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Home My WebLink AboutF2020-0151 - PermitsSYno City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII FIRE Permit: F2020-0151 a4' 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 1 5 1 II Project No: 0635-2020 � y � Permit Counter Phone (949)644-3288 °'r*ar€iwv'b'.. Inspection Requests Phone (949)644-3255 Job Address: 3 FAYENCE NB Description: SFR - FIRE SPRINKLERIRES ADD 3 HEADS (X2019-3966) �vvn�® INSPInspector 0635-2020 Area: 6 Legal Description: > Owner: HIGGINS Contractor: J B FIRE PROTECTION Architect: F Address: 3 FAYENCE Address: 1229 E ASH AVE Address:" .3 NEWPORT COAST CA 92657 FULLERTON CA 92831 Phone: Phone: 714-578-0900 Phone: State Lie: Applicant: JB FIRE PROT/JOE Con State Lie: 647282 Engineer. Address: 1229 E ASH AVE Lie Expire: 03131/2021 Address: FULLERTON CA 92831 Bus Lie: BT30054766 Phone: 714.578-0900 Lie Exp Date: 04/3012020 Phone: State Lie: ° ° c O° Code Edit :2019 Worker's Compensation Insurance Designer: a Type of Construction: VB Carrier: STATE FUND Address: °p Occupancy Group: R3/U Policy No: 1962369 Added /New sq.ft. Bldg: 0 Expire: 03101/2021 Phone: Added/New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 0410312020 Special Conditions: c o No of Units.: 0 Setback -Front: Flood Zone: Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $1,000.00 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 F€E : x$444.00 Plan Check Fee: $202.00 Fee Due at Permit Issuance : $242.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPART PLAN CHECKED APPROVALTOISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID 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 thepurposeof sale). ❑ 1, 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 legally sell a structureth9f 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 Nola-, 4s; available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Si ure of 9w*arty Owner or Authorized Agent Date LICENSED CQMTRACTOR'S DECLARATION �� I hereby affirm upder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with,S4ction 7 00) of Division 3 of the Business and ns Code, ai se Is in full force afi l eRect. �� .icerjse Class` •� a License No Date-`��Contractor Signature WQRkERS' CQ�VIPENSATION DECLARATION r� 4f4F JUNG: FAILURE TOSE�CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER 70 CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENS&MId,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S EES. Wre%1 affirm under penalty of perjury one of the following declarations: LPI hive and.wiil•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 oe�QrpZance of the wo°rk for which this permit is issued. Policy No. ••w Lbav`e and wiy"iyfltain 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' compensatior insurance carrier and policy number are: is of Agent certify that, in the p . if 1 should become Policy Number Date for which this per Issued, I shall not employ any person in any manner so as to become subject to the D"Kpgnsatio ov' ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant '===:;Er� L'are r CLARATION REGARDIN CONSTRU TI N LENDING AG NCY areby affirm under penalt 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). tder'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 p vided is correct. I agree to comply with all applicable city and count d antes and stat ws relating to building construction. I authorize representatives of this city or county to an r the abov - I ed property for inspection purposes. ..lyre of Prnnea., rrn.,ner nr A, thnri,; Ananf An (� Print Prooertv Owner's or Authorized AGent's Name ACTION I DATE PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMO ROLE 1403. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: EPA ❑ AQMD ❑ ASBESTOS NORITCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: laws of California, and