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Home My WebLink AboutF2019-0005 - Permitsovan,'% City of Newport Beach - Building Division IIIIIIIIIII IIIII IIIIIIIII�III III IIIII III II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 0 0 5 N - n Permit Counter Phone (949)644-3288 c1 � - cs ryeuyM� Job Address: 1106 SEA LN NB Inspector Area: � y Owner: VOSKERICHIAN MARGARET Address: PO BOX 2373 LA HABRA CA 90632 Phone: Applicant: DIANAIRESIDENTIAL FIRE SYS Address: 8085 E CRYSTAL DR ANAHEIM CA 92807 Phone: 714-666-8450 Code Edit : 2016 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-B-SPR R31U 0 0 FIRE Permit: F2019-0005 Project No:0064-2019 Inspection Requests Phone (949)644-3255 Description: NEW SFR FIRE SPRINKLERS (44) HEADS (X2018-0735) Legal Description: N TR 2202 LOT 9 Contractor: RESIDENTIAL FIRE SYSTEMS INC Address: 8085 E CRYSTAL DR ANAHEIM CA 92807 Phone: 714-666-8450 Con State Lie: 786965 Lie Expire: 11/3012020 Bus Lie: BT30003809 Lie Exp Date: 0413012019 Worker's Compensation Insurance Carrier: CYPRESS INS Policy No: REWC811068 Expire: 09/0112019 1 Issued Date: 01108/2019 0 Setback- Front: X Rear: Y Left: Right: Architect: Address: Phone: State Lie: Engineer: a Address: Phone: State Lie: Designer: GUTIERREZ RUBI Address: 8085 E CRYSTAL DR ANAHEIM CA 92807 p...-,;. Phone: 714-666-8450 Special Conditions: FEES Construction Valuation: $0.00 Building PC Fee : $202.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $0.00 Building Overtime PC Fee: $0.00 Planning Counter Review: $0.00 Building Extention Fee: $0.00 Planning Zoning PC Fee : $0.00 Building Investigation Fee: $0.00 $0.00 Fire Plan Check Fee: $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: $240.00 TOTAL FEE : $442.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $442.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: I - PLAN CHECKED BY:: FIRE APPROVAL: CS APPROVAL TO ISSUE:\' +% PERIIPT E.YP;RES t80 DAYS AFTET. ISSUANCE OR LAST VALID INSPECTION OWNER -BUILDER DECLARATION 1 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 L) all of or L) 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 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 legalh, 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 7 0) of Division 3 of the Business and Professions Cod nd my)'Sense is in full force and effect. License Class License No Date f5 6 Contractor SignatureY INORKERS' COMPENSATION DECLARATION 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 th led ance of the work for which this permit is issued. Policy No. I 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' compensatiol nsurance carr7:wl policy number a 11 !''�''��..��.. n1r� 3arrier _ - - _. I. 1 I�QjK>rtly/trlpey Expiration Date m of Agent ""� ' Phone # certify that, m a performance of the work for which this permit is is ed, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and if I should become subject to the workers' compensgtion provisip�f Section 3700 of the Labor Code, I shall forthwith comply with those proyjsions. of Applicant 6/ I hereby 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). Lenders Name Lender's Address By 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 a above-j ntified roperty for inspection purposes. / ,+'� Signature of Property Owner or Authorized Agent/ ��''� Print Property Owner's or Authorized Agent's Name x! r Jjl`�Nii ACTION DATE BY DECLARATION OF COMPLIANCE MTHCODEOF - FOR OFFICE USE ONLY FEDERAL REGULATIONS PART Of OF TITLE40AND AOMD RULE 1403. - PERMITFKPIRED ❑ I SUBMITFEDA`bFSTGS NOII!-IC4PON TO: ❑ EPA - ❑ AQMD0 - PERINITCANCELLED PERMIT EXTENDED ASBESTOS RON15 NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL —/ Ff —mac. ~ a CERTIRCATEOF SIGNATURE: - - OCCUPANCYISSUED