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Home My WebLink AboutF2021-0507 - PermitsCity of Newport Beach -Building Division IIIIIIIII IIIIIIIIIIIIIIIIIII FIRE Permit: F2021-0507 (9) 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 5 0 7 Project No : 2490-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 23 HARBOR (ISLAND NB Description: SFR FIRE SPRINKLER SYSTEM 86 HEA S (X2019-3927) Inspector Area: F?e 0 Legal Description: TR 802 LOT 23 ALL -INC BET SAME & HIGH TIDE LINE- z Owner: PICKUP TODD Contractor: RESIDENTIAL FIRE SYSTEMS INC Architect: Address: /pry Address: 23 HARBOR ISLAND Address: 8085 E CRYSTAL DR NEWPORT BEACH, CA 92660 ANAHEIM CA 92807 Phone: Phone: 714-666-8450 Phone: State Lie: r(i Applicant: RESIDENTIAL FIRE SYSTEMS INC Con State Lie: 786965 Engineer: Address: 8085 E CRYSTAL DR Lie Expire: 11/30/2022 Address: ANAHEIM CA 92807 Bus Lie: BT30003809 Phone: 714-666-8450 Lie Exp Date: 0413012022 Phone: State Lie: Code Edit : 2019 Worker's Compensation Carrier: Insurance Designer: GUTIERREZ RUBY PACIFIC COMP. INS Address: 8085 E CRYSTAL DR Type of Construction: V-B-SPR Occupancy Group: R3/U Policy No: REWC019434 ANAHEIM CA 92807 Added /New sq.ft. Bldg: 0 Expire: 0910112022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 11/15/2021 Special Conditions: LIQUEFACTION AREA No of Units : 0 Setback- Front: Flood Zone: X Rear: ' Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $21,610.00 Building PC Fee: $222.00 Fire Residential Alarm PC Fee : $0.00 Records Management : $12.00 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 : $503.00 Plan Check Fee : $222.00 Fee Due at Permit Issuance : $281.00 PROCESSED BY: °"' " „*QTHEVdEFt:'kTMENT: ZONING APPROVAL: _ PLAN CKEr KED BY:: FIRE APPROVAL: \ APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS 4FTE41SS'JAN--E Or"_AST VALID INSPECTION IWNER-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 far 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 Irofessions 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 I, 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, Usiness 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). 7 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 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). 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 legally 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://w .leginfo.ca.gov/calaw.html. signature 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 Code, and my license is in full farce nd effect. I Ir1i5�21 p-, icense Class License No Date Contractor Signat VORKERS' 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 1$100,0001, IN ADDITION TO THE 'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: yy 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 thl e/rformance of the work for which this permit is issued. Policy No. have and will Mot workers' com ensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier a D icy number ar_ <) Date ie of Agent ____C Ul certify that, in the perjormance of the wNrk 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 becom 61bject to therwor ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant 7 4=7 Dyj 1 113 121 DECLARATION REG RDING CONSTRUCTION LENDING AGENCY I 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). 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 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 cou' �" CT t nter th abo�J'd\entified property for inspection purposes. F / Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Ve—,'01 C-AI 1-i6t7�1 a J SJLSJ21 AC7701V DATE 8Y DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS P{RT f7 OF TIRE40AND AQA4& RUI' E 7403. PERMIT EXP; RED ISUBMI[FED ASB;=STOS NGT7FICATIONTO: El E,�A ❑ AQMDASBESTOS ' PERMIT CANCELLED PERMITEXTENDED d JPJSEDDE&lOLI �ON. RON IS NOT APPLICABLE TO PERMIT FINAL /[- I' -).7 �J-� CERTIFTCATEOF OCCUPANCYISSUED S+GNA7 UFE: