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Home My WebLink AboutF2021-0190 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 1 9 0 n' Permit Counter Phone (949)644-3288 Job Address: 3730 BLUE KEY NB Inspector Area: 6 Owner: STROM ROBERT Address: 3730 BLUE KEY CORONA DEL MAR, CA 92625 Phone: Applicant: CASEY MONTY Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-5370 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Flood Zone: Bldg Sprinklers: Y 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 $5,700.00 FIRE Permit: F2021-0190 Project No: 1061-2021 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (X2019-2800) 57 HEADS Legal Description: N TR 6152 LOT 38 Contractor: FIREPROOF FIRE PROTECTION Architect: Address: 1101 KINGSTON DR Address: LA HABRA CA 90631 Phone: 714-476-5370 Phone: State Lic: Con State Lic: 876004 Engineer: Lic Expire: 04/30/2022 Address: Bus Lic: BT30040107 Lic Exp Date: 08/3112021 Phone: State Lic: Worker's Compensation Insurance Designer: CASEY MONTY Carrier: SECURITY NATIONAL INS Address: 1101 KINGSTON DR Policy No: SWC1325710 LA HABRA CA 90631 Expire: 02/16/2022 Phone: 714-476-5370 Issued Date: 05/13/2021 Special Conditions: - - Setback- Front: Rear Left: Right: I N' P ..-V FEES $217.00 Fire Residential Alarm PC Fee : $0.00 Records_ Management : $4.00 $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee: $0.00 $0.00 $0.00 $0.00 Public Works PC Fee : $0.00 $0.00 $0.00 Public Works Traffic Plan Check Fee: $0.00 $263.00 $484.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $484.00 L�� ._ - - - „°QT.AR DEPARTMENT: . F N't7HECKED BY:: _ APPROVAL TO ISSUE: _ PERMIT EXPIRES 140 DAYS AFTER ISSVANCt OR LAST VALID INSPECTION )WNER-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 ie 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 'rofessions 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 of 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, lusiness 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 nprovements 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 nproved for the purpose of sale). 1 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 pply 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: ly 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 legall ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION 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 Professions Code, and my license is in full force nd effect. [ /1� r� .isicense Class License No —Date-* ] I) i IT 1Contractor Signatur /�� GG �/� �V___ VORKERS' COMPENSATION DECLARATION rARNING: 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 I$100,000), IN ADDITION TO THE 'DST 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 the hormance of the work for which this permit is issued. Policy No. �I Eve 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' compensation )su nce carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work 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 , if I should become subjecttothe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ;atureofApplicant �// /�- ^rc,ry Daty S— i 1 hereby affirm under penalty of perjury 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 property owner's behalf. I have read this application and the information 1 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 eer thel above -identified property for inspection purposes. % _ signature of Property Owner or Authorized Agent _ // / " 1 �� Print Property Owners or Authorized Agent's Name / � �v I I ' ° ( Date.i () I x ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOROFRCEUSEONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQM9 PULE',403. PERMIT EXPIRED ❑ -S!I&,ITTE:)ASBESTOzi NOTIFICATIONTO: ❑ �P,S ❑ AQMD ❑ ASBESTOS N071FICATION IS NOT APPLICABLE TO PROPOSCC DEMOLIPON. - - - PERMITCANCELLED PERMITEXTENDED PERMIT FINAL -21 -213 h 1LI1-- CERTIFICATEOF SiGNATUR,=: ' OCCUPANCYISSUED ® m MEN Up I If iY ON 2 0 11 Q ❑ Cl El 0 Cl 0 12. � m! NMI