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HomeMy WebLinkAboutF2019-0561 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 5. 6 1 Permit Counter Phone (949)644-3288. FIRE Permit: F2019-0561 Project No: 2254-2019 Inspection Requests Phone (949)644-3255 Job Address: 717 MARIGOLD AVE NB Description MFR FIRE SPRINKLERS 37 HEADS (X209%.,,- Inspector Area: 5 Legal Description: CORONA DEL MAR ELK 739 LOT 17 " - 4 � W Owner 717 MARIGOLD PARTNERS LLC Contractor: CRAIG FIRE PREVENTION INC Ar Ifl t Address: 717 MARIGOLD AVE Address. 123 E CENTRAL AVE Ad . 'a°� ®®�" CORONA DEL MAR, CA 92625 MONROVIA CA 91016 Y �,y, Phone - Phone: 626-357-4045 Phone..:. t wk1 State Lie U Applicant. RICOH LAURA Con State Lie: 1037827 Engineer ����� Address: 123 E CENTRAL AVE Lie Expire. 04130/2020 - Address: MONROVIA, CA 91016 Bus Lie: BT30048336 Phone: 626.357-4045 Lie Exp Date: 08/3012020 Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance - Designer: RICOH LAURA Type of Construction: V -B -SPR Carrier: AMERICAN FAMILY HOME: Address: 123 E CENTRAL AVE Occupancy Group: R31U Policy Na 2EA5WC000051801. MONROVIA, CA 91016 Added /New sq.ft. Bldg: 0 - Expire: 0211112020 - Phone: 626-357.4045 Added /New sq. ft. Garage:. 0 No of Stories: 3 Issued Date:. 1 0/1 51201 9 Special Conditions: HIGH DENSITY No of Units ` 0 Setback- Front Flood Zone: X Rear - Bldg Sprinklers: Y ` Left: Right: FEES Construction Valuation: $6,300.00 Building PC Fee: $202.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $2.00 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 : $444.00 Plan Check Fee: $202.00 Fee Due at Permit Issuance : $242.00 PROCESSED BY: OTHER DEPARTMENT; ZONING APPROVAL: ° ` ® ° ° + • X1`°,4N CHECKED BY:: FIRE APPROVAL: < APPROVAL TO.ISSUE: PERMIT EXPIRES 180,DAYS AF, E[? 1 ``•SUAMcr OR LAST VALID INSPECTION )WNER-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 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do C_) all of or U 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). 1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coder 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 legall; 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.htmi. lignature 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 Section 71000) of Division 3.of the Business and >rofessions Code Ilnns�e its in full force is effect. ��( �cy�� Contractor Si icense-Class License No Date gnatura VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($700,000), 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: 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 erf➢Tmance of the work for which this permit is issued. Policy No. have and will maiWafp 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'. com rance carrier an polic number are: y� ,e. �- /t / ir� cKfi nl.adr-. Exoiration Date of Agent 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 sybi6ct to the workers' compensation prro"vvisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr"' i ps./%/y % / : ignature of Applicant YC, L �-ce I-/ Date i ' `� IECLARATION REGAR ING CONSTRUCTION LENDING AGEIIIICY 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 Iy 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 cotmty,4o�gter he ab -identif propertry for inspection purposes. T�� (1 'ignature of Property Owner or Authorized Age .ho `� Print Property Owner's or Authorized Agent's Nam ✓ j f� ACTION DATE BY uct.r_ttnv r.wv Ur wmrus.rv..r 1.11, 1 , v. 1.. .. w1.— .r . FEDERALE TIOV PART 61' OF TITLE" AND PERMITEXPiREO AQ/bif3/�t!L:TJX . s ❑ rstgiIWrrr©As&ETDs'rroTtFrfntroNFp:- PERMIT CANC€LLEQ0 •.-PA PERMITF-XFEiVDEQ In 'A MD © ASBESTOS NQTfRCAAQNIS NOT APPL.ICA8I.E TO. PERMfiRNAL - ti- PROPOSEQUEMPTISN- ... .. 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