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Home My WebLink AboutF2021-0060 - Permits (2)x" City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 417 EDGEWATER PL NB Inspector Area: 1 Owner: HOME SWEET HOME LLC Address: 21731 VENTURA BLVD #205 WOODLAND HILLS CA 91364 Phone: Applicant: VO JOHN Address: 526 N SHADYDALE AVE WEST COVINA CA 91790 Phone: 714-310-0194 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R3IU Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y 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 $6,000.00 I IIP��II��II�I��I��IIIII FIREPermit: er 021-0060 o 41-2 2 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS..(30).HEADS (X2019-3493) Legal Description: Contractor: FIREGUARD SPRINKLER SYS INC Address: 7907 LEEDS ST DOWNEY CA 90242 Phone: 714-310-0194 Con State Lie: 992002 Lie Expire: 04/30/2022 Bus Lie: BT30046886 Lie Exp Date: 0413012021 Worker's Compensation Insurance Carrier: FALLS LAKE FIRE & CASUALTY Policy No: FLA0080008 Expire: 12129/2021 Issued Date: 02/1612021 Setback- Front: Rear: Left: Right: FEES $217.00 Fire Residential Alarm PC Fee $0.00 Planning Counter Review: $0.00 Planning Zoning PC Fee $0.00 $0.00 Public Works PC Fee: $0.00 Public Works Traffic Plan Check Fee; $263.00 $484.00 Plan Check Fee ZONING APPROVAL: '' o FIRE APPROVAL: cam, Be T e •Y ° ° ° ° e eeb •e• c •ee Architect: Address: Phone: State Lie: Engineer: Address: Phone: State Lie: Designer: VO JOHN Address: 7907 LEEDS ST DOWNEY CA 90242 Phone: 714-310-0194 Special Conditions 4/12121_.__ _ REVISED # OF -HEADS 1N0` $0.00 Records Management : $4.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $484.00 Fee Due at Permit Issuance OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION $0.00 IV )INNER -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 is 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 Irofessions 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 of more than five hundred dollars ($500). 3 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, lusiness 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 nprovements 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 nproved 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 pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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) ell 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 Irofessions 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 .ICENSED CONTRACTOR'S DECLARATION 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. .scene Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION rARNING: 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 ($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: 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 erformance 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: Policy Number of Agent Date 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). .enders 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. signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name ACTION BY DECLARATION OF COMPLIANCE VWfN CODE OF FOR OFACEUSEONLY FEDERAL REGULATIONSPART 6f OF TILL€40AND AQMD RULE 1403. "• .: PERMITEXPIRED ❑tSUBMITFEDASBESTOSNOAFfCATIONTO: ❑ EPA ❑ AQMD , �., • a�� •• •�. • • . ' • • . , • ' •. '• • •: , PERMITCANCELLED PDATE PERMITEXTENOED PROPOSED DEMOLITION.RONtS NOT APPLICABLE TO • •m• '•• PERA41TFINAL CERTtFICATEOF SIGNATURE. ••• m• •a• oa OCCUPANCY6SlED ®' o o00 moo'