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Home My WebLink AboutF2022-0245 - Permits�t•„� City of Newport Beach - Building Division *F2022-0245* FIRE Permit: F2022-0245 �# 100 Civic Center Drive, Newport Beach, CA 92660 ; Project No : 1219-2022 Permit Counter Phone (949)644-3288 I � - T INS Inspection Requests Phone (949)644-3255 Job Address: 2121 CRESTA DR NS Description: MFR RESIDENTIAL FIRE SPRINKLERS (200) HEADS BLDG 11 Inspector Area:X �i�i..1� Legal Description: IRVINE SUB LOT 164 BILK 53 5.83 AC IN LOT .... Owner: SHEA HOMES LP Contractor: FIRE SPRINKLER SYSTEMS INC Architect: °°�JO• Address: 2ADA STE 200 Address: 705 E HARRISON 9200 Address: °®°• s°®®°; IRVINE CA 92618 CORONA CA 92879 Phone: Phone: 800-915-3473 Phone: State Lic: ° °°• Applicant: BISHIP JAMIE Con State Lic: 684600 Engineer: °°0O° Address: 705 E HARRISON ST, STE 200 Lic Expire: 02/2812024 Address: • ° CORONA CA 92879 Bus Lic: BT30053356 Phone: 951/272-2522 Lic Exp Date: 12/31/2022 Phone: State Lic: o°omo Code Edit:2019 Worker's Compensation Insurance Designer: FIRE SPRINKLER SYSTEMS • °.°•°° Type of Construction: V-B-SPR Carrier: INS CO OF THE WEST Address: 705 E HARRISON ST, #200 +° • ° o ° Occupancy Group: R21U Policy No: WSD503131406 CORONA CA 92879 • °•° Added /New sq.ft. Bldg: 0 Expire: 10101/2022 Phone: 951-272-2522 °oa°oc 0 0 Added/New sq. ft. Garage: 0 No of Stories: 3 Issued Date: 06/03/2022 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $14,745.00 Building PC Fee : $222.00 Fire Residential Ala" PC Fee : $0.00 Records Management : $16.00 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 : $507.00 Plan Check Fee : $222.00 Fee Due at Permit Issuance : $285.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: 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 i:s 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 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 oM 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?roA licensure under the Contractors' State License Law for the following reason: � I' I1; ss'pnature0e.Vv!6acknowledge 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 legal) sell a structure Mat Ph&ve 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.html. Slgna[u're of ProperipQwner or. Authorized Agent Date LJCr;N%ED CCWTHAtTOR'S DECLARATION I Teret4 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 Reese is in full force and effect L"wastlass License No Date Contractor Signature% ORKeRS' COJAPFUSATION DECLARATION WARNING: nAILUREfO SLCURE 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 CQS�T.Of JCVMPENSAA5N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I Melgby,01ffirm ugrlbr p€rjalty 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 th p ormance 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' compensatio insurance carrier and policy number are: Policy Number Date ie of Agent Phone # 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' compe_s� provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant ereby 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). lder's Name Lender's Address 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 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 count�Xt° enter the abovve--iident^ified prop y for inspection purposes. nature of Property Owner or Authorized Agent / — a'�--n' / :�Y �' Print Property Owners or Authorized Agent's Name�lNZ er" /I`t° 3, 7ata zZ ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGI/LATIONSPART 61 OF TITLE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ ISUBMITFEDASBESTOSNO17FICATIONTO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENIDED ❑ ASBESTOS NOIIFICA770M IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT ANAL CERTIFICATEOF SIGNATURE:. OCCUPANCYISSUED