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Home My WebLink AboutF2020-0466 - PermitswSSN,I,uJ- City -of Newport Beach : Building Division II IIIIII IIIIIIIIIIIIIIIII IIIIIIIIII IIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 4 6 6 Permit Counter Phone (949)644-3288 v � C T.. �truRww Job Address: 20462 SANnTVA ANA AVE NB Inspector Area/a 'A` L1 Owner: NIKOLAOU ANASTASIOS Address: 20462 SANTA ANA AVE NEWPORT BEACH CA 92660 Phone: 562-446-6265 Applicant: ORTEGA ANDY Address: 1601 WEST ORANGEWOOD AVE ORANGE CA 92868 Phone: 714-634-3923 Code Edit : 2019 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. It Garage: No of Stories: No of Units Flood Zone: Bldg Sprinklers: Construction Valuation V-A- SPR R2IU 0 0 FIRE Permit: F2020-0466 Project No : 2159-2020 Inspection Requests Phone (949)644-3255 Description: MFR FIRE SPRINKLERS, 150 HEADS (WEST BLDG) X2Q2(005 Legal Description: Contractor: A & D FIRE Address: 7130 CONVOY CT SAN DIEGO CA 92111 Phone: 858-277-3473 Con State Lic: 1069002 Lic Expire: 09/30/2022 Bus Lic: BT30073130 Lic Exp Date: 1013112022 Worker's Compensation Insurance Carrier: ZURICH AMERICAN INS CO Policy No: GLO100923506 Expire: 01/01/2023 4 Issued Date: 05/26/2022 0 Setback- Front: X Rear: Y Left: Right: 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: $28,000.00 $0.00 $0.00 $68.00 $0.00 $573.75 $720.50 $0.00 $1,446.25 FEES Fire Residential Alarm PC Fee Planning Counter Review: Planning Zoning PC Fee : Public Works PC Fee : Public Works Traffic Plan Check Fee; Plan Check Fee : Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: $0.00 $0.00 $0.00 $0.00 $0.00 $569.75 G;P1,E2, b'tPARTMENT: State Lic: State Lic: DAWLY JUSTICE 1601 WEST ORANGEWOOD AVE ORANGE CA 92868 E12 I-'. i Records Management Fee Due at Permit Issuance P'-AN CHECKED BY:: 4 APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AF rER IDS, IANC£ OR '_AST VALID INSPECTION G) 1_0 C) q 0 X c7 I $16.00 $0.00 $0.00 $876.50 LDER 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 U all of or (_) 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). ff 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). ❑ I 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 legal 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.gavlcalaw.htmJ. 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 Professions Code, and my license is in full force and effect. ' License Class License No D7 �2 r�i� 2 °y Contractor Signatu�� a'f� NORKERS' COMPENSATION DECLARATION �—` VARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S1D0,000), IN ADDITION TO THE :OST 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: 1 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 th )erfprmance of the work for which this permit is issued. Policy No. have and wi�tain 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' ranee card aIS nd oblicv numher� .� r of Agent Date certify that, in tHie—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 agree t, if I should becom su 'ect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions..^ nature of Applicant Cat�Z CLARATION REG?DING CONSTRUCTION LENDING AGENCY Ireby affirm under IJenalty 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 t� enter eobove-identified property for inspection purposes. �/ nature of Property Owner or Authorized Agent X Print Property Owner's or Authorized ADent's Name !'�� - (l�Ak J_ %".1, .n Al> ( A _CW'7//oo ACTION I PERMIT EXPIRED PERMITCANCELLE11 PERMI F EXTEh1DE3 PERMIT FINAL CER CA TE OF OCCUPANCYISSUED DATE ' I BY FECEPOL REGUiATIONSPART 61OFTIRE40AND AOMD RULE 1493. ❑ I £UBM17TEP ASBESTOS NOIIF:CFTION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PR900SED DFMOUTION. SIGN.CTUP.E: ONLY