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Home My WebLink AboutF2022-0215 - PermitsCity of Newport Beach - Building Division *F2022-0215* 100 Civic Center Drive, Newport Beach, CA 92660 w` Permit Counter Phone (949)644-3288 fi FIRE Permit: F2022-0215 Project No : 1063-2022 Inspection Requests Phone (949)644-3255 Job Address: 1134 E BALBOA BLVD NS Description: SFR SPRINKLERS (30) HEADS (X2021-3222) Inspector Area: 1 Legal Description: BALBOA TR EAST SIDE ADD LOT 18 ELK 17 ALL -INC PORSTS , ADJ-(AND BA LBOA ' Owner: SLOAN STEPHEN Contractor: CRAIG FIRE PREVENTION INC Architect: Address: 4234 ARCADY AVE Address: 123 E CENTRAL AVE Address: DALLAS TX 75205 MONROVIA CA 91016 Phone: Phone: 626-357-4045 Phone: State Lic: Applicant: MARTINEZ ROBERT Con State Lic: 1037827 Engineer: Address: 122 W POMONA WAY Lic Expire: 04/3012024 Address: MONROVIA CA 91016 Bus Lic: BT30048335 ' Phone: 626-352-4045 Lic Exp Date: 08/3012022 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: MARTINEZ ROBERT " Type of Construction: V-B-SPR Carrier: AMERICAN FAMILY HOME Address: 122 POMONA AVE Occupancy Group: R3/U Policy No: 2EA5WC900091800 MONROVIA CA 91016 Added /New sq.ft. Bldg: 0 Expire: 02/11/2023 Phone: 626-352-4045 Added /New sq. ft. Garage: 0 No of Stories: 3 Issued Date: 05/06/2022 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: AE Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $6,800.00 Building PC Fee : $222.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $2.00 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 : $269.00 TOTAL FEE : $493.00 Plan Check Fee : $222.00 Fee Due at Permit Issuance : $271.00 PROCESSED BY:� ZONING APPROVAL: FIRE APPROVAL: I OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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). ❑ 1, 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 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 Ere not I itended 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). EJ I, as owner cf tSe 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). I 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 legal) Zell a stl acture tha: 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, !E cvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signatur= of Prdpert,, Owner or Authorized Agent Date LluENSED CONTRACTOR'S DECLARATION I ha,Eby,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 Prof ss Code, and my license is in full force cnd effe-,t. I/ I rens,, :lass License No Date x �% /Z Z, Contractor Signature 0 WCEYERS' COMPENSATION DECLARATION WARNING: 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 ($100,000), 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: ❑ 1 have andwill 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 work for which this permit is issued. Policy No. Ive 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' nce carrier and policy number are: Policy Number Date ie 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 as to become subject to the workers' compensation laws of California, and if I should become subjegtvto the workers' compen,pation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant DECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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 ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 @@,,nnter the above -identified property for inspection purposes. ��(('' (� ,.,., ,, „f o... ,, n...—,.� A„rL...1>od Ancnt ixf MxL r-V Print PmDertv Owner's or Authorized Aaent's Name /c, /d�tS ln. ACTION I DATE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERT(FICATEOF OCCUPANCYISSUED BY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMO ❑ ASBESTOS N077FICA77ON IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: 2Z Civil Code). ki,(- •s ` Si