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Home My WebLink AboutF2019-0477 - Permits�1rt Gity-ef Newport Beach -Building Division I II�III�IIIIIIIIIIIIIIIII�III�II'�IIIIII�'llll 100 Civic Center Drive, Newport Beach, CA 92660 a Permit Counter Phone (949)644-3288 II FIRE Permit: F2019-0477 Project No: 1859-2019 Inspection Requests Phone (949)644-3255 Job Address: 1906 SANTIAGO DR NB Description: SFR FIRE SPRINKLERS(X2019-0112) ADD 2 HEADS, RELOCATE 4 Inspector Area: 3 Legal Description: N TR 4224 LOT 299 .Owner: HOUCK DARREN M Contractor: ALL STAR PLUMBING & FIRE SPRINKLER COMPANY Architect: Address: 1906 SANTIAGO DR - . Address: P O BOX 1413 Address: NEWPORT BEACH, CA 92660 LAKE FOREST CA 92609 Phone: Phone: 949-470-0072 Phone: State Lic Applicant: HOLT/ALL STAR PLUMBING Con State Lic: 715588 Engineer: Address: PO BOX 1413 Lic Expire: 08131/2019 Address: LAKE FOREST CA 92630 Bus Lic - BT30059737 Phone: 949-470-0072 Lic Exp Date: 1113012019. - Phone: State Lic: Cade Edit: 2016 ' - Worker's Compensation Insurance Designer: SIRIGNANO ED Type of Construction: V-BSPR Carder: BENCHMARK INS CO Address: - 22672 LAMBERT ST #619 Occupancy Group: R3/U Policy No: CST5015195 LAKE FOREST CA 92631 Added /New sq.ft., Bldg: 0 Added /New sq. ft. Garage: 0 . Expire: 02/07/2020 Phone: 801-647-6161 No of Stories: 2 Issued Date: 08/19/2019 Special Conditions: @� e ��® No of Units : - 0 Setback- Front: j V VVV Flood Zone: Rear: Bldg Sprinklers: Y Left: - Right: FEES Construction Valuation: $2,750.00 Building PC Fee: $0.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $4.00 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: $205.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee : $238.00 Public Works Traffic Plan Check Fee; $0.00 - BuildingPermitFee: $0.00 TOTAL FEE : $447.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $447.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL OTHER DEPARTMENT: - PLAN CHECKED BY:: APPROVAL TO ISSUE: �-AWIT°EiYPIRF,S 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION °m a o. oo •• •c• DWNER-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 (_) 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 'mproved for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting. with licensed Contractors to construct the project (Section TL4, 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. l 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 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Division 3 of the Business and Professi , 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 CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN BECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: !411 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire( e.{ff ance of the work for which this permit is issued. Policy No. Jfiha a and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for Isura ce carrier and policy number are: Policy Number of Agent of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date certify that, in the performan f thE5zork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the if I should become;ubjectt ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith. comply with those provisions. compensation laws of California, and 'ignatureof Applican ` / us If 6 IECLARATION REGA N8gRUCTION LENDING AGENCY V hereby affirm under enal Lp 9, that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the proper9�-- I have read this application andthe information I have proI agree to comply with all applicable city and cou ty ordilaws relating to building construction. I authorize representatives of this city or cou t en ied property for inspection purposes. iionature of Pmnerty Owner or Authorized AoenPrint Property Owners or Authorized Agent's Na�e ACTION DATE V BY �1-L/U rjvlr yr uumrumovY gvvirrr vs cyv FEDERAL REGULAT/OMSPART61 OFTHLE$DAWPOo PERMtTEXPrRED AQMD RULE 1403. o•o •o 0 5 o0 ❑ I SUBMtTTEDASBESTOS M377efCZTfJd'i TQ. PERMITCANCELLED 'EPA PERMlTEXTENDED ❑ AQMD ❑ ASBESTOS NOT(fTCATfONtS NOT APPLICABLE TO PERA41TEINAL i PROFOSED DEMOLITION. CERTIFICATEOF •� • • ' o ° ° o 0 OCCUPANCYISSUED SfGNATURE: Date