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Home My WebLink AboutF2021-0405 - PermitsCity of Newport Beach - Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 „ Permit Counter Phone (949)644-3288 A t�LAYiJ4�1� . Job Address: 4801 SURREY DR NB Inspector Area: 5 Owner: OUZOUNIAN NOUBAR/TRACY Address: 453 SEAWARD RD CORONA DEL MAR, CA 92625 Phone: Applicant: FIREGUARD SPRINKLER SYS INC Address: 7907 LEEDS ST DOWNEY CA 90242 Phone: 714-310-0194 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Flood Zone: Bldg Sprinklers: N Construction Valuation: Building PC Fee Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee: Building Permit Fee: TOTALFEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $8,000.00 *F2021-0405* FIRE Permit: F2021-0405 Project No: 2126-2021 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLER SYSTEM 46 HEADS (X2021-0565) Legal Description: N TR 3519 LOT 43 Contractor: FIREGUARD SPRINKLER SYS INC Address: 7907 LEEDS ST DOWNEY CA 90242 Phone: 714-310-0194 Con State Lie: 992002 Lie Expire: 04/30/2022 Bus Lie: BT30046886 Lie Exp Date: 04/30/2022 Worker's Compensation Insurance Carrier: FALLS LAKE FIRE & CASUALTY Policy No: FLA0080008 Expire: 12/2912021 Issued Date: 09/1512021 Setback- Front: Rear: Left: Right: $222.00 $0.00 $0.00 $0.00 $0.00 $0.00 $269.00 $495.00 FEES Fire Residential Alarm PC Fee Planning Counter Review: Planning Zoning PC Fee : Public Works PC Fee Public Works Traffic Plan Check Fee; Plan Check Fee: Architect: Address: Phone: State Lie Engineer: Address: Phone: State Lie Designer: VO JOHN Address: 526 SHADYVALE WEST COVINA, CA 91790 Phone: Special Conditions: $0.00 Records Management $0.00 $0.00 $0.00 $0.00 $0.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: Fee Due at Permit Issuance PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION oacucQ a o • ooa• a ° ° aae 0 o o oe•ae• o a °•• a•• • • aoa•• •e•o• • oaoac�o e• • • • o 0 0 •c•a• c••a% ° ° ••••° $4.00 $0.00 $0.00 $495.00 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 say, 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 Pcdassions 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%p,, 99(`u tended 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 eurpgse of sale). I, as owne?9f tpe aroperty, am exclusively contracting with licensed Contractors to construct the project (Section 704 , Business and Professions Code: The Contractors' State License Law does not app lyto 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 exempLfrom licensure under the Contractors' State License Law for the following reason: Qy my signatuoe.beWrrl 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 PER ashucture 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 CWV s'ayailable upon request when this application is submitted or at the following Web site:http://www.leg'nfo.ca.gov/calaw.html. 54gnalwe of Pmpelt?Owner or Authorized Agent I Date LICENSED CONTRACTOR'S DECLARATION Ryre6Qaffirm uaderQenalty of perjury that I am licensed under provisions of Chapter 9 (commencing wi h S coon 000)',of Division 3 of the Business and Pr fession de, nMJ:ly license is in full force and effEct. [ �' d kieense-Class License No Dat q J Contractor Signature W0RKERS' c(5rJIT'mqSATION DECLARATION ' NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEW LTIES AND CIVIL FINES UP TO ONE HU DRED THOUSAND DOLLARS ($100,060), 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: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director pf Industrial Relations as provided for by Section 3700 of the Labor Code, for th, performance of the work for which this permit is issued. Policy No. Vihave 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' compensatior ura, nce cam and policy umber are: �( �y� ✓ '�j .trier I— Policy Number �LFI Wd�VJ Expii me of Agent Phor I certify that, in the pert rm nce o the work for which this permit is issued, I shall not employ any person in any manner so as to become It, if I should becom bje t to th workers' compensation provisions of Section 3700 of the Labor Code, I shall forthw'th comply with tho Ina ture of Applicant /r- I M areby affirm under penalty cif perjury that there is a construction lending agency for the performance of the work for whih this permit is issued 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 prprh(ty owner's behalf. I have read this application and the information I havo prodded is correct. Date I to the workers' compensation laws of California, and �onjj 5I Z i 3097, Civil Code). I agree to comply with all applicable city and county firdinalces and state lawsrelating to building construction. I authorize representatives of this city or count tie ter th above -identified property for inspection purposes. n 1 , q) f5 Signature of Property Owner or Authorized Agent Iy �' Print Property Owner's or Authorized Agent's Name�X 1 Pf VI lY f I ACT70N HATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONL. FEDERAL REGUL ATIONSPART 61 OF TITL.E40 AND AQMD RULE 1403. PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NORFICATION TO:. ❑ EPA ❑ AQMD PERMITCANCELLED PERMITLXTENDED ❑ ASBESTOS M017FICA770NIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT ANAL CERTIF1C4TFOF OCCUPANCYISSUED SIGNATURE:.