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HomeMy WebLinkAboutF2018-0295 - PermitsCity of Newport Beach - Building Division IIIIIII�IIIIIIIII�IIIIIII�IIIIIIIIII�I�II III 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 2 9 5 Permit Counter Phone (949)644-3288 Job Address: 710 NARCISSUS AVE NB Inspector Area: 5 Owner: MALEK HADI Address: 3131 MICHELSON DR IRVINE CA 92612 Phone Applicant: DENNIS/ALTERNATIVE FIRE PROT SVCS Address: 18565 MINTHORN ST #1 Phone: LAKE ELSINORE CA 92530 Phone: 941639 H,�.. 118-0295 •'s • 'Project No: 1181-201$ • e s •• •o e e InvAion Requests Ro pne E949)644-3255 c r o 0 0 0 ® o e^ Description: FIRE SPRINKLERS FOR NEW DUPLEX (X2017-1398) 46 Legal Description: CORONA DEL MAR BLK 741 LOT 12 Contractor: ALTERNATIVE FIRE PROTECTION SVCS Address: 18565 MINTHORN ST #1 Worker's Compensation Insurance LAKE ELSINORE CA 92530 Phone: 951-245.7111 Con State Lic: 941639 Lic Expire: 12131/2019 Bus Lic: BT30063249 Lic Exp Date: 0513112019 Code Edit: 2016 Worker's Compensation Insurance Type of Construction: V -B -SPR Carrier: CA INS CO Occupancy Group: R31U Policy No: 4679605701 Added /New sq.ft. Bldg: 0 Expire: 12/1012018 Added /New sq. ft. Garage: 0 Planning Counter Review: $0.00 No of Stories: 3 Issued Date: 05/17/2018 No of Units : 0 Setback- Front: $0.00 Flood Zone: Rear: Fire Plan Check Fee: Bldg Sprinklers: Y Left: $0.00 Fire Permit Fee : $0.00 Right: $0.00 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: State Lic: State Lic: PROCESSED BY:1 ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Construction Valuation: $8,500.00 Building PC Fee : $190.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $6.00 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 : $225.00 TOTAL FEE : $421.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $421.00 PROCESSED BY:1 ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -BUILDER DECLAP,74 ; 7181U►�aY ��1��. `�'� I hereby affirm under periph of r'b,-arn-eke fie 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 arld•Profenel s GcLe: 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 staterj?ent that he 81 she iy'1icensgd 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 8r sheig exempt 4romKicepsure 4hd tine 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 wA wages lasthe r sole compensation, will do (_) 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 taw 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 im roved 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). 11 1 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 legally 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.gov/calaw.htmi. 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 Business and P of i s- ode, and my license is in full force and effect. Cl ® ( (^ Contractor Signature License Class License No Date S " � — (X /�- INORKERS' COMPENSATION DECLARATION NARNING: 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 COST 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.,fiav e and will maintain a certificate of consent to self -insure for workers' compensation, )ce of the work for which this parmit is issued. Policy No. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for 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' carrier and policy number are, , Policy Number to of Agent certify that, in the pi if I should become lature of Applicant,' Date this permit is issued, I shall not employ any person in any manner so as to become subjectto the workers' compensation laws of California, and afibn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _. 11-1 C—_/2 :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 1 have �Ventifi..-Zd I agree to comply with all applicable city and county o relating to building construction. I authorize representatives of this city or county to enteoperty for inspection purposes. 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