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�gW1 �� 100 of vicNewenter Dport Beach
p Newport Beach, Building
Division IIII�III�IIIIIIIIIII II�llllllll�lll�l llul lllllll�lll FIRE Permit: F2020-0253
'_., Permit counter Phone (949)644-3288 Project NO : 1025-2020
v,
r*r FflR�'�• Inspection Requests Phone (949)644-3255
Job Address: 8 TORREY PINES LN NB
Description: NEW SFR FIRE SPRINKLERS (75 HEADS) X2019-1163
Inspector Area: 4
Legal
Description:
N TR 7638 LOT 27
Owner: WILLIAM COSMO TAORMINA
Contractor:
FIREPROOF FIRE PROTECTION
Architect:
Address: PO BOX 820
Address:
1101 KINGSTON DR
Address:
ANAHEIM, CA 92815
LAHA RA 90631
INSE-E��//'�9,,:vZOR
Phone:
phone:
DA
phone:
Applicant: FIREPROOF FIRE PROTECTION
Con State Lic:
876004
Engineer:
Address: 1101 KINGSTON DR
Lic Expire:
04/30/2022
Address:
LA HABRA CA 90631
Bus Lic:
BT30040107
Phone: 714-476-5370
Lic Exp Date:
08/31/2021
Phone:
State Lic:
Code Edit: 2019
Worker's Compensation Insurance
Designer:
CASEY MONTY
a °
Type of Construction: V-B-SPR
Carrier:
NORGUARD INS CO
Address:
1101 KINGSTON DR
a°•°„
Occupancy Group: R31U
Policy No:
MOWC148394
LA HABRA CA 90631
•°°,
•
°
Added /New sq.ft. Bldg: 0
Expire:
02/15/2021
Phone:
...
•
Added ]New sq. ft. Garage: 0
°
° „ ° ° ,
No of Stories: 3
Issued
Date: 06/30/2020 Special Conditions:
REVISED 10-15-2020
No of Units: 0
Setback- Front:
Flood Zone:
Rear:
° °°•
°
Bldg Sprinklers: Y
Left:
Right:
°,°° °,
BOOO•
00000a
a
FEES
°• °°
•.®o°.
Construction°°.• Valuation: $7,300.00
oo®,
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
)WNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the mason(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
:he 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
iot more than five hundred dollars ($500).
1, 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
mprovements 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
mproved 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 pemlit, 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 L T ! l a Cont r ignature
IYORKERS' COMPENSATION DECLARATION
MARRR16+FAILURE lOSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100,000I, IN ADDITION TO THE
LbST OF COMPENSIWYIydAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
Jitgabq.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 the
)erforAnce of {h'e'ON for which this permit is issued. Policy No.
*J;ye and v1Pipalhsain 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' compensation
nsuranoe carrier and policy number are:
T
inMe Pe
of
Policy Number
Date
ice 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 Califomia, and
to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
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).
ender's Name Lender's Address
ly 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 SgBunty to ter the above -identified property for inspection purposes. f, 1
signature of Property Owner or Authe>�Agent %� Print Property Owner's or Authorized Agerj Uaiii ^ 1'� l•. K, w c
AC170N
DATE
BY
DECLARATION OFCOMPLIANCEVATNCODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF Tf TLE 40 AND
AQMD RULE1403.
PERMIT EXPIRED
I SUB1167 TED ASBESTOS NOBFICATION TO.
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS N017RCA17ONIS NOT APPLICABLE TO
PROPOSEODEMOLITION
PERMIT FINAL
�6 n ti
S OA-
CERTIFICATE OF
SIGNATURE.
OCCOPANCYISSUED