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Home My WebLink AboutF2022-0348 - Permits (3)awl,„�� City of Newport Beach - Building Division 'F2022-0348` FIRE Permit: F2022-0348 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1689-2022 Permit Counter Phone (949)644-3288 i x `"<rr� yN r Inspection Requests Phone (949)644-3255 Job Address: 318 CORONADO ST NB Description: SFR NEW FIRE SPRINKLERS (30) HEADS X2020-2894 Inspector Area: 1 Legal Description: NEWPORT BAY TR SUB OF BILK C LOT 30 Owner: ROBERT BEN/JUDY Contractor: CHANNEL FIRE PROT Architect: Address: 318 CORONADO ST Address: P.O. BOX 2204 Address: NEWPORT BEACH, CA 92661 OXNARD CA 93034 Phone: Phone: 8181408-1900 Phone: State Lie: Applicant: CHANNEL FIRE PROT Con State Lie: 1013199 Engineer: Address: P.O. BOX 2204 Lie Expire: 0413012024 Address: OXNARD CA 93034 Bus Lic: BT30049175 .. - Phone: 818/408-1900 Lie Exp Date: 07/31/2023 Phone: State Lie: Code Edit: 2019 Worker's Compensation Insurance Designer: RENTERIA MARGO Type of Construction: V-B-SPR Carrier: NORGUARD INS CO Address: P.O. BOX 2204 -' Occupancy Group: R3/U Policy No: CHWC399596 OXNARD CA 93034 Added /New sq.ft. Bldg: 0 Expire: 01/20/2023 Phone: >> Added /New sq. ft. Garage: 0 No of Stories: 3 Issued Date: 07/05/2022 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: • - Bldg Sprinklers: Y Left: - Right: , FEES Construction Valuation: $13,000.00 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 : $0.00 Fee Due at Permit Issuance : $495.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION IWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 is 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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). D 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 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). D I am exempt from Iicensure 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 legail 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://www.ieginfo.ca.gov/calaw.html. ;ignature 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 Co e, and my license is in full force nd effect. 'cense Class License No DPWI-�'— S ' ZZ Contractor Signature VURKERS' COMPENSATION DECLARATION IARNING: 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 ''OCT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm ur.dE-'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 arformance of tl,e work for which this permit is issued. Policy No. Vve 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 a,nne carrier and policy number are: Policy Number Date i. ,e Agent Friona s Le,tify that, in tha performance of th 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 su�bj^act to the w r s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iature of Applicant/ Date - % ` S — 2 Z. ECLARATION RE(3iARDING 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, Civil Code). 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 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 d state laws relating to building construction. I authorize representatives of this city or county ter the e- entified property for inspection purposes. to n t� iqnature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name 1"C;tfCC- ^Yk),4 Or Date AC77ON DATE BY DECLARATION OF COMPLIANCE AITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS N077FICAR0N IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL YZ CERTIF7CATEOF SIGNATURE: OCCUPAPJCY)SSUED