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Home My WebLink AboutF2020-0467 - Permitsgt"6�r City of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII II o 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone (949)644-3288 D $ c r Ntra]4x4 Job Address: 20462 SAN(T�A AIJA AVE NB Inspector Area/� Owner: NIKOLAOU ANASTASIOS Address: 3183 AIRWAY AV STE E COSTA MESA CA 92626 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: V-A- SPR Occupancy Group: R2 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 4 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y Construction Valuation: $28,000.00 Building PC Fee : Building Overtime PC Fee: Building Extention Fee: Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee FIRE Permit: F2020-0467 Project No : 2159-2020 Inspection Requests Phone (949)644-3255 Description: MFR FIRE SRINKLERS, 165 HEADS (EAST BLDG) X202J4006 Legal Description: Contractor: A & D FIRE Address: 7130 CONVOY CT SAN DIEGO CA 92111 Phone: 858.277-3473 Con State Lic: 1069002 Lie Expire: 09130/2022 Bus Lie: ST30073130 Lie Exp Date: 1013112022 Worker's Compensation Insurance Carrier: ZURICH AMERICAN INS CO Policy No: GLO100923506 Expire: 01/01/2023 Issued Date: 05/26/2022 Setback- Front: Rear: Left: Right: $0.00 $0.00 $0.00 $0.00 $611.00 $761.00 $0.00 TOTAL FEE : $1,372.00 PROCESSED BY: y-y- ZONING APPROVAL: 1 FIRE APPROVAL: 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 $611.00 0)'HFR DEPARTMENT: PLAN Cd ECKED BY:: APPROVAL TO ISSUE: State Lie: State Lie: DAWLY JUSTICE 1601 WEST ORANGEWOOD AVE ORANGE CA 92868 Records Management Fee Due at Permit Issuance PERMIT EXPIRES 160 GAYS AFTER IS SL'At:CE CR LAST VALID INSPECTION $0.00 $0.00 $0.00 $761.00 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). ❑ 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). ❑ 1, 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 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 Iegalh 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.html. 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 Date�2 2 Contractor Signature— _ NORKERS' COMPENSATION DECLARATION T— NARNING: 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 COST 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 the Derformance of the work for which this permit is issued. Policy No. pVhave and aintain works ' 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 Isurance ca ier and policy num r a e: farrier _C7,uExpiration Date lame of Agent - n Phone # 71 certify that, in the performance of A 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 fat, if I should become pubject to a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applica'irY Da27 iECLARATION RE¢A SIG CONSTRUCTION LENDING AGENCY T� hereby affirm undf 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 y 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 toj!nter th abov enhfied y for inspection purposes. / L / / \ /� ignature of Property Owner or Authorized Agent - / Print Property Owner's or Authorized Agent's NameY c41 ifYh,l hzz' L-'.Q/4'j Dater--�12Z 22 ACTION DATE BY DECLARATION OF COMPLIANCE WTTN CODE OF FOR OFFICE USE ONLYr FE3_`.24_ PEGULA TIOAic PART 61 OF TITL.E40AND AQMb RUit 1405. PERMITEXP!RED ❑ 1 St aMITTEi). CLf 7ESTOE NO'19C"4T'ON TO: ❑ EPA ❑ AQMD PERMITCAN'CELLED PERh97T EXTENDED ❑ ASBESTOS NOITFICA71ON IS NOT APPLICABLE TO PROPCSEDDEMOURON. PERMIT FINAL -. . , z 2 CE.RT(FTCATE OF OCCUPANCYISSUED SIGNATJRE..