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Home My WebLink AboutF2019-0344 - PermitsCity of Newport Beach - Bui�dio-�®ivisiom., IpIu11EI�IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII �� I�9 FIRE Permit: F2019-0344 � 100 Civic Center Drive, Newport Beach, CA, 26lj0 m ° ° Fm 2 0 1 9 0 3 4 4 Project No: 1305-2019 Permit Counter Phone (949)644-3268 ' ° o Inspection Requests Phone (949)644-3255 ooe mo Job Address: 516 NARCISSUS AVE NB Description: SFR FIRE SPRINKLERS (X2018-3003) 38 HEADS Inspector Area:. 5 Legal Description: CORONA DEL MAR BILK 541 LOT 18 Owner: 516 NARCISSUS LC Contractor: FIREPROOF FIRE PROTECTION Architect: Address: 15 CORPORATE PLAZA STE 150 Address: 1101 KINGSTON DR Address: NEWPORT BEACH CA 92660 LA HABRA CA 90631 Phone: 949-723-1800 Phone: 714-476-5370 Phone: State Lic: Applicant: CASEY DENISE Con State Lic: 676004 Engineer: Address: 1101 KINGSTON DR Lic Expire: 04130/2020 Address: LA HABRA CA 90631 Bus Lic: BT30040107 Phone: Lic Exp Date: 07/31/2019 Phone: State Lic: Code Edit : 2016 Worker's Compensation Insurance Designer: CASEY MONTY Type of Construction: V -B -SPR Carrier: NORGUARD INS CO Address: 1101 KINGSTON DR. Occupancy Group: R3/U Policy No: MOWC002760 LA HABRA CA 90631 Added /New sq.ft. Bldg: 0 Expire: 02/1512020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 3 Issued Date: 06/10/2019 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: Y Left: Right:��. 3 FEES Construction Valuation: $3,800.00 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 Fire Permit Fee ; $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $240.00 TOTAL FEE : $446.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $446.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION )WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the ieaeon(s7In;lc4te4 bslo;P7 t"Qheckmark(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, flTeWo" der: ish, Sr repair any structure, prior to its issuance, also requires the applicant for he 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 Irofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031. by anyepplicsUt for a permit subjects the applicant to a civil penalty of lot 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 of0thi work, ;nd thelAructuAs not intended or offered for sale (Section 7044, Wsiness and Professions Code: The Contractors' State License Law does not apply to an owner of property %2lTo, through entadyeea'or personal effort, builds or improves the property, provided that the Tlprovements are not intended or offered for sale. If, however, the building or improvement is sold within one ye0r o' f' completion, the Owner -Builder will have the burden of proving that it was not built or Tlproved 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 Ipply 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: 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 legall ,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.htmi. 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 7000) of Division 3 of the Business and Professions Code, and my license is in full force Ind effect. .icense Class License No Date fvis� Contractor Signalq(�i YORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND O LAR ($700,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 Sh ante of the work for which this permit is issued. PolicyNo. e 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' compensation ce carrier and policy number are: :arrier Policy Number Expiration Date lame of Agent Phone # 71 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 agree iat, if 1 should become pull ect the workers' compensation p�sion§ of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant I ua < DECLARATION REGAKDIaG CONSTRUCTION LERING AGENCY hereby affirm under penalty of perjury that there is co 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 y 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 I authorize representatives of this city or county to egteer_tW above-identifiego ACT70N PERMITFINAL CERTIFICATEOF OCCDPANCYISSDED DATE T BY g to building construction. for inspection purposes. Print Prooertv Owner FEDERAL REGULATIONS PART 61 OFTITLE 49AND AQMORULE1403. 7 SUDMfTTEDASBESTOS M071FICAT!ONTO: EPA ❑ AOMD ❑ ASBESTOS N077FICAT70NIS NOT APPLICABLE TO PROPOSED DEMOLITION,, SIGNATURE: EMOLI TION - SIGNATURE: Date