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Home My WebLink AboutF2021-0021 - Permits,cwt +• City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII�IIII II •100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 0 2 1 ' Permit Counter Phone (949)644-3288 si Job Address: 114 MC FADDEN PL NB Inspector Area: FIRE Owner: FAZZI MICHAEL TR Address: 1000 W OCEANFRONT NEWPORT BEACH CA 92661 Phone: Applicant: KIM YUN Address: 3745 ALTURA AVE Added /New scift Bldg: LA CRESENTA CA 91214 Phone: 310.345.4117 Code Edit: 2019 Type of Construction: V -B -SPR Occupancy Group: A2/13 Added /New scift Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Flood Zone: Carrier: Bldg Sprinklers: N Construction Valuation Building PC Fee: Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee: Building Permit Fee TOTALFEE $12,000.00 FIRE Permit: F2021-0021 Project No: 0316-2021 Inspection Requests Phone (949)644-3255 Description: COMM FIRE SPRINKLERS (67 HEADS) X20194130 REV21-0277, DELTA 1 - Legal Description: P BK 79 PG 50 PAR 1 Contractor: CAL TECH FIRE PROTECTION INC Architect: Address: 3745 ALTURA AV Address: FEES $0.00 LA CRESCENTA CA 91214 Phone: 213-798-1986 Con State Lic: 1049420 Lic Expire: 06/30/2022 Bus Lic: BT30037950 Lic Exp Date: 01/3112022 Worker's Compensation Insurance Carrier: SECURITY NATIONAL INS CO Policy No: SWC1282649 Expire: 04/30/2021 Issued Date: 02/18/2021 Setback- Front: Rear: Left: Right: FEES $0.00 Fire Residential Alarm PC Fee $0.00 - Planning Couhfer Review: $0.00 Planning Zoning PC Fee $0.00 $199.00 Public Works PC Fee, $311.25 Public Works Traffic Plan Check Fee; $0.00 $514.25 Plan Check Fee : Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: $0.00 $0.00 $0.00 $0.00 $0.00 State Lic: State Lic: KIM YOUNG 3745 ALTURA AV LA CRESCENTA CA 91214 310 - 3 - S Records Management: $514.25 Fee Due at Permit Issuance PROCESSED BY: �� i(V �� - • e .0. &FIEIUEPARTMENT: ZONING APPROVAL: PLAN CWECKED BY:: e FIRE APPROVAL: \ E APPROVAL TO ISSUE: GAO Y • PIi W• PERMIT EXPIRES 180 DAYS A0'TER,ISSUA VdaOR'L1i` TVALID INSPECTION � ppy 4p tl6 6 OUB OP 1 Q Pi $4.00 $0.00 $0.00 $0.00 I hereby affirm under penalty of perjury that 1 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) lection 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 le permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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 of more than five hundred dollars ($500). 7 1, 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: ly 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 legaill 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 7000) of Division 3 of the Business and essio ode, an y license is in full force nd effect.VZA� icense Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO UNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th ?a rmance of the work for which this permit is issued. Policy No. I heVe and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol Isurance carrier aa0 cy numbbrvere:_ is of Agent L_JX_V certify that, in the performance of the if I should become su ject tothee ww Iature of ADolicant Date for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and coryljiensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those_ provision,,, :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinanc and state laws relating to building construction. I authorize representatives of this city or county enter t above -i €ntified property for inspection purposes. I nature of Prooertv Owner or Authorized AGent =ip Print Property Owner's or Authorized Agent's Name A ACTION DATE T BY vcuAH I Full Vr wmr"Mv .c r•e r n U. C Vr f BERALREGUEATIONSPART,6f OF.TtTLE46ANO AMD RULE 44TiZ' P€RMITEXPIR€D [J.I$UQMNTFDASPESTQS NOTtRCATION TO: • [3- EPA • • • • :.. ❑ AQMD PERMIT CANCELLED PERMiTEXT€LADED MOSASBESTOS OCIT NTION.SNOTAPPLICABLETO . . S1420TUft- PERPAITFINAL-.a-CI-2-I i�� t2VLl F OCCUPANCYfSSU€D OCCUANCYI