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Home My WebLink AboutF2019-0016 - Permitslyl a Building Division a oo�vicCenter port Newport Beach, IIIIUIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII FIRE Permit: F2019-0016 Permit Counter Phone (949)6443288 : Project No : 0111-2019 - - Inspection Requests Phone (949)644-3255 Job Address: 4 EBB TIDE CIR NIS Description: SFR - FIRE SPRINKLERS/NEW SFR 31 HEADS (X2017.2737) Inspector Area: 2 Legal Descriptions 0111-2018 Owner. EBB TIDE LLC Address: 4 PARK: PLAZA, STE 1000 Contractor: - ON GUARD FIRE PROTECTION Architect: IRVINE CA 92614 Address: 6438 ARVILLE ST Address: Phone: R Phone: - LAS VEGAS NV 89118. 702-966-8021=a .Applicant ONGUARD FIRE PROTEOTIONIWILLIAM Can State Lic: 950378 Phone: State Lic; c .. Address: 6438 ARVILL ST LAS VEGAS NV 89118 Lic Expire: 07/31/2020 Engineer: Address: ° P Phone. 702-966-8021 Bus Lic: BT30061770 Lic Exp Date: 08/31/2019 Phone: 0000 .tea e Code Edit :. of Construction: s Worker's Compensation Insurance P State Lic: .Type VIS Occupancy. Group: R3/U - - Carrier: - EVEREST NATIONAL Designer. Address: GARCIA OSCAR -Added /New sq.ft. Bldg: 0 .Policy No: c .5300003285181. 11800 STERLING AVE Added /New sq. ft. Garage: 0 Expire: 02116/2019 Phone: RIVERSIDE CA 92503 e e m No of Stories:. 2 951.254-5848 No of Units : 0 Issued Date: 01/22/2019 Setback- Front Special Conditions: Flood Zone: X r. Bldg Sprinklers:Rea Y Left: , .Right: o •m mmo o''roo Construction Valuation: .. $3,100.00 FEES Building PC Fee : Building Overtime PC Fee: -. $202.00 Fire Residential Alarm PC Fee $0.00 Building Extention Fee :. $0.00 ' Planning Counter Review: $0.00 Records Management: $4,0p Building lnvestigationFee: $0.00 $0.00' Planning Zoning PC Fee : $0.00 Fire Plan Check Fee: Fire Permit Fee : e $0.00 -.$0.00 Public Works PC Fee: $0.00 $0.00 Building Permit Fee : $240.00 Public Works Traffic Plan Check Fee;.. $0.00 $0.00 TOTAL FEE : $446.00 Plan Check Fee $202.00 Fee Due at Permit Issuance : $244.00 PROCESSED BY: ". `-,,. ' .. OTHER DEPARTMENT:. ' ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION f i t HER -BUILDER DECLARATION sions Code: Any city or county that requires a permit to construct, e reason(s) indicated below by the checkmark(s) I have placed next to the applicable Items alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for I hereby affirm under penalty of perjury that I am exempt from the Contractos' State License Law for th :tion 7031.5, Business and Profes permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractos' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and `essions 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 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 improvess or offered for sale (Section 7 that 044, who, through rovements are not itendedeor offered for sale. Sfehowlever, the build ng orti prlovement ansoldfw thneo a y ar of complet oln, the Owner Builde ersonal rwil have the burden of pro ingthat itpwas not builtto r roved for the purpose of sale). il1, as owner ofy to an ownertof proroperty, ampe y who buildssor impconwith licensed Contractors to construct the project (Section 7044, Business and Professions Code: The roves thereon, and who contracts for the projects with a licensed Contrac or pursuant to he Contractors' State License rLaw)s' State License Law does no I am exempt from licensure under the Contractors' State License Law for the following reason: my a structure that I have built le an owne r -builder except for f i has not belen constructed idence in t its entirety by licensed h I must have resided contracto s. I undersr at least one year tand that a copy of theapplicable aw,tSection 7044tof the Business and his permit, I cannot ega Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date nature of PrplJit caner or Authorized Agent :ENySED CONTRACTOR'S DECLARATION sions of Chapter 9 (commencing w arab affirm vde.rPenalty of perjury that I am licensed under proviith Section 7000) of Division 3 of the Business `and PrAofes s Code and my license is in u orae J effect. License No Date ZZ I Contractor Signature gns2•Class AkERS' COMp6NSATION DECLARATION T AN EMPLOYER TO FINING THE FAILURS COMPENSATION WO AS PROVIDED FOR IN COMPENSATION COVER GE IS THE LABOR COOS, WTEREST, AND ATTORNEY'S FEES. RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO afeby�affirm er de G penalty of perjury one of the following declarations: e and wi4 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 I'hSv F�Tmince of the word for which this permit is issued. Policy No. I✓ I have and will All 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' compensa (o Ilh'adr5I carrier d licy number ar Expiration Date irFi�r' a Phone # Ime of Agent - ll 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 et. if I should become subject to tF)enworkers' ensftion provisions of Section 3700 of the Labor Code, I shall forthwith comply with tn'se�vIsiq� >/ nature of Applicant I V" v 6 CLARATION REGA CONSTRUCTION LENDING AGENCY ;reby affirm under p alty of perjury that there is a construction lending agency forthe pert Address of the work for which this permit is Issued (Section 3097, Civil Code). Len tder's Name my signature below, I certify to each of the fallowing: 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. ,/ %f v� I authorize representatives of this city or county tg-a tr tttt a bove-Id fleddpprppyarty f'or i Ppn Pioop purposes. Owner s or Authorized Agent's Nam r(�/(I I 1 a n/1 .., f—. �f Prnnarty Owner or Authorized Agenr` �r�' �° ^ — G' ACTION I DATE L I BY ,f S-UBMTTEDASBESTOS NOTIFICATION To -- 13 O: ❑ EPA ❑ AQMD ASBESTOS NOTIFICATION'S NOT APPLICABLE TO PROPOSED CERTIFtCATEO I ,r 1 I'" II SIGNATURE: OCCUPANCYISSUED