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Home My WebLink AboutF2022-0016 - Permits�q,wl•rr�} City of Newport Beach - Building Division *F2022-0016* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone(949)644-3288 INSPECIU � � x r''iarnur''>. FIRE Permit: F2022-0016 Project No : 0081-2022 Inspection Requests Phone (949)644-3255 Job Address: 1720 KINGS RD INS Description: SFR FIRE SPRINKLERS (54) HEADS (X2021-0529) Inspector Area: 3 Legal Description: N TR 1221 LOT 15 Owner: WERNER ERIC Contractor: FIREGUARD SPRINKLER SYS INC Architect: Address: 1720 KINGS RD Address: 7907 LEEDS ST Address: NEWPORT BEACH, CA 92663 DOWNEY CA 90242 Phone: Phone: 714-310-0194 Phone: State Lic: " Applicant: VO JOHN Con State Lic: 992002 Engineer: Address: 7907 LEEDS ST Lic Expire: 04/30/2022 Address: , DOWNERY CA 90242 Bus Lic: BT30046886 ' Phone: 714-310-0194 Lic Exp Date: 04/30/2022 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: VO JOHN Type of Construction: V-B-SPR Carrier: FALLS LAKE FIRE & CASUALTY Address: 7907 LEEDS ST Occupancy Group: R3/U Policy No: FLA0080008 DOWNEY CA 90242 Added /New sq.ft. Bldg: 0 Expire: 1212912022 Phone: 714-310-0194 Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 0112 7/2022 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: X Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $8,000.00 Building PC Fee : $222.00 Fire Residential Alarm PC Fee : $0.00 Records Management : $4.00 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 : $495.00 Plan Check Fee : $222.00 Fee Due at Permit Issuance : $273.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: S 5 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 do L) 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 -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ 1, 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 signaturr 5rl�w 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 following Web site:http://www.leginfo.ca.gov/calaw.htmi. �bignatl!re of P-cpst7 owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION ,I hereby affirm udder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000 of Division 3 of the Business and Profes Ions ode, and my license is in full force land effect. Z Z x License Class License No Contractor Signature WORKERS' COMPENSATION DECLARATION IWARNINC: 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 cjJ , ur COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. �iurauy affirm under o=nalty, of perjury one of the following declarations: 0 1 have and v.i;: 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 tht pejrormance of the wor'c for which this permit is issued. Policy No. have and wilt 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' ranee carrier and policy number are: is of Agent )- L certify that, in the performance if I should become subject to I of Policy Number Expiration Date 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 kern' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. L_ i Date x il_7 /27— DECLARATION REGARDING CONSJRUCTION LENDING AGENCY I I I hereby affirm under penalty of perjury at 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 following: I am the property owner or authorized to act 0" the propert owner's behalf. I have read this application and the information I have pr vi d is correct. I agree to comply with all applicable city and county ordijj��ance� and state laws relating to building construction. authorize representatives of this city or county to enterlthe a ove-identified property for inspection purposes, K L7 Signature of Property Owner or Authorized Agent nC I Print Property Owner's or Authorized Agent's NameA/cDate ACTION DATE BY DECLARATION OFCOMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TLRE 40 AND AQMD RULE 1403, PERWT EXPMED ❑ I SUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED PROPOSED DEMO TION. ASBESTOSNO FICA MIS NOT APPLICABLE 70 PERMIT FINAL �^ K— CERTTF CATS C F OCCUPANCYISSUED SIGNATURE: