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Home My WebLink AboutF2019-0026 - Permits (2)0 r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII FIRE Permit: F2019-0026 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 0 2 6 Project No: 0126-2019 a Permit Counter Phone (949)644-3288 P"r+ctsfrN Inspection Requests Phone (949)644-3255 Job Address: 108 OPAL AVE NS Description: SFR FIRE SPRINKLERS (27) HEADS (X2016-3445) Inspector Area: 2 Owner: SANTA CATERINA LLC Address: 215 STONE OAK CV HOLLAND OH 43528 Phone: Applicant: CASEY MONTY Address: 1101 KINGSTON LAHARBRA CA 90631 Phone: 714-476-5370 Code Edit: 2016 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: 3 No of Units: 0 Flood Zone: AE Bldg Sprinklers: Y Construction Valuation: Building PC Fee : Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee: Building Permit Fee: $2,700.00 Legal Description: BALBOA ISLAND RESUB SEC 1 BLK 11 LOT 35 Contractor: FIREPROOF FIRE PROTECTION Architect: Address: 1101 KINGSTON DR Address: LA HABRA CA 90631 Phone: .714-476.5370 Con State Lie: 876004 Lie Expire: 04130/2020 Bus Lie: BT30040107 Lie Exp Date: 08131/2019 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: MOWC901180 Expire: 02115/2019 Issued Date: 01/1412019 Setback- Front: Rear: Left: Right: $202.00 $0.00 $0.00 $0.00 $0.00 $0.00 $240.00 Phone: State Lie Engineer: Address: Phone: State Lie Designer: CASEY MONTY Address: 1101 KINGSTON LAHARBRA CA 90631 Phone: .714.476-5390 Special Conditions: FEES Fire Residential Alarm PC Fee Planning Counter Review: Planning Zoning PC Fee : Public Works PC Fee: Public Works Traffic Plan Check Fee; $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL FEE : $446.00 Plan Check Fee: $0.00 PROCESSED BY: • • ®® c m • 0TH6R DEPARTMENT: ZONING. APPROVAL:E ° • ° ' ®° 0 4L5kN eHEEKrD BY:: o c • o FIRE APPROVAL: \ )fn APPROVAL TO ISSUE: Records Management : Fee Due at Permit Issuance mac e • o mo• om a o m m o m o m PERMIT EXPIRES 180 DAYS,AFTER IS e19AlaC E C LAST VALID INSPECTION E o m m c •. ••• ••• •• • • ••• •• $4.00 $0.00 $0.00 $446.00 )WNER-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 is 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 Irofessions 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 penally of iot 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, lusiness 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 nprovements 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 n 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 doe= n:;! Poly 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: iy 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 ell 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 rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION 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 Professions Code, and my license is in full force is effect. (c ense Class License No Date 1C , f / 1'T 1 1 l _ Contractor Signaturs�( IIORKERS' COMPENSATION DECLARATION 'ARNING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION $706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ] 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 IN erffprmance of the work for which this permit is issued. Policy No. have and )f1 ih@intain 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' ne of Agent certify that, in the p , if I should become lature of Applicant _ Date work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thosetpfpvisions. IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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). ender's Name Lender's Address ly 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 of this city or county to ent a above -identified property for inspection purposes. �L ,. 1 .,—f— of C.....ed., n..,., — a„rh,..� ene.,r o�inr Dmnudv numo.'e nr A, dhnroud Anonr'• Mom 1�'\-r Fa ire.. ACTION DATE DECLARATION OF COMPLIANCEWITH CODEOF FOR OFFICE USE ONLY ..F€RERAL $EGU(1 0NSFAff QOF TITLE40AND • A R '1403.._ . . . .[3.I SUB* ED2ISBESTOS A)&ICATION TO: • •j� EP PERMITEXPIR€D P€RMITCANCELLED • •0 AQMD P€RMITEXTENDED ❑ ASBESTOS NOTTFICATIONIS NOT APPLICABLE TO .PRQPQSE40EML7UTJVN ... • • • . • • • • • PERMITFfNAt I I CERTIFICATEOF :51CNATM. OCCUPANCYISSUED