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HomeMy WebLinkAboutF2021-0246 - PermitsV.,City of Newport Beach - Building Division IIIIIII I IIII I IIIIIII� II IIIIIIIIIIIII III ;r 100 Civic Center Drive, Newport Beach, CA 92660 I F 2 0 2 1 0 2 4 6 "w Permit Counter Phone (949)644-3288 Job Address: 2309 SANTIAGO DR NB Inspector Area: 3 Owner: TENORE PATRICK Address: 2405 TUSTIN AV COSTA MESA CA 92627 Phone: 949-903-1426 Applicant: VO JOHN Address: 526 N SHADYDALE AVE WEST COVINA, CA 91790 Phone: 714-310-0194 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y FIRE Permit: F2021-0246 Project No : 1392-2021 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS FOR GUEST HOUSE (8 HEADS) (X2019-4079) Legal Description: P BK 108 PG 43 PAR 2 °o©o Contractor: FIREGUARD SPRINKLER SYS INC . Architect: Address: 7907 LEEDS ST Address: z" °°° DOWNEY CA 90242 � ° O ® e ° ° ° ° o n Phone: 714-310-0194 Phone: State Lie: o ° ° o n Con State Lie: 992002 Engineer: ° ° 00° Lie Expire: 04/30/2022 Address: ° VIA° 00 000 Bus Lie: BT30046886 WO-0 ®° ° Lie Exp Date: 04/30/2022 Phone: State Lie: ° ° ° 00000 °o°on° Worker's Compensation Insurance Designer: VO JOHN ° 000000 Carrier: FALLS LAKE FIRE & CASUALTY Address: 526 N SHADYDALE AVE ° ° ° ° 0000000 Policy No: FLA0080008 WEST COVINA, CA 91790 ® ®®° ° Expire: 12/29/2021 Phone: 714-310-0194 ° 00 o ° ° ° " ° °o°° Issued Date: 06/21/2021 Special Conditions: ° Setback- Front: Rear: Left: Right: FEES Construction Valuation: $2,000.00 Building PC Fee: $217.00 Fire Residential Alarm PC Fee : $0.00 Records Management : " , $0.00 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 : $263.00 TOTAL FEE : $480.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $480.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECT/OA OWN ERmBUI LDER­-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 checkrnark(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). 11 1, 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, 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). 1:1 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 apply to an owne;s of)property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). PI am exemplUrWrPlicensure under the Contractors' State License Law for the following reason: 3-­,ny,&)gnature bolow 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 V sell a structure Rhai 1, b6ve 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 !,Pofessjpns Code,Js available upon request when this application is submitted or at the following Web site:http://www,leginfo.ca.gov/calaw.htm1. o Signature of Property Owner or Authorized Agent Date LICENSED CdINTAACTOR'S DECLARATION b � e'ro-L 'affirm u ' r p'nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect' 70 b) of Division 3 of the Business and Profe(sions ode, and my license is in full force h y n c?e e nI nc� effect. 1 0 0 0 L b Z �? Date Contractor Signature qnse�Class License No !(V,QRKJF_RS' COMPENSATION DECLARATION �,MaNlNql, FAILURF,9-0 51?CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO VSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATJON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Qeclre6y affirm under penalty of perjury one of the following declarations: ❑-) 11 11 0 0 0 0 D 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 thE ormance of the work for which this permit is issued. Policy No. ave 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' compensatior I ra n ce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent I \ Phone # 01 certify that, in the perfor ance f 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' C mpensation laws of California, and agreE that, if I should become sub ect to t a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date A 1 7Z, DECLARATION REGA DING CO STRUCTION LENDING AGENCY I I hereby affirm under penalty =orjury that 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 rop rty owner's behalf. de I have read this application and the information I h ve pr vided is correct. I agree to comply with all applicable city and count ordin nces and state laws relating to building construction. t t t I authorize representatives of this city or countyo following: a above -identified property for inspection purposes. r Print P rope rty_OwneT`s-o L-or Agent's Nam J4 10 Il a le/ Signature of Property Owner or Authorized Agent _I _ _ DATE BY DECLARATIQN-OFCOMPLIAACE INITHC CO NWAND FOR OFFICE USE ONLY .ACTION FEDER,rlLGULATIONS PART 61 OFTIRE q LE AQMDR LE 1403. PERMIT EXPRED IS SMITTED ASBESTOS N077FICATIO io: BMIJ EPA AQMD A BESTOS NO77RCAVIO/V IS NOT LICABLE TO To 1) MOLITI PROP , ED DEMOLITION. PERMIT CANCELLED PERMIT EXTENDED PERMITTINAL 6& 3 A (K J;v� C#4 CERTIRCATEOF SIGNATURE, OCCUPANCYISSUED