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Home My WebLink AboutF2018-0359 - Permits (2)City of Newport Beach - Building Division 11Up111111111p11111p1111111111111111111111111 illFIRE Permit: F2018-0359 '. 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 3 5 9 Project No : 1474-2018 f, Permit Counter Phone 0 (949)644-3288 �:'- Inspection Requests Phone (949)644-3255 ,� }�r Job Address: 14 BEACON BAY NIB Description: FIRE SPRINKLERS FOR NEW SFR (X2017-2210)45.HEADS - Description: R BK 9 PG 42 PAR 14 P 4 rg� ti -q f '%7zr",J Inspector Area: 2 Legal Owner: HELFRICH JIM Contractor: FIREPROOF FIRE PROTECTION Architect Address: 14 BEACON BAY Address: 1101 KINGSTON DR Address: NEWPORT BEACH, CA 92660 LA HABRA CA 90631 Phone: Phone: 714.476-5370 Phone: State Lic: Applicant: CASEY DENISE Con State Lie: 676004 Engineer: Address: 1101 KINGSTON DR Lie Expire: 04130/2020 Address: LA HABRA CA 90631 Bus Lie: BT30040107 Phone: Lie Exp Date:. 0813112019 Phone: State Lie: o m mmmm Code Edit: 2016 Worker's Compensation Insurance Designer. Type of Construction: V -B -SPR Carrier: NORGUARD INS CO Address: Occupancy Group: R3/U Policy No: MOWC002750 mmmm m ° Added /New sq.ft. Bldg: 0 Expire: 02115/2020 Phone: Added /New sq. H. Garage: 0 No of Stories: 2 Issued Date: 06120/2018 Special Conditions: - PERMIT REVISED 04-24-19 om o No of Units : 0 Setback- Front: .... Flood Zone: Rear: 0 o m m m 00000 Bldg Sprinklers: Y Left: Right: 9 c o oommoo o c00000 m o m o FEES m mm 000000 m m Construction Valuation: $3,800.00 m m m mom m mm0o Building PC Fee : $190.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $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 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 : $419.00 Plan Check Fee : $419.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: OTHER DEPARTMENT: _ ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: ��. _ APPROVAL TO ISSUE: PERMIT EXPIRES 1.80 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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) ction 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 cessions 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 (_) 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). 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 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). U 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 t 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 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 LICENSED CONTRACTOR'S DECLARATION law, Section 7044 of Dale and I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)-of-Division3 of he Business and Professions Code, and y license is in full force and effect. .... -� License Class • License No Date _ .:-+=+- \- Copt ctor Signature gV QJffRS' C;QWENSATION DECLARATION 7 NARNINGT FAILURE TQ SF•Cj1RE WORKERS' COMPENSATION COVERAGE I5 UNLAWFUL, ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL ($100,000), IN ADDITION TO THE CAST Of COMPENSATTOjjyy, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ;helliq affirm under penalty of perjury one of the following declarations: D I have and tvjl�Pnaitain 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 ier{oananse-of-the work for which this permit is issued. Policy No. will pi�ipjain 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' ier argd policy number are: Policy Number Date ce*Ai; that, in -the performance of the work for which this permit is issued, I shall not employ any person in any manner so astobecomee s_ZlPject to the workers' compensation laws of California, and •11 should 13ec0me slubjecLto the workers' compen4ation-Of6visions of Section 3700 of the Labor Code, I shall forthwith comply with those,orovisions. DECLARATION REGARDING CONSTRUCTI NDING AGENCY I hereby affirm under penalty of perjury that the construction lending agency for the performance of the work for which this pe it' Ilssued (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 and state laws relating to building construction. I authorize representatives his•city or counl!reRterthe above -identified property for inspection purposes. -- Sionature of Property Owner or Authorized Aoent -- �*s�� % Print Property Owner's or Authoriz"ent's Name DatEtl 4"A GLrt lrelA bLtt��9iY IP€RA41T€k7ELADED I / / I \ I I SUBMf1TEDASBESTOSNO-UF7CATIONTOr ❑ EPA ❑ AQMO ❑ ASBESTOS NOTIRCARON1S NOTAPPLtCABLE TO PROPOSED DEMOLITION. OCCUPANCYtSSOED I / I 1 11 SIGNATURE.