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Home My WebLink AboutF2020-0050 - Permits (2)wn City of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II FIRE Permit: F2020-0050 r 100 Civic Center Drive, Newport Beach, CA 92660 II� F 2 0 2 0 0 0 5 0 Project No :0225-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 224 JASMINE AVE NB Description: SFR FIRE SPRINKLERS (X2019-0573) 43 HEADS Inspector Area: 5 BLK 137 Type of Construction: Owner: NICHOLSON TOM Address: 1 COPORATE PLAZA STE 110 0 NB CA 92660 Phone: 949-872-6637 Applicant: VO JOHN Address: 526 N SHADYDALE AV WEST COVINA CA 91790 Phone: Code Edit : 2016 FIREGUARD SPRINKLER SYS INC Type of Construction: V -B -SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 0 Flood Zone: Lic Expire: Bldg Sprinklers: Y Construction Valuation: $7,000.00 Legal Description: RESUB OF CORONA DEL MAR LOT 22 BILK 137(AND NELY 15FT LOT 20 Contractor: FIREGUARD SPRINKLER SYS INC Architect: Address: 9543 VICTORIA AVE Address: Building Investigation Fee: SOUTH GATE CA 90280 Fire Plan Check Fee: Phone: 714-310-0194 Phone: Con State Lic: 992002 Engineer: Lic Expire: 04130/2020 Address: Bus Lic: BT30046886 Lic Exp Date: 05/31/2020 Phone: Worker's Compensation Insurance Designer: Carrier: FALLS LAKE FIRE & CASUALTY Address: Policy No: FLA0080008 Expire: 12129/2020 Phone: Issued Date: 0210312020 Special Conditions: Setback- Front: Rear: Left: Right: Building PC Fee: - $202.00 Building Overtime PC Fee: $0.00 Building Extention Fee : $0.00 Building Investigation Fee: -$0.00 Fire Plan Check Fee: $6.00 Fire Permit Fee : $0.00, , Building Permit Fee : $240.00 TOTAL FEE : $446.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: 5 FEES Fire Residential Alarm PC Fee Planning Counter Review: Planning Zoning PC Fee: Public Works PC Fee : Public Works Traffic Plan Check Fee; Plan Check Fee : State Lic: State Lic: VO JOHN 526 N SHADYDALE AV WEST COVINA CA 91790 Noise Agreement rec'd (wl building permit) INSPECT® $0.00 1 V end'!. 9 �l ri A i Sent : $4.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $446.00 mmm m mm� m o m m°o o m m OTHER DEPARWNTa 0 0 o e m o�rx�_c m m m o m o 0 PLAN CHECKED BY: c APPROVAL TO ISSUE: om, mo mmo o—< c e m m o m o m u o 0 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALIS B tSPIz(6T1VAla mmm • o m m `u o )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 ie 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). 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 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). 1 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 legally 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.htmJ. lignature of Property Owner or Authorized Agent to .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 Profess! ns Zia, and my license is in full force nd effect. �] qI ,!cense Class License No Date 2� lContractor Signature I VORKERS' COMPENSATION DECLARATION j IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOushNb 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: 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 LTmance 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: Is of Agent certify that, in the p, if I should become lature of ADDlicantr Policy Number Date 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 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. % /h Ireby affirm under penalty of p4dury that there is a construction lending agency for the performance of the work for which this permit is 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 pro arty owner's behalf. I have read this application and the information I hav p vided is correct. I agree to comply with all applicable city and county) rdin nces and state laws relating to building construction. I authorize representatives of this city or county to titer th above -identified property for inspection purposes. nature of Procertv Owner or Authorized Agent,) _ Print Property Owner's or Authorized A ec en KRIFIVETI DATE \ BY . PERMIT EXPIRED I : : ' • � . : . • _ PERMIT CANCELLED • • • a • i PERMIT EXTENDED PERMIT FINAL r • i 4rf• .. CERTIFICATEOF OCCUPANCYISSUED FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMD RULE 1403. ❑ i SUBMITTED ASBESTOS NOTIFICATION TO. ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIRCADONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: 3097, Civil Code). Jd I W Date FOR OFFICE USE ONLY