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Home My WebLink AboutF2019-0338 - Permits (2)N,M% City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 3 3 8 Permit Counter Phone (949)644-3288 v y ar c y Job Address: 2827 CATALPA ST NB Inspector Area: 8 Owner: BEEMER RUSSELLA Address: 2827 CATALPA ST NEWPORT BEACH, CA 92660 Phone: Applicant: VO JOHN Address: 526 N SHADYDALE AV WEST COVINA CA 91790 Phone: Code Edit: 2016 Type of Construction: V-B-SPR Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Flood Zone: Bldg Sprinklers: Y Construction Valuation: $6,000.00 Building PC Fee : Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee Building Permit Fee: 1[e]/_11\y=12 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: FIRE Permit: F2019-0338 Project No: 1279-2019 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (X2019-0122) 41 HEADS Legal Description: N TR 5018 LOT 63 Imo{ Contractor: FIREGUARD SPRINKLER SYS INC Architect: 'w`' +^� 1^, '^g I 1 Y v P IE vw , ` Address: 9643 VICTORIA AVE Address: SOUTH GATE CA 90280 Phone: 714-310-0194 Phone: State Lic: Con State Lie: 992002 Engineer: Lie Expire: 0413012020 Address: Bus Lie: BT30046886 Lie Exp Date: 0513112020 Phone: State Lie: Worker's Compensation Insurance Designer: VO JOHN - Carrier: FALLS LAKE FIRE 8, CASUALTY Address: 526 N SHADYDALE AV Policy No: FLA0080008 WEST COVINA CA 91790 Expire: 12/2912019 Phone: Issued Date: 06/0612019 Special Conditions: PERMIT REVISED 09-11-19 , Setback- Front: Rear: Left: Right: FEES $202.00 Fire Residential Alarm PC Fee : $0.00 Records Management : $4.00 $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 $240.00 $446.00 Plan Check Fee : $446.00 Fee Due at Permit Issuance : $0.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 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 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, 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 licensure under the Contractors' State License Law for the following reason: By my signature below 1 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 Cnde, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. html. Signatur= of Property Owner or Authorized Agent i Date LICENSED CONTRACTOR'S DECLARATION I Hereby atrirm ul,der penalty of perjury that I am licensed under provisions of Chapter 9 (commen)Dag with c "on 70 0) of Division 3 of the inass and P ofessi ns ode, d my license is in full force ar,d effect. tt ( 4� License Clas., License No I r Contractor ignat re 'NORKERS' COMPENSATION DECLARATION WnRNING: FAILJHE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMP4"CA.ION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm -mLer penalty of perjury one of the following declarations: 2have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thr P14mance o` the work for which this permit is issued. Policy No. lave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' a,lce cambr and policy number are: ne of Agent _ certify that, in the , if I should bacon Policy Number Date Ice of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply witNthose provigon$. , J �,-- CLARATION REGARDING CONSTRUCTION LENDING AGENCY :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this 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 th p party owner's behalf. I have read this application and the information I ave rovided is correct. I agree to comply with all applicable city and cou ty or nances and state laws relating to building construction. I authorize representatives of th�.eitpeigounty ante a abb -identified property for inspection purposes. re of Property Owner or or issued (Sectibn 3097, Civil Code). V '' 1FA ACUON DATE BY DECLARATIONOFCOMPLIANCEIMITN OF FOR OFFICE SEONtY FEDERAL REGULATIONS PART 61 OFTITLE40 AND AQMD RULE 1403, PERMIT EXPt RED ❑ I SUBMITTEDASBFSTOS NOTIFICATION TO: ❑ EPA ❑ AOMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIRCARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL 04/Z / r CERTIFICATEOF 'kS SIGNATURE: OCCUPANCYISSUED