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Home My WebLink AboutF2020-0455 - Permits (2)w City of Newport Beach - Building Division II IIII� 1111 II FIRE Permit: F2020-0455 ±51" 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 4 5 5 Project No : 2101-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 304 GOLDENROD AVE NB Description: MFR FIRE SPRINKLERS.(X2019-3127) 51 HEADS Inspector Area: Legal Description: CORONA DEL MAR LOT 4 BLK 234 NELY 20 FT(AND SWLY 20 FT LOT 6 BLK 2 34 Owner: 304 GOLDENROD LLC Contractor: FIREGUARD SPRINKLER SYS INC Architect: Address: 304 GOLDENROD AVE Address: 9543 VICTORIA AVE Address: CORONA DEL MAR, CA 92625 SOUTH GATE CA 90280 Phone: Phone: 714310-0194 Phone: State Lic: Applicant: VO JOHN Con State Lic: 992002 Engineer: Address: 526 N SHADYDALE AV -Lic Expire: 04/30/2022 Address: WEST COVINA CA 91790 Bus Lic: BT30046886 Phone: 714-310-0194 Lic Exp Date: 0413012021 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: VO JOHN INSPECTOR Type of Construction: V-B-SPR Carrier: FALLS LAKE FIRE & CASUALTY Address: 526 N SHADYDALE AV Occupancy Group: R3IU Policy No: FLA0080008 W COVINA CA 91790 Added /New sq.ft. Bldg: 0 Expire: 12129/2020 Phone: Added /New sq. ft. Garage: 0 � �`�; �p �^p-y�p�@ No of Stories: 3 Issued Date: 1111612020 �p Special Con'0itiJQ.0 FlK-3t�8EWAG t7 AON ®®Yt WORK No of Units : 0 Setback- Front: Flood Zone: X Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $7,500.00 Building PC Fee: $217.00 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: $263.00 TOTAL FEE : $484.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $484.00 PROCESSED BY: _ s ° p OTHER DEPARTMENT: ZONING APPROVAL: c ° ° o• o 0 ° ° ° ° ° ° 0 ° a ° s ° PLAN CHECKED BY:: FIRE APPROVAL : APPROVAL TO ISSUE: � ° c • ° o°o o°° coo ° • e ° ° o 'PCR1l1I7•EARES°•180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 is 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). 1, 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, Iusiness 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 n roved for the purpose of sale). 1, as owner of the properly, 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). I am exempt from Iicensure 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 legall) 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://wwvi.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 Sec on 70 0) of Division 3 of the Business and rofess ons Cod_ e�and my license is in full force nd effect. (N. - !/ icense Class License No Da a Contractor Signs u VORKERS' COMPENSATION DECLARATION - 'ARNING: 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 I$100,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 th errldfmance of the work for which this permit is issued. Policy No. �Jve 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' compensatiol Isur ce carrier and policy number are: a her Policy Number Expiration Date lame of Agent Phone # ]I certify that, in the p=perjthat work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the work rs' compensation laws of California, and agree Iat, if I should becomrkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I �G• ignature of Applicant D e iECLARATION REGACTION LENDING AGENCY hereby affirm under pat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3091, Civil Code). ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the pr y owner's behalf. I have read this application and the information I have prov ed is correct. I agree to comply with all applicable city and county or inanc and state laws relating to building construction. 1 authorize representatives of this city or county o me the ab ve-identified property for inspection purposes. l�I U ignature of Property Owner or Authorized Agent. Print Property Owners or Authorized Agent's Na i^� Date I ACTION DATE W DECLARATION OF COMPLIANCE MTH CODE OF FOR OFRC€ USE LY FEDERAL REGULATIONSPART61 OFTITLE40,A4VA , -•• AQMDRULE1403. ••• ••• PERMITEXPIRED • • ❑/5UBMITTEDASBESTUSI,RIftFICAifON•TO:; .. PERMIT CANCELLED - ❑ EPA • • • • • • • • • • /�� PERMITEXTENDED ❑ AQMD ASBESTOS NO-1FICA'RONIS NOT APPLICABLE TO PERMIT FINAL PROPOSED DEMOLITION. CERPFICATEOF • � • • � • SIGNATURE: OCCUPANCYISSUEO • • _ ... ••