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Home My WebLink AboutF2019-0026 - Permitsr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillllllllllill FIRE Permit: F2019-0026 100 Civic Center Drive Newport Beach, CA 92660 F 2 0 1 9 0 0 2 s Project No :0726-2019 Permit Counter Phone (949)644-3288 InspectionRequests Phone (949)644-3255 Job Address: 108 OPAL AVE NB Description: SFR FIRE SPRINKLERS (31) HEADS (X2016-3445) j " REVISED 1013012019 Inspector Area 2 Legal Description: BALBOA ISLAND RESUB SEC 1 BILK 11. LOT 35 6• Owner: SANTA CATERINA LLC Contractor: FIREPROOF FIRE PROTECTION Architect: Address: 215 STONE OAK CV Address: 1101 KINGSTON DR -Address: HOLLAND OH 43528 LA HABRA CA 90631 Phone: Phone: 714-476-5370„ Phone State Lic: Applicant: CASEY MONTY Con State Lic 876004 Engineer: L Address: 1101 KINGSTON Lie Expire: .04/3012020 -Address: LAHARBRA CA 90631 Bus Lic: BT30040107 Phone: 714-476-5370 Lic Exp Date: 07131/2020 Phone: State Lia Code Edit: 2016 Worker's Compensation Insurance Designer: CASEY MDNTY Type. of Construction V -B -SPR ..Carrier: NORGUARD.INS CO Address: '. 1101 KINGSTON ®. Occupancy. Group: R3/U ` Policy No: MOWC002750 LAHARBRA CA 90631 Added/New sq.f. Bldg: 0 Expire: 0211512020 - Phone: - 714-476-5390 Added /New sq. ft. Garage: 0, No of Stories: -3 Issued Date: 01/1412019 ..Special Conditions: PERMIT REVISED 02-20-19 No of Units 0 Setback- Front: Flood Zone: AE Rear Bldg Sprinklers: Y Left: Right: FEES Construction Valuation:" $2,700.00' Building PC Fee : $202.00 Fire Residential Alarm PC Fee $0.00 Records Management $4.00 .'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 '.. re arm Fee : .:. $0.00 Public Works Traffic Plan Check Fee; $0.00 BuildingPermit Fee: -.. $240.00 TOTAL FEE : $446.00 Plan Check Fee : $446.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: (\ OTHER DEPARTMENT: I "�o • ZONING APPROVAL: PL.AN,0ifECKE1& BY::- [ m APPROVAL TO 6SUE°: FIRE APPROVAL: o . c e. o PERMIT EXPIRES 180 DAYS AFTER iSSUANCL"` OJ3 LAST VALID` NSPECTION c 6 m. m.•. �. m E c o cl o c '.o •r LmY im •• a O Om0 4m � 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 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 (_) 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 im roved for the purpose of sale). 1, as owner of the property, am exclusivelycontracting 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). ❑ I 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 sella 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 lice se is in full force and effect. License Class License No Date S \ \Contractor Signature( W�i ORKERS' COMPENSATION DECLARATION (/ 1. 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 DOL RS (E7 ,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: 31 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 o ormance of the work for which this permit is issued. Policy No. - Xurance have and w' intain workers' compensation insurance, 'as r quired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Myworkers' compensatior carrie and glicy number are: /I CalImer1 - 1 P Ic filum eF/J Expiration Date Valle of Agent'. Phone # �I. 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 agre, :hat, if I should become sub' t to the workers' compensat provisions of Section 3700 of the Labor Code, I shall forthwith comply with those r Isions. Signature of Applicant Data DECLARATION REGA C CTION LL -DING AGENCY hereby affirm under penalty of perjury that there is c struction lending agency for the performance of the work for which this permit is issued. (Section 3097, Civil Code). _ender's Name', Lender's Address 3y1my 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 Wilding construction. I authorize representatives of this city or county to ent he o�ve-I� ntifgied property inspection purposes.' Signature of Property Owner or Authorized Agent � � C_-� Print Property Owner's or Authorized Agents Name ACTION DATE RY DE RATIONOFCOMPLIANCEUYITHCODEOF FOROFREF&EONLY DP. L REGULATIONS PART 61 OF T17L.E40AND A fJLE1403. ••. Qj5C1B1WTfEV&B*TOS M077FICATION TO. {]] •Epk IPERWITEXPIRED •. .• • • PERMITCANCELLED • � • i.AQMD s •.. • • I PERA41T EXT€NDED • • ❑ ASBESTOS NOTIRCA170NIS NOT APPLICABLE TO PROPOSED DEMOLITION. • .: • • •.• PERMtT FINAL - 1 CERTIFICATEOF •• . OCCOPANCytSSOED : :.. :)i'iJREr.