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Home My WebLink AboutF2022-0108 - PermitsCity of Newport Beach - Building Division *F2022-0108 o'L 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 w Ir ap ra�iYiltAY4� 'CZ 0 77,�" ■ �� Job Address: 500 FULLERTON AVE NB Inspector Area: 3 Owner: DOJA PROPERTIES LLC Address: 5050 W MISSION RD ONTARIO, CA 91762 Phone: 6926-340-5461 Applicant: CHOW RAY Address: 18305 E VALLEY BLVD #H LA PUENTE, CA 91744 Phone: 626-554-7477 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 4862 Added /New sq. ft. Garage: 657 No of Stories: 2 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y Construction Valuation Building PC Fee Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee Building Permit Fee: TOTALFEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $8,000.00 03 & FIRE Permit: F2022-0108 Project No : 0559-2022 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (69) HEADS. (X2021-1293) Legal Description: FIRST ADD TO NEWPORT HEIGHTS BILK 38 LOT 24 Contractor: SPECIALIZED FIRE PROTECTION Architect: Address: 18305 E VALLEY BLVD UNIT H Address: INDUSTRY CA 91744 Phone: 662-788-2220 Phone: State Lic: Con State Lic: 1005885 Engineer: e ; Lic Expire: 07/31/2023 Address: <, Bus Lic: BT30076082 Lic Exp Date: 06/30/2022 Phone: State Lic: . . Worker's Compensation Insurance Designer: SPECIALIZED FIRE PROTECTION' Carrier: INSURANCE CO OF THE WEST Address: 18305 E VALLEY BLVD #H " Policy No: WSD505006102 LA PUENTE, CA 91744 ' • ' Expire: 08/13/2022 Phone: 626.554-7477 Issued Date: 03/0312022 Special Conditions: Setback- Front: 5 ATTACHED ADU , Rear: 20 Left: 4 Right: 4 FEES $222.00 Fire Residential Alarm PC Fee : $0.00 Records Management $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee : $0.00 $0.00 $0.00 Public Works PC Fee : $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $269.00 $493.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION $2.00 $0.00 $0.00 $493.00 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 Iicensure 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 (_) 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 Icensure 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 tha: , I lave 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 Cod,), L available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ignature of Pmperty Owner or Authorized Agent Date JCENSED C:ONTPACTOR'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 nd my license is in full force end r.ffect. �Z � 2� Linens; Class License No Date C Contractor Signature 4YORETERS' COMPENSATION DECLARATION VJf,.FY:N3: FAILURE TC SECJRE 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 eOMPENaATION, 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: n I have and ill r.iai.itain 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, forth( perforrrmence of the work for which this permit is issued. Policy No. have and will maimain 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' 'ance carrier and policy number are: ier Policy Number Expiration Date to of Agent certify that, in the performance of the work for which this , if I should become subject to the workers' compensat9 is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and lions of Section 3700 of the Labor Code, I shall forthwith complywith those provisions. ignature of Applicant Uate IECLARATION REGARDING CONSTRUCTION LE G 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 ly 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 corr t. I agree to comply with all applicable city and county ordinances a fate laws relating to building construction. I authorize representatives of this city or county to enter the aboperty for inspection purposes. ;innahlrP of Prooertv Owner or Authorized ADent Print Property Owner's or Authorized Agent's Name Sri l Date 3 / 21 ACTION DATE BY DECLARATIONOF COMPLIANCE tMTH CODE OF FOROFPCEUS€ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ / SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMlTEXTENDEO ASBESTOS N077RCA770N IS NOT APPLICABLE TO OPOSED DEMOLITION. SIGNATURE: PERMIT FINAL fo.. %aM CERTIRCATEOF OCCUPANCYISSUED