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Home My WebLink AboutF2022-0158 - Permits(6) City of Newport Beach - Building Division FIRE Permit: F2022-0158 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 1 5 aProject No : 0786-2022 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 1748 PLAZA DEL NORTE NB Description: SFR FIRE SPRINKLERS (X2021-0201) 33 HEADS Inspector Area: 1 Legal Description: N TR 518 BLK L LOT 12 Owner: HBR HOLDINGS LLC Contractor: FIREPROOF FIRE PROTECTION Architect: Address: 7 PROMOMTORY Address: 1101 KINGSTON DR Address: TRABUCO CANYON CA 92679 LA HABRA CA 90631 Phone: Phone: 714.476-5370 Phone: State Lic: Applicant: CASEY MONTY Con ate Lic: 876004 Engineer: Address: 1101 KINGSTON DR / Lic 04/30/2022 Address: LA HABRA CA 90631 Bus Li � BT30040107 Phone: Lic Exp D te. 07/31/2022 Phone: State Lic: Cade Edit : 2019 Worker's Comp® on Insurance Designer: CASEY MONTY Type of Construction: V-B-SPR Carrier: >RITY NATIONAL INS Address: 1101 KINGSTON DR Occupancy Group: R3/U o c No: S 25710 LA HABRA CA 90631 Added /New sq.ft. Bldg: 0 4d : 021 5FX6 3 Phone: 714-476-5370 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Issued Dat 04/05/2022 Setback- FAP Special Conditions: Flood Zone: X Rear: Bldg Sprinklers: Y Right: igt Construction Valuation Building PC Fee: Building Overtime PC Fee: Building Extortion Fee : Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee I[iSr1lIll PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $3,300.00 FE $222.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $6.00 $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 $269.00 $497.00 Plan Check Fee : $222.00 Fee Due at Permit Issuance : $275.00 OTHER DEPARTCIENT:. PLAN CHECKED aY.: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INS'-CTICN OWNER -BUILDER DECLARATION 1 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 legally 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 fallowing Web site:http://www.leginfo.ca.gov/calaw.html. Date Signature of Property Owner or Authorized Agent 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. License Class License No Date A 11 Contractor Signature WORKERS' 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 1$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 of Industrial Relations as provided for by Section 3700 of the Labor Code, for th pe rmance of the work for which this permit is issued. Policy No. ve 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' compensatic ins ance carrier and policy number are: arrier Policy Number Expiration Date Name of Agent Phone # I 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 agrE that, if I should become subject to workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. a ) i nature of Applicant —L_� ....... CLARATION REGARD G CONSTRUCTION LENDING AGENCY ;reby 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). 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 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 er br the above -identified property for inspection purposes. /� � �/ L r� 11 Date (nature of Property Owner or Authorized Agent �—' Print Property Owner's or Authorized Agent's Name •� ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403. PERMIT EXPI RED � ❑ [SUBMITTED ASBESTOS NOTIFICATION TO: PERMITCANCELLED ❑ EPA ❑ AOMD PERPAfT EXTENDED ❑ ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO PERMlT FWAt PROPOSED DEMOLITION. CERTI,RCATEOF SIGNATURE: OCCUPANCYfSSUEO