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Home My WebLink AboutF2021-0455 - PermitsCity of Newport Beach - Building Division IIIII�IIIIIIIIIIIIII�I�IIIII�IIIII) II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 4 5 5 Permit Counter Phone (949)644-3288 �atiaeza�r Job Address: 1969 PORT BRISTOL CIR NB Inspector Area: 4 Owner: QUICK RICHARD KEVIN Address: 2618 SAN MIGUEL DR #265 NEWPORT BEACH, CA 92660 Phone: Applicant: MC MIKE / PRECISION FIRE SYSTEMS Address: 27068 LA PAZ RD #212 ALISO VIEJO, CA 92656 Phone: 949-337-3317 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: 2 No of Units : 0 Flood Zone: Bldg Sprinklers: Y FIRE Permit: F2021-0455 Project No : 2272-2021 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (49) HEADS (X2020-2790) Legal Description: N TR 6623 LOT 80 Contractor: PRECISION FIRE SYSTEMS Architect: Address: 27068 LA PAZ RD #212 Address: ALISO VIEJO CA 92656 Phone: 949-337-3317 Phone: State Lic: Con State Lic: 906248 Engineer: Lic Expire: 11/30/2021 Address: Bus Lic: ST30052678 Lic Exp Date: 09130/2021 Phone: State Lic: Worker's Compensation Insurance Designer: MCSTAY MIKE Carrier: CLEAR SPRING PROPERTY&CASUALTY Address: 27068 LA PAZ RD #212 Policy No: CWC00122800 ALISO VIEJO, CA 92656 Expire: 08/24/2022 Phone: 949-337-3317 Issued Date: 09/2912021 Special Conditions: Setback- Front: Rear: Left: Right: FEES Construction Valuation: $7,500.00 Building PC Fee : $222.00 Fire Residential Alarm PC Fee : $0.00 Records Management : $8.00 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 : $499.00 Plan Check Fee : $499.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: LUICI4:Ar7IT, W, im PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 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). ❑ 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 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 permit, I cannot legall: 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://ww .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 COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL 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: I 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 erformance of the work for which this permit is issued. Policy No. ]I 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' compensation Isurance carrier and policy number are: 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 IECLARATION 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 (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 county to enter the above -identified property for inspection purposes. ACRON DATE BY DECLARATION OFCOMPLfANCE MTH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1401 PERMIT EXPIRED ❑ / SUBMITTED ASBESTOS NODFICATION TO: ❑ EPA ❑ AQMD PERMITCA.NCELLED PERMIT .EXTENDED ❑ ASBESTOS NORACATIONISNOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL 1 CERTIFICATEOF SIGNATURE:. OCCUPANCYtSSUED City of Newport Beach - Building Division *F2021 —0455* ,e- 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v FIRE Permit: F2021-0455 Project No : 2272-2021 Inspection Requests Phone (949)644-3255 Job Address: 1969 PORT BRISTOL CIR NB Description: SFR FIRE SPRINKLERS (46) HEADS (X2020-2790) mesa ...... ° m Inspector Area: 4 Legal Description: N TR 6623 LOT 80 ° m °> '• J o V a aecm Owner: QUICK RICHARD KEVIN Contractor: PRECISION FIRE SYSTEMS Architect: ° Address: 2618 SAN MIGUEL DR #265 Address: 27068 LA PAZ RD #212 Address: • ° ° ° ° m NEWPORT BEACH, CA 92660 ALSO VIEJO CA 92656 Phone: Phone: 949-337-3317 Phone: State Lic: em Applicant: MC MIKE PRECISION FIRE SYSTEMS Con State Lic: 906248 Engineer: ° aeaea Address: 27068 LA PAZ RD #212 Lic Expire: 11/30/2021 Address: ALSO VIEJO, CA 92656 Bus Lic: BT30052678 Phone: 949-337-3317 Lic Exp Date: 09/30/2021 Phone: State Lic: e°maa Code Edit:2019 Worker's Compensation Insurance Designer: MCSTAY MIKE •>>>.> °»°•� Type of Construction: V-BSPR Carrier: CLEAR SPRING PROPERTY&CASUALTY Address: 27068 LA PAZ RD #212 > Occupancy Group: R3/U Policy No: CWC00122800 ALSO VIEJO, CA 92656 Added /New sq.ft. Bldg: 0 Expire: 0812412022 Phone: 949-337-3317 Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 09/29/2021 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: Left: Right: FEES Construction Valuation: $7,500.00 Building PC Fee : $222.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $8.00 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 : $499.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $499.00 PROCESSED BY:U ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and PrryfQ"ons 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 ft Liq�i►ltended 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 mr eve d for the urpo se of sale). • I, as•owner VPD gfoperty, 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). • 113fn exempt Irom licensure under the Contractors' State License Law for the following reason: By myeignaturabelew k 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 .'yelITS61:9cture tht?I halve 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 P•ro�esslons CoJ2,1SaJ3ilable upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. Si nature of Property Owner or Authorized Agent Date I!C•E'ASED CON.TRACTOR'S DECLARATION ••••. esebyaffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing v ith ection 7000) of Division 3 of the Busines an Pr fessions Code, and my license is in full force 2nd effect. .... ; ,/ �- LiemmeClass T� License No Date 'T 9 Contractor Signatur WORKERS' CLSMPE VSATION 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 DOLLAR ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I 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 forwhich this permit is issued. Policy No. I 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' x(ance carrier and policy number are: of Agent Policy Number Expiration Date Phone # I 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 S, if I should become,sutyect to�M worts-f corrdp®abation prig I s of Section 3700 of the Labor Code, I shall forthwith comply with thoseWrovisions. 1 Signature of Applicant Date //' DECLARATION REGA I ONSTRUCTION LENDING AGENCY I hereby affirm under p alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ( e dtion 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 owners behalf. I have read this application and the information I have provided is corr ct. I agree to comply with all applicable city and coup ces state I - elating to building construction. I authorize representatives of this city or co enter t ve= ed property for inspection ses' Signature of Property Owner or Authorize gent _ _ _ roperty Owners or Authorized Agent's Name Date& AODON DATE By ECLAPATf OF COMPLIANCE WITH CODE OF FOR OF EUSEONLY FEDE GULATIOIYS PART 51 OF TITLE40 AND RULE 1403 PERMITEXPIRED ❑ 1SUBMtTTED'ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AOMD PERMITCANCELLED PERF.41TEXTENDED ❑ ASBESTOS NOURCA71ON IS NOTAPPLICABLETO PROPOSEDDEMOUTION PERMIT FINAL /fop /j.Z CERTIFICATEOF SIGNATURE:. OCCUPANCYISSUED