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Home My WebLink AboutF2022-0026 - Permits,awl=,T City of Newport Beach -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 3807 SEASHORE DR NB Inspector Area: 1 Owner: SOLIMAN SAM Address: 30700 BRISTOL ST STE 400 COSTA MESA CA 92626 Phone: Applicant: DOUGHERTY HOLT Address: 22672 LAMBERT ST, #619 LAKE FOREST CA 92630 Phone: 8011647-6161 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Flood Zone: 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: $6,950.00 FIRE Permit: F2022-0026 Project No : 0140-2022 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (35) HEADS X2020-2892 l�1 Legal Description: THIRD ADD TO NEWPORT BEACH BILK 38 LOT 4 Contractor: ALL STAR PLUMBING & FIRE Architect: Address: 22672 LAMBERT ST #619 Address: LAKE FOREST CA 92630 Phone: 949-470-0072 Phone: State Lic: Con State Lic: 715588 Engineer: En 9� - Lic Expire: 08/3112023 Address: Bus Lic: BT30059737 ' Lic Exp Date: 07/31/2022 Phone: State Lic: Worker's Compensation Insurance Designer: DOUGHERTY HOLT Carrier: BENCHMARK INS CO Address: 22672 LAMBERT ST, STE 619 , Policy No: CST5018455 LAKE FOREST CA 92630 ' Expire: 02/07/2022 Phone: Issued Date: 01/28/2022 Special Conditions: s . Setback- Front: • - Rear: Left: Right: . . FEES $222.00 Fire Residential Alarm PC Fee : $0.00 Records Management : $6.00 $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee : $0.00 $0.00 $0.00 $0.00 Public Works PC Fee: $0.00 $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $269.00 $497.00 In Plan Check Fee : $0.00 Fee Due at Permit Issuance : $497.00 I `Q, 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 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). ❑ 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, 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, a5 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 Iicensure 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 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. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'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 f -si ns od and my license is in full force and effect. Liw'tiSE Class _ License No Date Z4 Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: fA1LURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU NO DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 have and wFl r,.Lintain 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 performance of thn wo-k for which this permit is issued. Policy No. 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' carrier End pclicy number are: 7e Of Agent certify that, in the pe if I should become Policy Number Date 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 ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / I nature of Applicant V W- TV— 4 Date / 1 i 1--6 L A. CLARATION RE RDI CONSTR CTION LENDING AGENCY �� :reby 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 owners 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 5aq state laws relating to building construction. I authorize representatives of this city or county to e t r t e b e-i entifLed property for inspection purposes. nature of Property Owner or Authorized Aqent ,/ __ Print Property Owner's or Authorized Agent's N e o-o ACTION DATE BY ➢ECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403, PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERR4ITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATE 0 F SIGNATURE: OCCUPANCY6SUED