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HomeMy WebLinkAboutF2022-0076 - Permitst wr4r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II + d 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 0 7 6 Permit Counter Phone (949)644-3288 "�tzvasu*a' Job Address: 2888 BAY SHORE DR NS Inspector Area.�IE'" 11.E Owner: PRESTA RON E Address: PO BOX 7099 NEWPORT BEACH, CA 92658 Phone: Applicant: NGUYEN VINCENT Address: 9182 ALWICK CIR GARDEN GROVE CA 92841 Phone Code Edit: 2019 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: Construction Valuation V-B B 0 0 Description: COMM UNDERGROUND FIRE LINE Legal Description: IRVINE SUB LOT 171 BLK 54 POR OF LOT Contractor: XFIRE PROTECTION Architect: Address: 9182 ALWICK CIR Address: GARDEN GROVE CA 92841 Phone: 714.231.5108 Phone: Con State Lic: 1084661 Engineer: Lic Expire: 1213112023 Address: Bus Lic: BT30077912 Lic Exp Date: 02/28/2023 Phone: Worker's Compensation Insurance Designer: Carrier: NO EMPLOYEES Address: Policy No: Expire: Phone: 1 Issued Date: 02/14/2022 0 Setback- Front: 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: $1,200.00 FEES $0.00 Fire Residential Alarm PC Fee $0.00 Planning Counter Review: $0.00 Planning Zoning PC Fee $0.00 $325.00 Public Works PC Fee: $434.00 Public Works Traffic Plan Check Fee; $0.00 $763.00 Plan Check Fee Special Conditions: $0.00 $0.00 $0.00 $0.00 $0.00 FIRE Permit: F2022-0076 Project No: 0377-2022 Inspection Requests Phone (949)644-3255 State Lic: State Lic: VU ANTHONY 9559 NIGHTINGALE AV FOUNTAIN VALLEY CA 92708 Records Management i�AMUEA - oo60 $4.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $763.00 OTHERoDEWARTMENT: e • oec c o c ° PLAO GHFe'CKE15 BO::m s e ° m • `o i APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR%A- T VLIr) I(f1SAFCT1tW o IWNER-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 ie 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 'rofessions Code) or that he or she is exempt from icensure 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 of more than five hundred dollars ($500). 7 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, lusiness 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 nprovements 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 nproved 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 pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: Iy 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 ell 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Division 3 of the Busine nd m license is in full force nd effect. icense Class License No Date Za Contractor Signat1HUNN PORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO HOUSANDDOLLARS (100,000), IN ADDITION TO THE DST 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: 7 I 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 erformance 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' compensatior Isurance carrier and policy number are: :arrier Policy Number Expiration Date e of Agent Phone # c ify tht, in the performanc f 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 e, if shoulad become or s compe 'on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. a_ re of Applicant Date at rreby affirm under penalty of perjury that there is a Ider's Name my signature below, 1 certify to each of the followil I am the property owner or authorized to act on t I have read this application and the information I agree to comply with all applicable city a I authorize representatives of this city or nature of Propert Owner or Authorized Agent AGENCY Jction lending agency for the performance of the work for which this permit is issued Lender's Address )party owner's behalf. provided is correct. 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