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Home My WebLink AboutF2020-0488 - Permitsrr City of Newport Beach - Building Division *F2020-0488* a 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 2701 CIRCLE DR NB Inspector Area: 2 Owner: LISENBEE GARY Address: 2581 CIRCLE DR NEWPORT BEACH CA 92663 Phone: Applicant: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714476-5370 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R3/1.1 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Flood Zone: Bldg Sprinklers: N Construction Valuation: Building PC Fee: Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee: Building Permit Fee: TOTALFEE: PROCESSED BY: $5,500.00 FIRE Permit: F2020-0488 Project No : 2266-2020 Inspection Requests Phone (949)644-3255 Description: FIRE SPRINKLER SYSTEM 58 HEADS (X2019-3958) Legal Description: N TR 1102 LOT 27 Contractor: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714476-5370 Con State Lie: 876004 Lie Expire: 04/30/2022 Bus Lie: BT30040107 Lie Exp Date: 0813112021 Worker's Compensation Insurance Carrier: SECURITY NATIONAL INS Policy No: SWC1326710 Expire: 02/15/2022 Issued Date: 12/08/2020 Setback- Front: Rear: Left: Right: FEES Architect: oPEC i Address: Phone: State Lie: Engineer: Address: Phone: State Lie: Designer: CASEY MONTY Address: 1101 KINGSTON LA HABRA. CA 90631 Phone: 714476-5370 Special Conditions: REV21-0384 REVISED 03-17-2021 $217.00 Fire Residential Alarm PC Fee : $0.00 Records Management $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee : $0.00 $0.00 $0.00 Public Works PC Fee : $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $263.00 $486.00 Plan Check Fee: $486.00 Fee Due at Permit Issuance i OTHER DEPARTMENT: ZONING APPROVAL: - PLAN CHECKED BY:: (� FIREAPPROVAL: APPROVAL TO ISSUE: CA a�----- PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 0 mcoo° 0 9 a m eaomoo m o 0 0 0 0 aacmmm ea moo m e o omm�o °$6.00 °mooed BO9oOV 00 0 m mm40.00 o m m m$0.00 Qamm.�o meomo• mm�o 0 $0.00 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 (_) 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 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 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegall) 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://w .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 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 PINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 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 the performance of t L-wark for which this permit is issued. Policy No. - ❑I haveand 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 in!draAUcame*nd ptacy number are: Caeier . " Policy Number Expiration Date gerMX that, iIt wpwformance 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•lshould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. . ... �aVra, of Appaaant Date °LSIRATION REGARDING CONSTRUCTION LENDING AGENCY g0? affirm under pp.nalty 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). fer's44ame • . . Lender's Address a)isignature below, lcertify to each of the following: 4 am the propartyrov'6ner 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. ,.,+, , ; or^n. ., n—nor nr Aidhnrhan Anont Print PmDerty Owners or Authorized ADent's Name Date ACDON I DATE I BY PERMIT FINAL FEDERAL REGULATIONSPART 64 OF T17L€40AND AQMD RULE 1403. ❑ I SUBMITTEDASBESTOS M)TIFICATION TO: ❑ EPA ❑ AQND ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. OCCUPANCYISSUED I I I I SIGNATURE.