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Home My WebLink AboutF2019-0379 - PermitsCity of Newport Beach - Building Division 6 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v Y4dZIW]itv�y Job Address: 2001 BAYADERE TER NB inspector Area: 6 Owner: HAYWARD GREGORY - Address: 506 ROCKFOD PL CORONA DEL MAR CA 92625 Phone: Applicant: VO JOHN Address: 526 N SHADYDALE AVE WEST COVINA CA 91790 Phone:. 714.310.0194 Code Edit : 2016 Type of Construction: V -B -SPR Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y Construction Valuation Building PC Fee : Building Overtime PC Fee Building Extention Fee : Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee: Building Permit Fee 11 TOTALFEE PROCESSED BY: ZONING APPROVAL: - FIRE APPROVAL: iii►F 2�►��0►�►�1�►�►9►��►��0►�►3 7►►�►9►� FIRE Permit: F2019-0379 Project No : 1498-2019 Inspection Requests Phone (949)644-3255 .OTHER DEPARTMENT: oo° • s PAN -CH€ K615 MY:: m o o ° ° ° • ,° A*ROVAL`TO ISSUE: o •o• PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OJ? .AJT VA`E IJh`', INSPECTION • ° a o Eom o0 Description: SFR FIRE SPRINKLERS (84) HEADS (X2017-3658) $0.00 Legal Description: N TR 2813 LOT 177 $0.00 Records Management: $4.00 $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee : Contractor: FIREGUARD SPRINKLER SYS INC Architect: Address: 9543 VICTORIA AVE Address: $0.00 $0.00 $0.00 SOUTH GATE CA 90280 $0.00 $240.00 .Phone: 714-310-0194 Phone: State Lie: Plan Check Fee : $0.00 Fee Due at Permit Issuance : $446.00 Con State Lie: 992002 Engineer: Lie Expire: 04130/2020 Address: Bus Lie: BT30046886 Lie Exp Date: 05131/2020 Phone: State Lie: iT Worker's Compensation Insurance Designer: VO JOHN - Carrier: FALLS LAKE FIRE & CASUALTY Address: 526 N SHADYDALE AVE Policy No: FLA0080008 WEST COVINA CA, 91790 Expire: 12/29/2019 Phone: 714-310-0194 Issued Date: 0710112019 Special Conditions: LANDSLIDE AREA Setback- Front: Rear: Left: Right: .OTHER DEPARTMENT: oo° • s PAN -CH€ K615 MY:: m o o ° ° ° • ,° A*ROVAL`TO ISSUE: o •o• PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OJ? .AJT VA`E IJh`', INSPECTION • ° a o Eom o0 FEES $0.00 $202.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $4.00 $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee : $0.00 $0.00 $0.00 $0.00 Public Works PC Fee: $0.00 $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $240.00 $446.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $446.00 .OTHER DEPARTMENT: oo° • s PAN -CH€ K615 MY:: m o o ° ° ° • ,° A*ROVAL`TO ISSUE: o •o• PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OJ? .AJT VA`E IJh`', INSPECTION • ° a o Eom o0 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 items) (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 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 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, andwho 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 Sectn 70 0) of Division 3 of the Business and Pro ssi ITS Code, and my license is in full force and effect License Class License No Dat / Contractor Signature IU 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 DOLLARS 1$100,0001, 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 -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for lh ormance of the work for which this permit is issued. Policy No. 1 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' compensatio insurance carr!an ollcy number ora: Amer \ :'P y' umber Expiration Date lame of Agent a Phone # �I certify that, in the perform nce If the work for which this permit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agre tat, if I should become suble t to t e workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those or i,,,sJJJAAA,,,n/y ignature of Applicant Dat:w iECLARATION REG RIDING C STRUCTION LENDING AGENCY hereby 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). ender's Name Lender's Address y my signature below, 1 certify to each of the following: I am the property owner or authorized to act on the pr It owner's behalf. I.have read this application and the information I N v pr ided is correct. I agree to comply with all applicable city and county rdin ces and state laws relating to building construction..�� Ud I authorize representatives of this city or countytoe ,_Tr t ove-identified property for inspection purposes. ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam ACTION DATE BY DECLARATIONOF COMPLIANCEtMTH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART61'OFT17LE40AND •AQMDRULE1403. - PERNRTEXPIRED • • ISelgil TirDASBESTOSNOTIFICATIONTO. . Q : EP}1 PERMfrcANCELLED ; • : • •0 :IqQ�• PERMITEXTENDED IJASGE5TQSNOTTFICA1704IS NOT APPLICABLE TO PROP 45EDDEMOLIi W SI%`Nf1f REs P€RMITFINAL %j CERPFICATE OF OCCUPANCYISSUED i • • • • • ••• •••