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HomeMy WebLinkAboutF2021-0354 - Permits�wz•r1* City of Newport Beach - Building Division 100 C16ic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 424 ANGELITA DR NB Inspector Area: 2 Owner: HOTLZJACLYN Address: 424 ANGELITA DR CORONA DEL MAR, CA 92625 Phone Applicant: GLENDALE FIRE PROTECTION INC Address: 1340 SPAZIER AVE GLENDALE CA Phone: 818.846-9311 Code Edit : 2019 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: 1 No of Units : 0 Flood Zone: Bldg Sprinklers: N *F2021-0354* W FIRE Permit: F2021-0354 Project No : 1853-2021 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLER SYSTEM 5 DEVICES (X2021-0900) Legal Description: N TR 2813 LOT 50 Contractor: GLENDALE FIRE PROTECTION INC Address: 1340 SPAZIER AVE GLENDALE CA Phone: 818-846-9311 Con State Lic: 600838 Lic Expire: 03/31/2023 Bus Lic: BT30076261 Lic Exp Date: 08/30/2022 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 1426571 Expire: 09/01/2021 Issued Date: 08/12/2021 Setback- Front: Rear: Left: Right: em•e • ease o Architect: em e emm.mo Address: ° °,• e• ° • e Phone: State Lic: °O ° oeeee• Engineer: • °„° e Address: eo • m • m e•eoo Phone: State Lic: o mo m • mmoeoo Designer: VARTANIAN VARTAN Address: 1340 SPAZIER AVE • •O ®e,emm GLENDALE, CA 91201 m m m o Phone: 818-618.9311 mmmemm mmoo Special Conditions: FEES Construction Valuation: $2,600.00 Building PC Fee : $0.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $6.00 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: $175.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee : $249.25 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $430.25 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $430.25 PROCESSED BY: J°✓ 7� ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: b 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) (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 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). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 Qf tfle 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. n ownepof.property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). • I IdIlfexernq from•licensure under the Contractors' State License Law for the following reason: BY my -signature helowi 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 tha/ 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 Pro0sSions Codg is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. y Il Vatt re of Prsparty.dwner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 harcYy affirm Jdao­bgnaity of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 7000) of Division 3 of the Business �a%� Professions Code, and my license is in full force acdp%e.Cl •• ( /(jO�' Datey 2 Contractor Si Y , ��%�� ooci Ofgct Cii License Now gnatur�� W0RISERS' FONjPTNSATION DECLARATION y, IIIIW(j: FAILURE-M SEOURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST ORCOMPENSI�TON,pAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. affirm UhMr•I$nalty of perjury one of the following declarations: 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 Drmance 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' compensal lance carrier and policy number are: _ me of Agent I certify that, in the it, if I should becon mature of ADDIICan Policy Number �-iT% �� Expiration Date Phone # 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 pe worykers' Fompensafion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p5oyisions. r DalX e ECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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 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 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�tfenter tlje apove-oentifief property for inspection purposes of Property Owner or Authorized 3097, Civil Code). V�2 f AC77ON DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 51 OF TITLE40 AND AQMD RULE'I403, PERMITEXPIRED ❑ I SUBMITTED` ASBESTOS NOTIFICATIONTO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT£XTENDED Ile NOR ICN TION IS NOT APPLICABLE TO DEMOLITION, PERMIT FINAL 22Z.2PROPOSED CERTIFICATEOF OCCUPANCYfSSUED SIGNATURE: FM ® 0 r� U C) c7 S C �q � O �dSt:1 z1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ V. N N n e n R E p� 4. m 10 co i n m 0 E K N - I ni z } a a Q �i El El 13❑❑❑ O