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Home My WebLink AboutF2020-0309 - PermitsWww .,,R City of Newport Beach - Building Division IIIIIIIIIIIII'llllllll'IIIIII'IIIIIIIIIIII II FIRE Permit: F2020-0309 a� 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 3 0 9 Project No: 1321-2020 i, n Permit Counter Phone (949)644-3288 RMF A7 r:�;,ay��K�.* Inspection Requests Phone (949)644-3255 Job Address: 3406 MARCUS AVE NB Description: MFR FIRE SPRINKELRS (33 HEADS) X2018-3669 Inspector Area: 1 Legal Description: CANAL SECTION LOT 4 BILK 334(AND NWLY1/2 LOT 3 BLK 334 Owner: POWERS NEIL J Contractor: FIREPROOF FIRE PROTECTION Architect: Address: 3408 MARCUS AVE Address: 1101 KINGSTON DR Address: NEWPORT BEACH, CA 92663 LA HABRA CA 90631 Phone: Phone: 714-476-5370 Phone: State Lic: Applicant: FIREPROOF FIRE PROTECTION Can State Lic: 876004 Engineer: Address: 1101 KINGSTON DR Lic Expire: 04130/2022 Address: LA HABRA CA 90631 Bus Lic: BT30040107 Phone: 714-476-5370 Lic Exp Date: 08/31/2021 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: CASEY MONTY Type of Construction: V -B -SPR Carrier: NORGUARD INS CO Address: 1101 KINGSTONDR Occupancy Group: R31U Policy No: MOWC148394 LA HABRA CA 90631 Added /New sq.ft. Bldg: 0 Expire: 02116/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 3 Issued Date: 08103/2020O ®`�pecial Conditions: No of Units: 0 Setback- Front: �\ `� Flood Zone: AE B' Rear: O �+\� `- �/w� Bldg Sprinklers: Y Left: v�% 9AJ• Righ Construction Valuation: $3,300.00 ^^�� 51�`�vo Building PC Fee : $202.00 Fir1Z,6 As c:ential Alarm PC Fee: $0.00 Records Management: $6.00 Building Overtime PC Fee: $0.00 Planning Counter Review: x$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: $0.00 Fee Due at Permit Issuance : $448.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: o•o ••o ••• QfNERDE1.ARd1NENT: c m • o o • e c o • o o • • ••• s o 0 m • • • FILM CHECK BY:: 0 o emo • o 0 APPROVAL TO ISSUE: co eoo o • • oom c c c C o m c o m ,.-. PERMIT EXPIRES 180 DAYi r� ,TEF tS UR�NG�E OR &AST 6/ALID INSPECTION 0 o m m m •o ••o o • mm mm ••m )WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that f 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, priorto its issuance, also requires the applicant for he pernitto 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 applicantto a civil penalty of lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U elf of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 ,m roved for the purpose of sale). J 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 nat Ipply 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). 3 1 am exempt from ficensure under the Contractors' State License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owneM1builder 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 rrofessions 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 _ICENSED CONTRACTOR'S DECLARATION 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 Professions Code, and my license is in full force ino effect. Jcense Class License No DatContractor Signature -,4 _ --. VORKERS' COMPENSATION DECLARATION / EARNING: 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 :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: 2 1 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 thi ftrmance 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 Expiration Date of Agent I certify that. In the performance of the work for which this armit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agrer 1, if 1 should become sub 'orkers' compo sation pro ' ' ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (nature of Applicant - Date\/ \0��2 CLARATION REG R ING CONSTRUCTION LENDIN CY e N sreby affirm under penalty of perjury that there is a consbruegn lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider'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 provided is correct. I agree to comply with all applicable city and county ordinances and st s relating to building construction. I authorize representatives of this city or county t9-entert Gbiow-identified prop for inspection purposes. ACTJOAI DATE I BY I PERMITEXTENDED I I _ I OCCUPANCYISSUED Elm; Q0i1FlCATfON TO. 0 AQMD ASBESTOS monmCAnroNIS NOT APPLICABLE TO •PROPOSEliDEMOL MDN-. SIGAMI YRE