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Home My WebLink AboutF2021-0497 - Permitsra City of Newport Beach - Building Division IIIIIIIIIIII�IIIIIIIIIIIII�III�IIIII'llllll II FIRE Permit: F2021-0497 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 4 9 7 Project No: 2465-2021 'w Permit Counter Phone (949)644-3288 �'�t•mt"�a Inspection Requests Phone (949)644-3255 Job Address: 1124 W OCEAN FRONT NB Description: SFR FIRE SPRINKLERS (41) HEADS (X2020-1168) Inspector Area;4 Legal Description: IRVINE SUB BLK 54 LOT 171 POR OF LOT Owner: ABCHAL GHAI Contractor: ALL STAR PLUMBING & FIRE Architect: Address: 1221 COAST HWY W Address: 22672 LAMBERT ST #619 Address: NEWPORT BEACH, CA 92661 LAKE FOREST CA 92630 Phone: Phone: 949-470-0072 Phone: State Lic: Applicant: MITCHELL BRENT Con State Lic: 715588 Engineer: Address: 22672 LAMBERT ST #619 Lic Expire: 08/3112023 Address: LAKE FOREST CA 92630 Bus Lic: BT30059737 Phone: 801-647-6161 Lic Exp Date: 07131/2022 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: MITCHELL BRENT Type of Construction: V-BSPR Carrier: BENCHMARK INS CO Address: 22672 LAMBERT ST #619 Occupancy Group: R3/U Policy No: CST5018455 LAKE FOREST CA 92630 Added /New sq.ft. Bldg: 0 Expire: 02107/2022 Phone: 801-647-6161 Added /New sq. ft. Garage: 0 No of Stories: 3 Issued Date: 10/19/2021 Special Conditions: HIGH DENSITY AREA No of Units : 0 Setback- Front: Flood Zone: X Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $8,500.00 Building PC Fee : $222.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $6.00 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 : $497.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $497.00 °• PROCESSED BY: •° WHER DEPARTMENT: ZONING APPROVAL: ,� / _ " ° • a ':' 'p,LAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: d PERMIT EXPIRE i 1I!Y DAZ'S AQTEx / 5UANC3F OR LAST VALID INSPECTION ♦e. ea a� _ . e..a na 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 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). ❑ 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 legally 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:hftp://w .leginfo.ca.gov/calaw.htm]. 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 Pro sio s 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 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. 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 Qrmance 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 o6lisv number.aw.1n . n is of Agent ==V4!�- certify that, in the performance , if I should become subject to) of Applicant Date vdork 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 rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n�10 V ► u 11 � Izn CLARATION REGARDING CONSTRUCTION LENDING AGENCY I I ' areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issue (Section 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 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 oIPT,nances and state laws relating to building construction. I authorize representatives of this city or county the above -identified property for inspection purposes. iature of Property Owner or Authorized AgenPrint Property Owners or Authorized ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE U5E ONLY FEDERA%1SEC&f:4 T10N3 PAPt V 1 OF.7? V_ e0AND AQMDRUYEI403: ❑ I SU T%GAS°BA MS kQ7IPKkT1ON 4: ❑ EPA • • . . v ❑ AQMO . PERMITEXPIRED PERMIT CANCELLED PERMtTEXTENDED ❑ ASBESTOS N07IRCATION IS NOT APPLICABLE TO PROPOS&COEZi!)VTOAL • e • :. s o I . o 0 o a o0 0 0 SIGNATURE`-, ' o PERMITFINAL CER77FICATEOF OCCUPANCYISSUFD ?