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HomeMy WebLinkAboutF2017-0413 - Permits©�gwlt�s City of Newport Beach - Building Division II�I�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 4. Permit Counter Phone (949)644-3288 FIRE Permit: F2017-0413 Project No : 1769-2017 Inspection Requests Phone (949)644-3255 Job Address: 23 EBB TIDE CIR NB Description: MFR FIRE SPRINKLERS (25) HEADS (X2017-0490) Inspector Area: 3 Legal Description: , Building PC Fee : Owner: EBB TIDE LLC Contractor: ON GUARD FIRE PROTECTION Architect: ,mem $0.00 Address: 4 PARK PLAZA # Address: 6438 ARVILLE ST Address: ease Planning Zoning PC Fee: IRVINE CA 92614 LAS VEGAS NV 89118 $0.00 • Phone: Phone: 702.966.8021 Phone: State Lic: em o $0.00 Applicant: OLVIA/ON GUARD FIRE Con State Lic: 950378 Engineer: Building Permit Fee : Address: 6438 ARVILLE ST Lic Expire: 07131/2018 Address: TOTAL FEE : $415.00 LAS VEGAS NV 89118 Bus Lic: BT30051770 c o m o Phone: 702-966-8821 Lic Exp Date: 07/31/2018 Phone: State Lic: 00 0 • • ° Code Edit: 2016 Worker's Compensation Insurance Designer: m m ° • ° omeoo ° ommoo Type of Construction: V -B -SPR Carrier: EVEREST NATIONAL Address: o e m o Occupancy Group: R3/U Policy No: 5300003285 m m 000000 o o 0 0 Added /New sq.ft. Bldg: 0 Expire: 02/16/2018 Phone: 0 e • m ° o ° ° ° ° o Added/New sq. ft. Garage: 0 °mo ••0O No of Stories: 3 Issued Date: �130�fi Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: Y Left: Right: PROCESSED BY: e<` OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Construction Valuation: $15,000.00 Building PC Fee : $190.00 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 : $225.00 ' TOTAL FEE : $415.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $415.00 PROCESSED BY: e<` OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION VNER-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) action 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 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 )fessions 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 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, >iness 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 )rovements 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 )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 )ly 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 exemp(f "Iijensure under the Contractors' State License Law for the following reason: MY signature below] 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 legallt ,12rilcture that I"ve 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 ifessians Code. TsOa.Ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Property Owner or Authorized Agent Date :WED CONTRACTOR'S DECLARATION )reby affirm Aer penalty of perjury that I am licensed under provisions of Chapter 9 (commen/witaction 7000) of Division 3 of the Business and ofessions Code, and my license is in full force 3 MCt ..srs�g Class • • • License No 2 Contractor Signatur )P,KE!RS'CCFN1PENSATION DECLARATION tU]pg:,FAILURETOSECUREWORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMCRIMINAL PENALTIES AND CIVIL FINES UP T ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE I'i OF GOMPENSAFION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. reby affirm unser penalty of perjury one of the following declarations: 0000 IMA and ;iII.rl3iMtain 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 brmance of tyle 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' recce carrier and policy number are: is of Agent certify that, in the p . if I should become of Applicant Policy Number Expiration Date Phone # of the work for which this permit is issued, I shall not employ any person in any manner so as to become subje o the workers' compensation laws of California, and the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p visions. CLARATION REGAYIDING CONSTRUCTION LENDING AGENCY :reby affirm underr nalty of perjury that there is a construction lending agency for the performance of the work for which this permit 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 haw provided is correct. I agree to comply with all applicable city and count YArdinances and state laws relating to building construction I authorize representatives of this city or county t ever tge above-identifie�.property for inspection purposes. n n 00 (Section 3097, Civil Code). ACTION DATE BY DECLARATION OF COMPLIANCE INITN CODE OF FOR OFFICE USEON FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. PERMIT EXPIRED 1 SUBMITTED ASBESTOS NOIIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFTCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL / CERTtFICATEOF OCCUPANCYISSUED SIGNATURE: