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HomeMy WebLinkAboutF2021-0377 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II FIRE Permit: F2021-0377 4, Center CA 92660 F 2 0 2 1 0 3 7 7 100 Civic Drive, Newport Beach, Project No: 1971-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 3701 SEAVIEW AVE INS Description: SFR FIRE SPRINKLERS (17) HEADS (X2021-032 Inspector Area: 5 Legal Description: RESUB OF CORONA DEL MAR ELK 143 LOT 34 won Owner: HAZAM HADDAM Address: 5900 SKYLAB Contractor: Address: FIREPROOF FIRE PROTECTION 1101 KINGSTON DR Architect: Address: co HB CA LA HABRA CA 90631 Phone: Phone: 714-476-5370 Phone: State Lie: Applicant: CASEY MONTY Con State Lic: 876004 Engineer: Address: 1101 KINGSTON DR Lie Expire: 04/30/2022 Address: LA HABRA CA 90631 Bus Lie: ST30040107 "p Phone: 714-476-6370 Lie Exp Date: 07/31/2022 Phone: State Lie: �! Code Edit : 2019 Worker's Compensation Insurance Designer: CASEY MONTY Type of Construction: V-B-SPR Carrier: SECURITY NATIONAL INS Address: 1101 KINGSTON DR Occupancy Group: R3/U Policy No: SWC1325710 LA HABRA CA 90631 Added /New sq.ft. Bldg: 0 Expire: 02/16/2022 Phone: 714-476.5370 Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 09/15/2021 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $1,600.00 Building PC Fee : $222.00 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: $269.00 TOTAL FEE : $495.,. Plan Check Fee : $495.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: i �THER DjPAPk1 %TENT: ®® °• • VAN BY:: ZONING APPROVAL: CH4dK9© / FIRE APPROVAL: APPROVAL TO ISSUE: �� s o PERMIT EXPIRES 180 DAY.4' 4FTEti.,ISajU4NC%ORUSYoVALID INSPECTION p• 00° • ° •o fi PO• 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 `) all of or U 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). 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 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 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.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 nd effect. icense Class License No Datev l Ilk I VL Contractor Signature_\moo i 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 ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 3 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi erfoymance of the work for which this permit is issued. Policy No. and will mairyfaln workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier and D c number ars.---. I ie of Agent a certify that, in the performance of the if I should become subiect to the wo re of Date for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. CLARATION REGAIIVG CONSTRUCTION LENDING AGENCY - \ ireby affirm under pefialty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (' Ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I. have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to ter thhe�above-identified property for inspection purposes. nature of Property Owner or Authorized Agent k / C Y W Print Property Owners or Authorized Agent's Name 3097, Civil Code). t%t< ACTION ©ATE LBY DECLARATION OF COMPLIANCE IMTH CODE OF FOR OFFICE USE ONLY ,' ••Jf••DEJL-R6•61 OF TITLE40 ANDEj54T O CTSUArOI T.TtDASf VSrO$ APTIFICATION TO: • ❑ • -EPA ❑ AOMD' PFRMITEXPIR€D PERMIT CANCELLED • PERMIT: EXTENDED ASBESTOS NOTPRCATIONIS NOT APPLICABLE TO ' ARQPQSf V.DEPQLIr1ON- • • ; iiGKdTUA, PERMIT FINAL CERTIFICATEOF OCCUPAMCYISSUED •• •• •• • ... :•� ""