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Home My WebLink AboutF2017-0658 - Permits (2)r.. City of Newport Beach - Building Division '. 100 Civic Center Drive,Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1520 KINGS RD NIB ..Inspector Area: 2 Owner: EPC HOLDINGS 897 LLC Address: 336 CATALINA DR NEWPORT BEACH CA 92663 Phone: Applicant: VO JOHN Address: 526 N SHADY AVE WEST COVINA CA 91790 Phone: 714.310.0194 Code Edit: 2016 Type of Construction: V-BSPR 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: X Bldg Sprinklers: Y IIIIIIIIIIIIIIIIIIIIIillillillillillillilliillillillilljlI FIRE Permit: F2018-0658 Project No: 2871-2018 Inspection Requests Phone (949)644-3255 Con State Lie: 992002 Description: SFR FIRE SPRINKLERS (75) HEADS (X2017-2344) Legal Description: N TR 1219 SLK F LOT 3 Lie Expire: 04130/2020 Address: Contractor: FIREGUARD SPRINKLER SYS INC Architect: Bus Lie: BT30046886 Address:9543 VICTORIA AVE Address: Lie Exp Date: 04/30/2019 SOUTH GATE CA 90280 State Lie: Phone: 714.310.0194 Phone: State Lic. Con State Lie: 992002 Engineer: Lie Expire: 04130/2020 Address: FEES Bus Lie: BT30046886 $10,000.00 Lie Exp Date: 04/30/2019 Phone: State Lie: Worker's Compensation Insurance Designer:. VO JOHN $0.00 Records Management: o o'Stto00 Carrier:. FALLS LAKE FIRE & CASUALTY Address: ' 526 N SHADYDALE AVE .... o ° • ° Policy No: FLA0080008 $0.00 WEST COVINA CA 91790 • .. m ° Expire: 12129/2019 Phone: 714-310-0194 0 Fire Plan Check Fee: $0.00 Public Works PC Fee : oomm.m o Issued Date: 1211012018 Special Conditions PERMIT REVISED -011-14-19 ° ° o Setback- Front: • .�' $240.00 0 o 0 0 Rear. TOTAL FEE : $446.00 0 m.mmmm ° Left: mm Right: coo. mmmoo ° PROCESSED BY: 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: $10,000.00 Building PC Fee : $202.00 Fire Residential Alarm PC Fee : $0.00 Records Management: o o'Stto00 Building. Overtime PC Fee: $0.00 Planning Counter Review: $0.00 o ° • ° 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 : $240.00 TOTAL FEE : $446.00 Plan Check Fee: $446.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE:. PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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). U 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, Business 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 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 improved 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 doeu 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). ❑ 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 legall 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 S ction 000) of Division 3 of the Business and Prof Sion Code, and my license is in full force and effect. �/ License Class License No / Dete "l Contractor Sig re tKERS' COMPENSATION DECLARATION ING: FAILURE TQ 84RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECTi OFC OMPENSATdW* DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND :byaffirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' compensation, rgfance of the work for which this permit is issued. Policy No TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THWSAND DOLLARS )5100,000), IN ADDITION TO FEES. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for and Aii;Wtain 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' carder and policy number are: "': Policy Number Expiration Date Agent y that, III the p e of the 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 the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoss ''/' ` )i )ECCARATIC%I;CGARDINGICONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this 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 pro rt' owner's behalf. I have read this application and the information I hav pro ided is correct. I agree to comply with all applicable city and county dine ces and state laws relating to building construction. I authorize representatives of this city or county toe er the above -identified property for inspection purposes. �ionature of Property Owner or Authorized Aoent Print Prooertv Owner's or Auth, ri: AC77ON I DA& BY FEDERAL REGULATIONS PART fif OFTlJLE40AND AQMDRULE1403. ❑ I SUBMITTEDASBESTOS NOTIFICATION T0: ❑ EPA ❑ AQMD ❑ ASBESTOS NORfICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. OCCUPANCYISSUED I j j I I I SIGNATURE. (Section 3097, Civil Code).