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Home My WebLink AboutF2021-0037 - Permitstl� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII�I�IIIIIIIIIIIII II +`. 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 0 3 7 Permit Counter Phone (949)644-3288 FIRE Permit: F2021-0037 Project No : 0186-2021 Inspection Requests Phone (949)644-3255 Job Address: 710 JASMINE AVE NB Description: SFR - FIRE SPRINKLERS/ADD 27 HEADS (X2020.0586) 0186-2021 Inspector Area: 6 Legal Description: CORONA DEL MAR BLK 737 LOT 12 Owner: PIGAZZI ALESSIO Contractor: ACT FIRST FIRE PROTECTION INC Architect: Address: 710 JASMINE AVE Address: 1325 N RED GUM STREET #10 Address: CORONA DEL MAR, CA 92625 ANAHEIM CA 92806 Phone: Phone: 714-630.3916 Phone: State Lie: Applicant: KENTON NAEVE Con State Lie: 830883 Engineer: Address: 1325 N RED GUM Lie Expire: 0313112022 Address: ANAHEIM CA 92605 Bus Lic: BT30030288 Phone: 714-630-3916 Lic Exp Date: 11/30/2021 Phone: State Lic: Code Edit: 2019 Type of Construction: VB Worker's Compensation Carrier: I }� ic,{e� SECUA Designer: NAEVE KENTON Address: 1325 N REDUM Occupancy Group: R3/U Policy No: ��06 SWC1188764 U N NQA.$92606 Added /New sq.ft. Bldg: 0 Expire: 03112/2021 714-630-3916 Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 02122/2021 Special Conditions: HIGH DENSITY AREA No of Units Setback- FroRear: j�' `� '-py ®' 117121 Flood Zone: XO Bldg Sprinklers: Y y V /'1 1 {,J®�X/C" A� revised # of heads �/�p Right: 1%�Sp W F FEES Construction Valuation: $3,000.00 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 : $484.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: m OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: o Q FIRE APPROVAL: APPROVAL TO ISSUE: ccc c o c c c o G 'PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION l o u o 0 °or, ooc u 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) (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 the 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 Iicensure 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). ❑ 1, 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, 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 improved 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 Iicensure 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/ca[aw.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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 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 thl performance of the work for which this permit is issued. Policy No. 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' rance carrier and policy number are: ter Policy Number Expiration Date of Agent 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. Signature of Applicant Date DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby 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). Lender's Name Lender's Address By 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. Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF TITLE40AND , AOMD RULE 1403. « « ••• '«' « •,. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: + • ❑ EPA •. � ❑ AQMD ... . • ` "• , • « ' � • « • ••• •'• •« PERMlT CANCELLED PERMITEX7ENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. « ••« PERMITFINAL CERTFFICAT€OF SIGNATURE:. . «•• �•• «,• OCCUPANCYISSU€D • • • • «