U Policy No: FLA0080008 WEST COVINA CA 91790- Added /New sq.ft. Bldg: 0 Expire: 12/29/2019 Phone: 714-310-0194 0 Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 07/01/2019 Special Conditions: LANDSLIDE AREA No of Units : 0 Setback- Front Flood Zone: X Rear: Bldg Sprinklers: Y Left: Right: PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: oeY c+• o OTHER DEPARTMENT: +PLAN CWKEP BY:: a YYi APPROVAL Tb ISSUE: b PERMIT EXPIRES 180 DAYS'AFTER ISSUANCIb OK LAST '{oALID INSPECTION •.Y. •• YYY o o .ie• eo11. FEES Construction Valuation: $0.00 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: ZONING APPROVAL: FIRE APPROVAL: oeY c+• o OTHER DEPARTMENT: +PLAN CWKEP BY:: a YYi APPROVAL Tb ISSUE: b PERMIT EXPIRES 180 DAYS'AFTER ISSUANCIb OK LAST '{oALID INSPECTION •.Y. •• YYY o o .ie• eo11. 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 is 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 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 pply 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: ly 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 ell 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) f Division 3 of the Business and Pro east ns Code, and my license is in full force nd effect. icense Class License No DateX10 / Contractor Signa PORKERS' COMPENSATION DECLARATION 1 1/7 ARNING: 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I 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 grfofmance 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 a dl NIicy number arA Date ie of AgentPhone # certify that, in the performanceof th work for which IN ermit is issued, I shall not employ any person in any manner so as to become subject to the if I should become sllbjVt to he w rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi;ions( signature of Applicant 1—�'�. Dat I v IECLARATION REGA ING CONT CTION LENDING AGENCY hereby affirm under penalty of perju that there is a construction lending agency for the performance of the work for which this permit is ssued (Section ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the pry I have read this application and the information I have I agree to comply with all applicable city and county of I authorize representatives of this city or cour4,tto 96t ier's behalf. is correct. and state laws relating to building construction. Ive-i ntified property for inspection purposes. compensation laws of California, and Civil Code). Va ACTION DATE BY DECLARATION OF COMPLIANCEMTII CODEOF FOR OFRCE USE ONLY FEDERAL REGULATIONSPAiV df OF TITLE40AND • 4QMD.RULE+14111J.• +`• :• Q I SVBM13TEI`ASQEIT42S 471FICATION TO, • • []''PA +© %VMD ` P€RMITEXPIR€D • PERMITCANCELLED • P€RMITEXTEND€D ASBESTOS N07IRC477ONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL U CERTIRCATEOF OGCUPANCYISSUEO SjGNAY.UtEr: + +, � ••• �