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Home My WebLink AboutF2018-0678 - Permits�,P T City of Newport Beach -Building Division IIIIIIVIIINIII�fIIUIIIVIIIVIIIVIIIVIII�IIIuIII FIRE Permit: F2018-0678 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 6 7 8 Project No: 2979-2018 E' _ Permit Counter Phone (949)644-3288 0v, o'�wsnvr*T`' Inspection Requests Phone (949)644-3255 Job Address: 2501 SIERRA VISTA NB Description: SFR FIRE SPRINKLERS @ ADU It 2 HEADS) X2018.2981 sit I log . Inspector Area: 3 Legal Description: N TR 1801 LOT 4 Owner: SIMINGTON GAIL HAAS Contractor: ALL STAR PLUMBING & FIRE SPRINKLER COMPANY Architect: Address: 2501 SIERRA VISTA Address: P O BOX 1413 Address: NEWPORT BEACH, CA 92660 LAKE FOREST CA 92609 Phone: Phone: 949-470-0072 Phone: State Lie: . • e • o • Applicant: ALL STAR PLUMBING &FIRE SPRINKLER COMPANY bon State Lie: 716688 Engineer: ° °, • o° ° `° a Address: P O BOX 1413 Lie Expire: 08/31/2019 Address: ° LAKE FOREST CA 92609 Bus Lie: BT30059737 Phone: 949470-0072 Lie Exp Date: 1113012019 Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer: SIRIGNANO ED ,•„� Type of Construction: V-BSPR Carrier: BENCHMARK INS CO Address: 22672 LAMBERT ST #619 ' °.. • ° ° • • °+ Occupancy Group: R3IU Policy No: CST5012183 LAKE FOREST CA 92630 Added /New sq.ft. Bldg: 0 Expire: 0210712019 Phone: Added /New sq. ft. Garage: 0 ...... No of Stories: 0 Issued Date: 12/20/2018 Special Conditions: . ..... a °"�` No of Units: 0 Setback -Front: ,°°.$• Flood Zone: Rear: - Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $3,000.00 Building PC Fee: $202.00 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: $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: $240.00 TOTAL FEE : $446.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $446.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: ' \ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 items) (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 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). ❑ 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 legalll sell a structure that I hyve 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 C8d@f R•a✓ailable upon request when this application is submitted or at the following Web site:hftp:/Aw .leginfo.ca.gov/calaw.html. 9i3RatLsre of Property owner or Authorized Agent Date LICE14SED 80971RACTOR'S DECLARATION rbeand affect.. under )lenalty of perjury that I am licensed under provisions of Chapter 9 (comn mg with Section 7000I) of Division 3 of the Bus' ess and Professions ode, and my license is in full force icense Clan • • •. License No Da de%' �� Contractor Igna ure L� ` ORKERS' COMPENSATION DECLARATION ` ARNING: FAIL411501,17SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TN SAND DOLLARS ($100,000), IN ADDITION TO THE • 60. TSrbF COMPEiI6ATP%, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. . ►4grgby affirm render penalty of perjury one of the following declarations: 1•have �i�l 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 • ance of the avork for which this permit is issued. Policy No. ` ave BOVAri raintain 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' compensatioi insurance cafriefend policy number are: Policy Number Expiration Date is of Agent certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith c to the workers' compensation laws of California, and IECLARATION REGARDING CONSTRgCTION LENDING AGENCY hereby affirm under penalty of perjury at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 ender's Name Lenders 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 a e In ormation I have provided is correct. I agree to comply with all plicable city and county ordinances and state laws relating to building construction. I authorize representatives f this city or county to%nt r the \ e-identified property for inspection purposes. 'signature of Property Owner or Auth Ize Agent Y� Print Property Owners or A ed Agents.Name 2� Civil Code). ACTION DATE _._._.. _.. _.. DECLARATION OF COMPLIANCEVIII-C9DEDF FEDERAL REGULA77ONSPART07I OF 177LE40AND AQMD RULE 1403. ❑ 1 SUOUTTED ASBESTOS NDIIFICATION TO. ❑ EPA AQMD ❑ ASBESTOS NO17RCA71ONIS NOT APPLICABLE TO PROPOSED DEMOLITION, SIGNATURE. FOR OFFICE DSEONLY PERMITEXPIR€D PERMITCANCELLED PERMITEKTENDED 15112f 7-4❑ PERMITFINAL Lo CERTIFICATEOF OCCUPANCYISSUED