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Home My WebLink AboutF2020-0050 - PermitsCity of Newport Beach - Building Division �IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIII�IIII II FIRE Permit: F2020-0050 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 0 5 0 Project No: 0225-2020 E+ Permit Counter Phone (949)644-3288 'ted rY x,a Inspection Requests Phone (949)644-3255 Job Address: 224 JASMINE AVE NB Description: SFR FIRE SPRINKLERS (X2019-0573) 50 HEADS Inspector Area: 5 Legal Description: REBUS OF CORONA DEL MAR LOT 22 BILK 137(AND NELY 15FT LOT 20 BILK 137 Owner: NICHOLSON TOM Contractor: FIREGUARD SPRINKLER SYS INC Architect: Address: 1 COPORATE PLAZA STE 110 Address: 9543 VICTORIA AVE Address: NB CA 92660 SOUTH GATE CA 90280 Phone: 949.872.6637 Phone: 714.310.0194 Phone: State Lic: Applicant: VO JOHN Con State Lic: 992002 Engineer: Address: 526 N SHADYDALE AV Lic Expire: 0413012022 Address: WEST COVINA CA 91790 Bus Lic: BT30046886 Phone: Lic Exp Date: 0513112020 Phone: State Lic: Code Edit: 2016 Worker's Compensation Insurance Designer: VO JOHN Type of Construction: V -B -SPR Carrier: FALLS LAKE FIRE & CASUALTY Address: 526 N SHADYDALE AV Occupancy Group: R3/IJ Policy No: FLA0080008 WEST COVINA CA 91790 Added /New sq.ft. Bldg: 0 Expire: 1212912020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 02/03/2020 Special Conditions: Noise Agreement reed No of Units : 0 Setback- Front: (w/ building permit) Flood Zone: Rear: *revised # of heads* e� Bldg Sprinklers: Y Left:Right:- FEES Construction Valuation: $7,000.00 Building PC Fee : $202.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $4.00 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 : $446.00 Plan Check Fee: $446.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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) i(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 Ithe 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). L_I I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 im roved 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 legally 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.htmi. 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 Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 15100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 IN performance of the work for which this permit is issued. Policy No. ❑I have 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' compensatior insurance carrier and policy number are: of Agent Policy Number Expiration Date Phone # certify that, in the performance 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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant nate CLARATION REGARDING CONSTRUCTION LENDING AGENCY treby 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 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 state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. nature of PmnerIv Owner or Authorized Anent Print ProDertv Owner's or Authorized ADent's Name ACTION DATE BY UZLLAu I Ivry Ur ILwnrcfAMUC rwrn UVUE Ur FEDERAL REGULATIONSPART 61 OFTIILE40AND XPIRED AQMDRUL€1403. I SUBMITTED ASBESTOS NOTIFICATION TO: ANCELLD ❑ EPA XTENDED ❑ AQMD INA! P❑RROPOSED DEMOLITION, ASBESTOS TION/S NOT APPLICABLE TO CERTIRCATEOF OCCUPANCYISSUED SIGNATURE. 2 o c c o o c O c o O O o o ; t § \ / § $ 0 & & 7 ) 2 7 @ ) , j ( �f.) d w m . a I ; t § \ / § $ 0 & o a 0 0 :R to a 9' a. to D� ❑❑ ❑ 010 fJ ❑❑ ❑ ❑❑❑ Pi k. 11 W N .i. N K p O P3 I� 2 0000 A