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Home My WebLink AboutF2019-0520 - Permitsi�trx� City of Newport Beach Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 r Job Address: 1703 PLAZA DEL SUR NS Inspector Area: 1 Owner: DI TOLLE JODI Address: 1703 PLAZA DEL SUR NEWPORT BEACH CA 92660. Phone Applicant CRAIG FIREIZACK Address. 123 E CENTRAL AVE MONROVIA CA 91016 Phone 626-357-4045 Code Edit: 2016 Type of Construction VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Flood Zone: 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 TOTAL FEI PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $5,000.00 111111111111111111111111111111111111111111111111111it FIRE Permit: F2019-0520 F 2 9 1 9 9 5 2 0 Project No : 2046-2019 Inspection Requests Phone (949)644-3255 $202.00 $0.00 $0.00 $0.00 $0.00 $0.00 ' \I$240.00 $446.00 FEES Fire Residential Alarm PC Fee Planning Counter Review: Planning Zoning PC Fee Public Works PC Fee, Public Works Traffic Plan Check Fee; Plan Check Fee : $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 OTHER DEPARTMENT PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INS Records Management Fee Due at Permit Issuance ccc,oa• . v O D O 906J e DCO $4.00 $0.00 $0.00 $446.00 .Description: SFR - FIRE SPRINKLER/RES ADD (X2018-3778) 32 HEAD 2045-2019 Legal Description: N TR 518 ELK K LOT 31 Contractor: CRAIG FIRE PREVENTION INCp� Architect: Address: 123 E CENTRAL AVE Address: MONROVIA CA 91016 VO - Phone: 626-357-4045 State Li c Con State Lic: 1037827. Eng-inneeer.". 7uc Lic Expire: 0413012020 - Address: Bus Lic: Lic Exp Date: BT30048335 08/30/2020 ON " o�ne: Worker's Compensation Insurance D�/e§ IG DALE y ,e Carrier: AMERICAN FAMILY HOME 0 om mmoovc Address: NTRAL AVE Policy No: 2EA5WC000051801 - mm.. A 91016 ° . Expire: 02/11/2020 Phone: 626-357- • ° ° o n Issued Date: 0911312019 ® mmoor m a Special Conditions: ° • ° Setback- Front: Rear • o & omamo mr. Lek: Right c�Drmc $202.00 $0.00 $0.00 $0.00 $0.00 $0.00 ' \I$240.00 $446.00 FEES Fire Residential Alarm PC Fee Planning Counter Review: Planning Zoning PC Fee Public Works PC Fee, Public Works Traffic Plan Check Fee; Plan Check Fee : $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 OTHER DEPARTMENT PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INS Records Management Fee Due at Permit Issuance ccc,oa• . v O D O 906J e DCO $4.00 $0.00 $0.00 $446.00 lWNER-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) 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 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). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do U 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). - 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 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 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://v w .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 Professions Code, and my license is in full force nd effect.-� icense Class ."'� - License No Date 3 �4. Contractor Signature YORKERS' ccIM @NSATION DECLARATION rAAIA8:�FAILURE.?0 SECIJRE WORKERS' COMPENSATION COVERAGE 15 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 COMPENSA•IONMAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: have and ryO 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 ce of the worMfor which this permit is issued. Policy No. 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' compensa carriergnc%licy number are: Policy Number Expiration Date that, in the pP formance of the work forwhich 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� lould become subject to the workers' compensation rovlsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant / q� 3 k rreby affirm under pen Ity 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter tlhe�above-identified property for inspection purposes. nature of Property Owner or Authorized Agent /—// Print Property Owner's or Authorized Agent's Name Q 7stGln 1 re,= ACTION DATE BY DECLARATION OFCOMPLJANCEVWTHCODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMFTFEOASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ASBESTOS NOFIFICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION, PERMITFINAL CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED