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Home My WebLink AboutF2019-0095 - PermitsAdded /New sq. ft. Garage:. 0 No of Stories: 2 Issued Date: 02/2512019 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: Y Left: Right: 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 TOTALFEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $7,000.00 $202.00 $0.00 $0.00 $0.00 $0.00 $0.00 $240.00 ik $446.00 FEES Fire Residential Alarm PC Fee : $0.00 Planning Counter Review: $0.00 Planning Zoning PC Fee: City of Newport Beach -Building Division $0.00 U III�IIIIIII�IIII�IIIII{?IINIIIIIIII�ulllllllllll $0.00 FIRE Permit: F2019-0095 •; m: m,NII`F, II 100 Civic Center Drive, Newport Beach, CA 92660 2 yd ,1 atm 0 0 9 5 Project No: 0420-2019 Permit Counter Phone (949)644-3288 Ei o¢e a e.. m cme os Inspection Requests Phone (949)644-3255 Job Address: 420 HELIOTROPE AVE NS ° ° ° 17esciTplion: 1AFR F149 SPA NKLERS 42 (X2018-1356) HEADS Inspector Area: 5 Legal Description: CORONA DEL. MAR BILK 435 LOT 6 Owner. LEE Contractor: FIREGUARD SPRINKLER SYS INC Architect: Address:. 819N RICHMAN AV Address: 9543 VICTORIA AVE- Address: FULLERTON CA 92832 SOUTH GATE CA 90280 Phone: Phone: 714-310-0194 Phone: State Lie: - Applicant: VO JOHN Con State Lia 992002 Engineer: Address: 526 N SHADYDALE AV Lie Expire: 04130/2020 Address: W COVINA CA 91790 Bus Lia BT30046886 Phone: 714-310-0194 Lie Exp Date: 04130/2019 Phone: State Lie: Cade Edit : 2016 Worker's Compensation Insurance Designer: VO JOHN .Type of Construction: V-BSPR Carrier: FALLS LAKE FIRE & CASUALTY Address: 526 N SHADYDALE AV Occupancy Group: R3/U Policy No: FLA0080008 W COVINA CA 91790 Added /New sq.ft. Bldg: 0 Expire: X1212912019 Phone: 714-310-0194 Added /New sq. ft. Garage:. 0 No of Stories: 2 Issued Date: 02/2512019 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: Y Left: Right: 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 TOTALFEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $7,000.00 $202.00 $0.00 $0.00 $0.00 $0.00 $0.00 $240.00 ik $446.00 FEES Fire Residential Alarm PC Fee : $0.00 Planning Counter Review: $0.00 Planning Zoning PC Fee: .$0.00 Public Works PC Fee: $0.00 Public Works Traffic Plan Check Fee; $0.00 Plan Check Fee: $0.00 OTHER DEPARTMENT: PLAN CHECKED BY:: Records Management Fee Due at Permit Issuance APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION i r. $4.00 $0.00 $0.00 $446.00 ,. ... rNER-BUILDER DECLARATION . . , I hereby affirm under penalty of perjury that I am exempt from the Contractors' State IJce$se tow jor:he�mas on(s) indicated below by the checkmark(s) 1 have placed next to the applicableitem(s) ction 7031.5, Business and Professions Code: Any city or county that requires a permit-t2l;ogstitictt:IFerpimprove, demolish, or repair any structure, prior to its issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Lidens9 t:9w (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions 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 more than five hundred dollars ($500). , , ,,. I, as owner of the property, or my employees with wages as their sole compensation:wil clo L9 all of pCu pdrtions ofthe4ork, and the structure is not intended or offered for sale (Section 7044, iness and Professions Code: The Contractors' State License Law does not apply to Vownej of proCertty who, through erOplayees' or personal effort, builds or improves the property, provided that the rovements are not intended or offered for sale. If, however, the building or improvemeahis sold within one yeIr of cDpipletigd, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of 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 ly 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: y., 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 in 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 app 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se tion 7 00) of Division 3 of the Business and nd effect. icense Class License No Date I Contractor Signatude _ YORKERS' COMPENSATION DECLARATION It J ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUI 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: law, Section 7044 of the Code, and my license is in full force (§100,000), IN ADDITION TO THE 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 rmance 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 and policy number are: Policy Number Date Te of Agent ruurw n certify that, in the perform ' nc' 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/subje t to t e workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proOvisi/qns. I (� lature of AUDI_— _ Date / hereby affirm under penalty oftp ury that there is a construction lending agency for the performance of the work for which this permit is ender's Name Lender's Address ymy signature below, I certify to each of the following: '.. I am the property owner or authorized to act on therpNiperty owner's behalf. I have read this application and the information I�Enterlhe ve rovlded is correct. 1 agree to comply with all applicable city and couordi ances and state. laws relating to building construction. I authorize representatives of this city or county above -identified property for inspection purposes. (Section Civil Code). II AC77ON DAT. BY - I DECLARATION OF COMPLIANCE WITH CODE OF n I FOR OFFICE USE ONLY rnrrmcu ❑/SUSMITTEDASBESTDSNDTiFiCAT1DNTOr ❑ EPA ❑ AQMD CANC€CLED EXTENDED [3 ASBESTOS NDTAPPE.tCA81:.E TO PROPOSED DEMOLITION. FINAL ATE :AT€OF ---'----- SIGNATURE: zl 1:10 El El El ❑ ❑ ❑ 5 r'd ` S } Y r .I i d x d i i ( f 5 r'd N i o C N 0 mn c w I a p FrpiN P, P) 0 \ ynM. al ro PL cr lu y N o E3 El ❑ ❑❑ fA 11 El ❑ ❑❑❑ 11 El El ro ap cru ■■■■ H 16 r