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Home My WebLink AboutF2016-0188 - Permitsrbc City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII FIRE Permit: F2016-0188 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 6 0 1 8 8 Project No: 0722-2016 H. Permit Counter Phone (949)644-3288 ra Inspection Requests Phone (949)644-3255 Job Address: 3910 TOPSIDE LN NB Description: SFR FIRE SPRINKLERS (40) HEADS (X2015-1855 & X2015-3726) Inspector Area: 5 Legal Description: N TR 6425 LOT 27 Owner: ALVINO FAMILY TRUST Contractor: FIREGUARD SPRINKLER SYS INC Architect: Address: 3910 TOPSIDE LN Address: 9543 VICTORIA AV Address: CORONA DEL MAR, CA 92625 SOUTH GATE CA 90280 Phone: Phone: 714.310.0194 Phone: State Lic: Applicant: VO JOHN Con State Lic: 992002 Engineer: Address: 5133 ROSEMEAD BLVD #1 Lic Expire: 04/30/2016 Address:m., SAN GABRIEL CA 91776 Bus Lic: BT30025322 Phone: 714-310-0194 Lic Exp Date: 04/30/2016 Phone: State Lic: Code Edit : 2013 Worker's Compensation Insurance Designer: VO JOHN Type of Construction: V -B -SPR Carrier: SECURITY NATL Address: 9543 VICTORICA AVE Occupancy Group: R3/U Policy No: SWC1091874 SOUTH GATE CA 90280 Added /New sq.ft. Bldg: 0 Expire: 12/20/2016 Phone: 714.310.0194 Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 04/04/2016 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $5,000.00 Building PC Fee : $120.06 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 : $138.00 TOTAL FEE : $262.06 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $262.06 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: `� "� o ° ° PLAN CHECKED BY:: _� � . . e • c ` L ` FIRE APPROVAL: APPROVAL TO ISSUE: Ily � cc co ° E,'ERh.'T JCP/FES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION pp0 a64 O(Y B O U�� VU )WNER-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 far is 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 'rofessions 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). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 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 legally 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 Sectio 70 0) of Division 3 of the Business and Prof salon C e, nd,my license is in full force nd effect. Lj (p I a icense Class License No Date l ,l'j 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 ONE HUNDRED THOUSAND DOLLARS ($100,000), 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 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 erfoSmance of the work for which this permit is issued. Policy No. have 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' rance carrier a�poligy number are: I / , Date 1e of Agent 7 )rnone s 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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those erovisions. I of Applicant iIItJ CLARATION REGARDING CONSTRUCTION LENDING AGENCY f ' :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 havennn d is correct. agree to comply with all applicable city and county oes and state laws relating to building construction. I authorize representatives of this city or county to ent a -I en d property for inspection purposes. —f— �f o�....a,r., n...�., nr Aidhnriv.r Anan} \� r Print Prooertv Owner's or Authorized Aqent's Nam ACTION DATE ABY ucf-e.rfnra.fvn yr FEDERAL REGULATIONSPART 610F E11LE,KAND AQMD RULE 1403. +•I • •+: ❑ I SUBHTTEDASBESTOS NORFICATION7L6 • • [3 EPA ❑ AQMD • e i+• •••i + • • : • • + PERMITEXPtRED PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS N07IRCAROMISNOTAPFPI I•BLETO PROPOSED DEMOLITION. • SIGNATURE., • • •: • • • • o PERMIT FINAL /D–.ly – / w FO r— r --'L_ CERTIFICATE OF OCCUPANCYISSUED • • • • • • • jo 101