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Home My WebLink AboutF2021-0277 - Permits (3)�I City of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIII'II�IIIIIIIIIIIIIIII II 4. 100 Civic Center Drive, Newport Beach, CA 92660 2 0 2 1 0 2 7 7 • Permit Counter Phone (949)644-3288 �{xiahrt�'°r. Job Address: 200 ORCHID AVE NB Inspector Area: 5 FT(AND NLY 61 Owner: A TINY SPECK LLC Address: 832 EUCALYPTUS AVE HILLSBOROUGH CA 94010 Phone: Applicant: NATHAN/RESIDENTIAL FIRE SYS Address: 8085 E CRYSTAL DR ANAHEIM CA 92807 Phone: 714-666-8450 Code Edit : 2019 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: No of Units Flood Zone: Bldg Sprinklers: V-B-SPR R3/U 0 0 FIRE Permit: F2021-0277 Project No : 1494-2021 Inspection Requests Phone (949)644-3255 ®/-,I— Description: SFR FIRE SPRINKLERS (X2020-0568) 46 HEADS Legal Description: REBUS OF CORONA DEL MAR LOT 6 ELK 142 NLY 61 FT NWLY 5 Contractor: RESIDENTIAL FIRE SYSTEMS INC Address: 8085 E CRYSTAL DR ANAHEIM CA 92807 Phone: 714-666-8450 Con State Lic: 786965 Lic Expire: 11/30/2022 Bus Lic: BT30003809 Lic Exp Date: 0413012022 Worker's Compensation Insurance Carrier: CYPRESS INS. CO. Policy No: REWC019434 Expire: 09/01/2021 2 Issued Date: 07/01/2021 0 Setback- Front: X Rear: Y Left: Right: nsq@y °li/�1/�/ Architect: Address: Phone: Stat �41 Engineer: Address: Phone: State Lic Designer: GUTIERREZ RUBI Address: 8086 E CRYSTAL DR ANAHEIM CA 92807 Phone: Special Conditions: FEES Construction Valuation: $9,165.00 Building PC Fee : $222.00 Fire Residential Alarm PC Fee : $0.00 Records Management : $10.00 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 : $501.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $501.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: WWI c _ e o o a m m ev ® 'OmWER DEPARTMENT: _ w a PLAN CHECKED BY APPRaVALTO ISSUE: % 0 PERMIT EXPIRES 180`DAVS AFTER ISS;UAME dRILAST 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 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 of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I 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 legal) 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 )Profess) ns Code, a tl m license is in full force and effect. O% f7i Zd3 I Contractor Signature> / �.. License Class License No Date WORKERS' COMPENSATION 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 DOLLARS ($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: and will maintain a certificate of consent to self -insure for workers' compensation, :e of the work for which this permit is issued. Policy No. issued issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for 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' carrier and policy number are: de of Agent certify that, in the performance of , if I should become subject to th-e of Policy Number Expiration Date forwhich 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 o sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 0-7 /oI-Z I CLARATION REGARDING CONSTRUCTION'LENDING AGENCY :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issue (Se tion 3097, Civil Code). Ider'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 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 entS ' boye ntified property for inspection purposes. nature of Property Owner or Authorize, Print Property Owner's or Authorized Agents Nau�ia�"`0.Y't Date ACTION DATE BY DECLARATION OF COMPLIANCE MTH CODE OF 1 FOR OFFICE USE ONLY FEDERAL REGI"TIONSPAR361 OFCTLE40AND 21CV1:RULE 1401 ' •. PERMfT.EXPIRED �• I SZPOTI€9AJ$ESTOS,NQTIFC:ATFON TO:. •• ❑•+•EPA + ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOT]FlCATIONISNOTAPPLICABLETO OFEI6 �OrDEfy}g: TON. s • • • • ' " PERMIT FINAL CERTIFICATEOF �' SIGNAL OREi* ; s• OCCUPANCYtSSUED i2 •° see