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Home My WebLink AboutF2019-0632 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 6 3 2 Permit Counter Phone (949)644-3288 Job Address: 133 VIA JUCAR NB Inspector Area: 1 Owner: LIDO ISLE LP Address: 655 BREA CANYON WALNUT CA 91789 Phone Applicant: DILL ROBERT Address: PO BOX 6566 HI - TECH FIRE SPRINKLERS HUNTINGTON BEACH CA 92615 Phone: 949-6B9-7766 HUNTINGTON BEACH CA 92615 Code Edit : 2016 949-689-7766 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: 2 No of Units : 0 Flood Zone: Expire: 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 TOTAL PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $9,000.00 FIRE Permit: F2019-0632 Project No: 2584-2019 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (33 HEADS) X2019-1910 2584-2019 Legal Description: Contractor: HI - TECH FIRE SPRINKLERS Address: PO BOX 6566 Phone: HUNTINGTON BEACH CA 92615 Phone: 949-689-7766 Con State Lic: 855229 Lic Expire: 0313112021 Bus Lic: BT30066309 Lic Exp Date: 0313112020 Worker's Compensation Insurance Carrier: WIC EXEMPT Policy No: (NO EMPLOYEES) Expire: Designer: Issued Date: 12/11/2019 Setback- Front: Address: Rear: m ms m o Left: HUNTINGTON BEACH CA 92615 Right: 949.689-7766 $202.00 $0.00 $0.00 $0.00 $0.00 $0.00 $240.00 $444.00 FEES Fire Residential Alarm PC Fee Planning Counter Review: Planning Zoning PC Fee: Public Works PC Fee: Public Works Traffic Plan Check Fee; Plan Check Fee : Architect: INSPECTOR Address: Phone: State Lic: Engineer: Address: m moose Phone: State Lic: 0 mm m mmmmo Designer: DILL ROBERT m • ® ° Address: PO BOX 6566 m ms m o HUNTINGTON BEACH CA 92615 Phone: 949.689-7766 emmaom ° m c � o Special Conditions: mm u m GOm40m OmBmO 0 oommac ° RJmmu'V m m o - coomoo o � ` om°mac ecmo mooeom $0.00 Records Management : $2.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $202.00 OTHER DEPARTM NT PLAN CHECKED I •: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID Fee Due at Permit Issuance : $242.00 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 he 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 lot more than five hundred dollars ($500). 1, 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, 3usiness 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 mprovements 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 mproved 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 ipply 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: 3y 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 lega111 yell 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. Signature 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 .•••.• Ind effect. >! .;.en%e.Ilass C, ��License No O ssZZ J Da %2 !f Contractor Signature i YORKERS' COAVESSATION DECLARATION IJRIJINPa.. JAILURE TOp" ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLI36 TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ST GFCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hweby affirm uric6perialty of perjury one of the following declarations: 1 Italie and wilj mai;ain 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 onformence of tha,wo*-or which this permit is issued. Policy No. SPr1aL'e 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' compensation IlSCrpliCetcarrier apd poljcy number are: *mer • """ Policy Number Expiration Date filsbf gent Phone# Wh•••. xce ' that, in thepErtormance 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 agree should become subjectto workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /Ir ignature of Applica Dai/%/ IECLARATION REG RDING 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 y 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 enter the above -identified property for inspection purposes. ignature of Property Owner or Authorized Agent' /, Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WLTH CODEOF FOR OFFICE USE ONLY FEDERAL. REGULATIONS PART 09 OF T17LE40AND AQMDRULE1403. PERMITEXPIRED ❑ t SUBMITTEDASBESTOS NOTIFICATION TOr ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTEND€D ❑ ASBESTOS N07IRCA77ONISNOT APPLICABLE TO PROPOSED DEMOLITION. PFRMITFINAL (oma/IO —7.t� />v CERTIFICATEOF OCCUPANCYISSUED SIGNATURE. p N ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ El 1:04 LA W a