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Home My WebLink AboutF2020-0155 - Permits (3)City of Newport Beach - Building Division 'F2020-0155' FIRE Permit: F2020-0155 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0671-2020 Permit Counter Phone (949)644-3288 y Inspection Requests Phone (949)644-3255 Job Address: 217 ORCHID AVE NB Description: SFR FIRE SPRINKLERS 39 HEADS (X2019-3816) tNS PE ^(V' !f\Rf o Inspector Area: 5 Legal Description: RESUB OF CORONA DEL MAR BLK 141 LOT 13 Owner: ZILKER INVESTORS LLC Contractor: ALL STAR PLUMBING & FIRE SPRINKLER COMPANY Architect: Address: 217 ORCHID AVE Address: P O BOX 1413 Address: CORONA DEL MAR, CA 92625 LAKE FOREST CA 92609 Phone: Phone: 949-470-0072 Phone: State Lic: Applicant: SIRIGNANO KEITH Con State Lic: 715588 Engineer: Address: 22762 LAMBERT ST #609 Lic Expire: 08/31/2021 Address: LAKE FOREST CA 92630 Bus Lic: BT30059737 Phone: 949-521-2460 Lic Exp Date: 0713112020 Phone: State Lic: Code Edit: 2019 Workers Compensation Insurance Designer: HFP/ALL STAR PLUMBING & FIRE SPRINKLER INC Type of Construction: V-B-SPR Carrier: BENCHMARK INS CO Address: PO BOX 1413 Occupancy Group: R3/U Policy No: CST5018455 LAKE FOREST CA 92630 Added /New sq.ft. Bldg: 0 Expire: 02/05/2021 Phone: Added /New sq. ft. Garage: 0 , No of Stories: 2 Issued Date: 04120/2020 Special Conditions: Noise agreement received , No of Units : 0 Setback- Front: REV20-0962 , Flood Zone: Rear: PERMIT UPDATED 06-24-20 ' Bldg Sprinklers: Y Left: Right: ' FEES Construction Valuation: $6,000.00 , Building PC Fee : $202.00 Fire Residential Alarm PC Fee: $0.00 Records Management: ° J$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 $0.00 Fire Plan Check Fee: $0.00 Public Works PC Fee: $0.00 Fire Permit as, $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $240.00 TOTAL FEE : $446.00 Plan Check Fee : $446.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: \\ FIRE APPROVAL: V-7 APPROVAL TO ISSUE: PERMIT EXPIRES 100 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -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 for the 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 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 not 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 or offered for sale (Section 7044, Business 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 improvements 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 improved 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 apply 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). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legal) sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the 11siness and Professions Co and my license is in full force and effect. —7 p License Class License No / �f�U� D �o Contractor i ature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND LLARS ($100,000), IN ADDITION TO THE COST OF COMPENSAT,GN, LAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm unda, NLnalty of perjury one of the following declarations: li I have and will rlair!ain 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 ym.qnce of the wbm for which this permit is issued. Policy No, va 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' compensatio mscrance carrier and poilcy number are: Carrie, UCA t k Policy Number Expiration Date N'al na of Agent Phone # 1 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 bar, it I EnoCPPKlZ1JRDlXG_C0NS'rR"V ome su�ct to the vptkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with th ovisions. ? ✓.(I— �1 S,ionature o,nf/ r7�7 t.�� D DECLARATON LENDING AGENCY I hereby affirm under penalty of perjury there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 a d state laws relating to building construction. I authorize representatives of this city or county to wot the ab a -identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Autho ' ed Agent's Name , . ! ; ACTION BY DECLARATION OF COMPLfANCEWfTR CODE OF FOR OFFfC ON FEDERAL REGULATIONS PART 610E RTLE40 AND AOMD RULE 1403. PERMIT EXPIRED ❑ i SUBMITTED ASBESTOS NOTIFICATION 70: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS N0T1flCATJON/S NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL L CERTIFlCATEOF SIGNATURE: OCCUPANCY7SSUED