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Home My WebLink AboutF2018-0443 - Permits4�, " City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII II b* 1'. 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 4 4 3 � Permit Counter Phone (949)644-3288 v g'il Rr'iY� FIRE Permit: F2018-0443 Project No : 1914-2018 Inspection Requests Pjlone (949)644-3255 Job Address: 413 MARIGOLD AVE NS Description: FIRE SPRINKLERS FOR DUPLEX (X2018-2295) 34 HEADS 01 Inspector Area: 5 Legal Description: CORONA DEL MAR BILK 439 LOT 5 Owner: ALLADAWI MICHAEL Contractor: FIREPROOF FIRE PROTECTION Architect: Address: 7040 SCHOLARSHIP Address: 1101 KINGSTON DR Address: IRVINE CA 92612 LA HABRA CA 90631 Phone: Phone: 714-476-5370 Phone: State Lie: Applicant: CASEY DENISE Con State Lie: 876004 Engineer: Address: 1101 KINGSTON DR Lie Expire: 04/30/2020 Address: LA HABRA CA 90631 Bus Lie: BT30040107 Phone: Lie Exp Date: 08131/2018 Phone: State Lic: 00 • 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: MOWC901180 co•oc• ° ° Added /New sq.ft. Bldg: 0 Expire: 02115/2019 Phone: ° ° ° • ° Added/New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 08/13/2018 Special Conditions: ° ° ° ° ° ° o ° 00 No of Units: 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: Y Left: Right: °o ° oe oococc ° o Deco FEES Construction Valuation: $3,400.00 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. Plan Check Fee: $0.00 Fee Due at Permit Issuance : $419.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: / PLAN CHECKED BY:: FIRE APPROVAL: (� itis _ APPROVAL TO ISSUE: PERMIT EXPIRES 180 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 U 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 C3ntractors' 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 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). ❑ lam exempt from licensure under the Contractors' State License Law for the following reason: By my signature below 1 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://wm.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONbRACTOR'S DECLARATION 1 hereby affirm urA%penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force cad. afI&A. , •• Cicense•Class • • • License No Date�'a \ Contractor Signature YI®R114ERS' COJNPENSATION DECLARATION WARITIING: FAILUREJO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100, Ol, N ADDITION TO THE COST OF COMPEWAJIpN.YAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under p@nalty of perjury one of the following declarations: • PPlgve ani)WRI.jaintain 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 ff8Itnance of the work for which this permit is issued. Policy No. ave and will maiptain 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 s arfce carrW gad policy number are: arae: Po icy Number Expiration Date Aame of Agen4 • • Phone # I certify that, in the performance of the work for which this peit 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 that, if I should become s o the workers' compensation p ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provrsioores' ` e/ Signature of Applicant Date_ DECLARATION REG DING CONSTRUCTION LoNfZING AGENCY I hereby affirm under penalty of perjury that there iuction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). a co tr 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 cor I agree to comply with all applicable city and county ordinances and state I s relating to building construction. I authorize representatives of this city or county above-identified p party for inspection purposes. Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACT70N DATE BY DECLARATION OF COMPLIANCE tMTN CODEOFp FEDERAL REGULATIONS PART 6TOFT(TLE40AND / $OR OFRCE USEONLY /Y[ re. 1P..L. OAR ___[[[ P€RMITEXPIR€D AQMDRULE1403. 111 0 ❑ I SUBMITTEDASBESTOS NO7IFfCATION TO: PERMITCANCELLED ❑ EPA ❑ ASBESTOS M07IRCAIJONIS NOT APPLICABLE TO P€RA41TEXTENDED13AQMD PERMIT FINAL PROPOSED OEMOLITION. 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