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Home My WebLink AboutF2021-0612 - Permits;gwr��r City of Newport Beach - Building Division o 100 Civic Center Drive, Newport Beach, CA 92660 a � � Permit Counter Phone (949)644-3268 L A c. a Job Address: 1227 PORTSIDE WAY NB Inspector Area: 6 Owner: MURRAY KEITH D Address: 7 SHORELINE NEWPORT COAST, CA 92657 Phone: Applicant: IFIRE PROTECTION Address: 9559 NIGHTINGALE AVE FOUNTAIN VALLEY CA 92708 Phone: 714-234-9633 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: 1 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: $4,800.00 FIRE Permit: F2021-0612 Project No: 2857-2021 Inspection Requests Description: FIRE SPRINKLERS (28) HEADS X2021-1230 Legal Description: N TR 6113 LOT 47 Contractor: IFIRE PROTECTION Address: 9559 NIGHTINGALE AVE FOUNTAIN VALLEY CA 92708 Phone: 714-234-9633 Con State Lic: 1038755 Lic Expire: 04/30/2022 Bus Lic: BT30067240 Lic Exp Date: 0513112022 Worker's Compensation Insurance Carrier: EXEMPT Policy No: no employees Expire: Issued Date: 12/0712021 Setback- Front: Rear: Left: Right: FEES Architect Address: Phone: State Lic Engineer: Address: Phone: State Lic: Designer: VU ANTHONY Address: 9559 NIGHTINGALE AVE FOUNTAIN VALLEY CA 92708 Phone: Special Conditions: $222.00 Fire Residential Alarm PC Fee : $0.00 Records Management $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee: $0.00 $0.00 $0.00 Public Works PC Fee: $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $269.00 6495.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance l OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION H ° $4.00 $0.00 $0.00 $495.00 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 de U all of or L) 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-Builderwill 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 legall 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:http://www.leginfo.ca.gov/calaw.html. 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 Professions Code, and my license is in full force and effect. V2 7�` License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL BUBJECT AN EMPL YER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, C IMAGES 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: G I ha',e 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 performance of the wor, for which this permit is issued. Policy No. VI haee 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' compensatio insurarce carrier ano policy number are: Cardjr Policy Number Expiration Date IJ �a-of Agent- Phone# crrfify that, in the perform nce 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 agre a� of I should become subj Cttp the rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. wcwc Signature of Apr licant fw/� 1 Date / Z 17/ Z I DECLARATION 4EGPKDING CONSTRUCTION LENDING AGENCY I herebyaffirmwaver 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). Lender's Name Lender's Address By my signature below, I certify to each of the fallowing: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I 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 n r the ove-identifie erty for inspection purposes. p A SON 'V" Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name e Z Z ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. PERMFT.EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: PERMITCANCELLED ❑ EPA ❑ AQMD' ❑ ASBESTOS N07IRCA71ON IS NOT APPLICABLE TO PERMIT EXTENDED PROPOSED DEMOLITION. PERMIT FINAL CERTIFICAT€OF OCCUPANCYISSUED SIGNATURE: