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Home My WebLink AboutF2018-0366 - PermitsCity of Newport Beach - Building Divisio P,�. 100 Civic Center DriveNewport Beach, CA 92660 H 'x Permit Counter Phone (949)644-3288 Job Address: 520 ACACIA AVE NB Inspector Area: 5 Owner: FLOWER STREETS DEV LLC Address: 1860 MIRAMAR DR VENTURA CA 93001 Phone: Applicant: CASEY DENIS Address: 1101 KINGSTON DR LA HABRA, CA 90631 Phone: 714.476.5370 Code Edit: 2016 Type of Construction: V -B -SPR Occupancy Group: R3/U Added/New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y Construction Valuation: $5,200.00 Building PC Feer Building Overtime PC. Fee: Building Extention Fee : Building Investigation Fee.: Fire Plan Check Fee: Fire Permit Fee : - Building Permit Fee: TOTALFEE: n FII�I0I803�III�66II FIRE Permit: F2018-0366 Project No : 1491-2018 Inspection Requests Phone (949)644-3255 $0.00 Records Management : $4.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $419.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: ' AA o e ccc QNHER DEPARTMENT: ZONING APPROVAL: PLAjN CHECKED BY;: oco o v c p FIRE APPROVAL: APPROVAL TO ISSUE: opo c E o eye co. 11 PERMIT EXPIRES 180 QAYS AFT6RIISSUANGEGOR LAST VALID INSPECTIOA c u oo• roc e• p o omw o• CJ Description: SFR FIRE SPRINKLERS (60 HEADS (X2017-1621) Legal Description: CORONA DEL MAR LOT 22 ELK 529(AND NELY 9 FT LOT 20BLK 529 Contractor: FIREPROOF FIRE PROTECTION Architect Planning Zoning PC Fee Address: 1101 KINGSTON DR Address: Public Works PC Fee: $0.00 LA HABRA CA 90631 $225.00 Phone: 714-476-5370 Phone: State Lie: Con State Lie: 876004 Engineer. Lie Expire: 04130/2020 Address: Bus Lie: BT30040107 Lie Exp Date: 0 8/3112 01 9. Phone: State Lie: Worker's Compensation Insurance Designer: CASEY MONTY Carrier: NORGUARD INS CO Address: 1101 KINGSTON DR Policy No: MOWC002750 LA HABRA, CA 90631 Expire: 02115/2020 Phone: 714-476-5370 Issued Date: 06121/2018 Special Conditions: ..PERMIT REVISED 06.27.18 Setback- Front: *REVISED REV19-0362 Rear. Left: Right: $0.00 Records Management : $4.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $419.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: ' AA o e ccc QNHER DEPARTMENT: ZONING APPROVAL: PLAjN CHECKED BY;: oco o v c p FIRE APPROVAL: APPROVAL TO ISSUE: opo c E o eye co. 11 PERMIT EXPIRES 180 QAYS AFT6RIISSUANGEGOR LAST VALID INSPECTIOA c u oo• roc e• p o omw o• CJ FEES $190.00 Fire Residential Alarm PC Fee: $0.00 Planning Counter Review: $0.00 Planning Zoning PC Fee $0.00 $0.00 Public Works PC Fee: $0.00 Public Works Traffic Plan Check Fee; $225.00 $419.00 Plan Check Fee: $0.00 Records Management : $4.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $419.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: ' AA o e ccc QNHER DEPARTMENT: ZONING APPROVAL: PLAjN CHECKED BY;: oco o v c p FIRE APPROVAL: APPROVAL TO ISSUE: opo c E o eye co. 11 PERMIT EXPIRES 180 QAYS AFT6RIISSUANGEGOR LAST VALID INSPECTIOA c u oo• roc e• p o omw o• CJ I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) 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 (_) 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 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 legally 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 Iic rise is in full force and effect. License Class License No Date c Contractor Signature _ WORKERS' 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 DOLLAS 1E7 ,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 111 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 thI 3er(ormance of the work for which this permit is issued. Policy No. have and vv4t,qIaintain 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' rance carrieNfmV policy numbGrStre: I f ' _ Number of Date certify that, in the 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 , if I should become sgpjpCrMhe.Workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Of ;reby affirm under plenalty of perjury that there is a con"c n 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. 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