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Home My WebLink AboutF2019-0628 - Permitswic City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 6 2 P Permit Counter Phone (949)644-3288 8 II FIRE Permit: F2019-0628 Project No :2565-2079 Inspection Requests Phone (949)644-3255 Job Address: 3920 SEASHORE DR NB Description: MFR FIRE SPRINKLERS (68 HEADS) X2019-0004 *REVISED 0110212020 Inspector Area: 1 Legal Description: Owner: FLOOD BRIAN Address: 3940 SEASHORE Contractor: Address: ALL STAR PLUMBING & FIRE SPRINKLER COMPANY P 0 BOX 1413 Address: Architect: NEWPORT BEACH CA 92663 LAKE FOREST CA 92609 Phone: Phone: 949.470.0072 Phone: State Lic: .■rq7 Applicant: ALL STAR PLUMBING & FIRE SPRINKLER COMPANY Con State Lic: 715588 Engineer: Address: P O BOX 1413 Lic Expire: 08131/2021 Address: LAKE FOREST CA 92609 Bus Lic: BT30069737 Phone: 949-470-0072 Lic Exp Date: 11130/2019 Phone: State Lic: Code Edit : 2016 Worker's Compensation Insurance Designer: SIRIGNANO KEITH •rte Type of Construction: V -B -SPR Carrier: BENCHMARK INS CO Address: 22672 LAMBERT ST #619 Occupancy Group: R3/U Policy No: CST5015195 LAKE FOREST CA 92630 Added /New sq.ft. Bldg: 0 Expire: 02/07/2020 Phone: 949-521-2460 Added /New sq. ft. Garage: 0 No of Stories: 3 Issued Date: 11/2112019 Special Conditions: No of Units: 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $6,500.00 Building PC Fee : $202.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $6.00 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 : $448.00 Plan Check Fee: $448.00 Fee Due at?ermit Issuance : $0.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: V PERMIT EXPIRES 180 DAYS AFTER fssOA[Ct dR EAST,,144LIQ- iNS;E+TfOn1 • • o c • o •, PTHER DEPARTMENT: n• o °•• coc a m c •� PLWtCHECItED,BY::', APPROVAL TO ISSUE: ` 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 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 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, 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 Iega11. 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.htm]. 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 Section 7000) of Division 3 of the Business. and Profession od , nd my license is in full force and effect. License Class License No Date 2 Zv Contractor Signatur INORKERS' COMPENSATION DECLARATION NARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: :ee 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 7P,/Formance of the work for which this permit is issued. Policy No. have andmaintain 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' compensation urance carne a policy nu[7r art: Tier01 o I Number Expiration Date ne of Age Phone # certify that, in the performance of th wo r 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 agreE I. if I should becom bject t compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those 1proviaio nature of ApplicanttC /2�2's CLARATION REGA DING @bfiSTFIT41ON LENDING AGENCY >reby 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). Ider's Name Lenders 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 provided is correct. I agree to comply with all applicable city and county ordina es Od state laws relating to building construction. I authorize representatives of this city or count t me o e- entified property for inspection purposes. _ --� nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na LOCI— .�i OU�{jQL't` Date Z ACTION DATE 11 BY DECLARATION OF COMPLIANCE WITH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OFTITLE40AND PERMfTEXPIRED .•+ AElQMDRULE9403. SUB EPA NOTIFICATION TO: PERMITCANCELLED • • [�] � EPA PERMITEXTENDED • « •s• • • `] AQMD* PERMITFINAt-I6-�Lu ri-°b--- , PROPOSED ASBESfDE DEMOLITION. NOT APPLICABLE TO CERTIFICATE OF OCCUPANCYISSUED .e� ••� �I�Nf�iTIfIiF: �:� Sc 11 A IIN