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Home My WebLink AboutS2022-0232 - Permits (3)Mr>sh City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive. Newport Beach, CA 92660 F 2 0 2 2 0 0 5 0 Permit Counter Phone (949)644-3288 a Job Address: 602 IRIS AVE NB Inspector Area: Owner: WOLVERTON RICHARD Address: 704 ACACIA AVE CORONA DEL MAR CA 92625 Phone: Applicant: CASEY MONTY Address: 1101 KINGSTON DR LA HABARA CA 90631 Phone: 714-476-5370 Code Edit : 2019 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: No of Units Flood Zone: Bldg Sprinklers: V-BSPR R3/U 0 0 FIRE Permit: F2022-0050 Project No : 0253-2022 Inspection Requests Phone (949)644-3255 Description: MFR FIRE SPRINKLERS (51) HEADS (X2019.4040) Legal Description: CORONA DEL MAR BILK 636 LOT 4 Contractor: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-5370 Con State Lie: 876004 Lie Expire: 04/30/2022 Bus Lie: BT30040107 Lie Exp Date: 0713112022 Worker's Compensation Insurance Carrier: SECURITY NATIONAL INS Policy No: SWC1325710 Expire: 02/15/2022 3 Issued Date: 02/07/2022 0 Setback- Front: X Rear: Y Left: Right: Architect: Address: Phone: State Lie: Engineer: Address: Phone: State Lie: Designer: CASEY MONTY Address: 1101 KINGSTON OR LA HABARA CA 90631 Phone: 4'l47747 3S4 Specl4l PodddLDnt: L— FEES Construction Valuation: $5,100.00 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 $0.00 Building Investigation Fee : Fire Plan Check Fee: $0.00 $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: 0T.'ER DEPARTMENT: ZONING APPROVAL: �J PLAN CHECKED 9Y:: FIRE APPROVAL: I APPROVAL TO ISSUE: ..a PERMIT EXPIRES 180 DAYS AFTER ISSUANCE'OR LAS r VAL111 INSPECTION 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 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). 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, lusiness 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). 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 licensure 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 legall} 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 fallowing Web site:http://www.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 force nd effect. icense Class License No Date L �% t 1 Contractor Sigmd� JORKERS' COMPENSATION DECLARATION ARNING: 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 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: 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 rformance of the work for which this permit is issued. Policy No. have 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' compensatior urance carrier and policy number are: Policy Number Date me 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 t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. '1 nature of Applicant1),y '• Date I 1'L CLARATION REGARDING CONSTRUCTION LENDING AGENCY 7Y areby 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 enter eobove-identified property for inspection purposes. f� - nature of Property Owner or Authorized Agent �. Print Property Owner's or Authorized Agent's Name I �/\ • L • Date ACTION DATE BY -c DECLARATION OF COMPLIANCE VW TN CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQM.D RUL`1403. Q I SL/BMI fTEDASBESTOS NO77FICATION TO: 'L-1 EPi. El ASBESTOS BESQMD TOS NOTI73CATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. 1 FOR OFFICE USE ONLY In j�u v�<EIi & a 7 PERP✓fIT EXPIRED — PERA1.1T CANCELLED PE.RliAIT ExTENDED PERMIT FINAL -;L IGL_ _ _ _ CERTfFICATEO:F OCCUPANCYISSUED S'GNP.TUPE: �—