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Home My WebLink AboutF2019-0579 - Permits,• City of Newport Beach - Building Division FEES Construction Valuation: $6,000.00 Building PC Fee: $202.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $2.00 Building Overtime PC Fee: $0.00 Planning Counter Review: $0.00 FIRE Permit: F2019 -0579 't + Building Investigation Fee: III'��III��I��I��I�II��I��I�V��ull��l�l $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 II TOTAL FEE : 100 Civic Center Drive, Newport Beach, p CA 92660 PROCESSED BY: ® • • o OTNf WQEPARIMENeT: m Project No: 2333-2019 Permit Counter Phone (949)644-3288 ZONING APPROVAL:® oe m • Pl.Atd CFSSCKE®@Y:: m E �, FIRE APPROVAL: APPROVAL TO ISSUE: ra •,-w*b om meo ® • oem PERMIT EXPIRES 180 DAYS AFTEk I&SU41J0� ItR CAST VALID P�SPECTION Inspection Requests Phone (949)644-3255 Job Address: 1814 W BALBOA BLVD NB Description: SFR FIRE SPRINKLERS NEW SFR (X2018-3395) 48 HEADS REV20-1369 *REVISED 09/14/2020 Inspector Area: 1 Legal Description: NEWPORT BEACH SEC B BILK 118 LOT 8 Owner: KUO PANG LI Contractor: PREMIER FIRE CORP Architect: Address: 1814 W BALBOA BLVD Address: PO BOX 2027 Address: NEWPORT BEACH CA 92663 LAKESIDE CA 92040 Phone: Phone: 619.871.9795 Phone: State Lic: Applicant: PETRI STEVE Con State Lic: 939040 Engineer: Address: P.O. BOX 2027 Lic Expire: 10/3112019 Address: LAKESIDE CA 92040 Bus Lic: BT30067260 Phone: 619.390-5047 Lic Exp Date: 05/31/2020 Phone: State Lic: Code Edit: 2016 Worker's Compensation Insurance Designer: PETRI STEVE Type of Construction: V -B -SPR Carrier: AMERICAN FAMILY HOME Address: PO BOX 2027 Occupancy Group: R311.1 Policy No: 4EA5WC000074100 LAKESIDE CA 92040 Added /New sq.ft. Bldg: 0 Expire: 09/0112020 Phone: 619-390.5047 Added /New sq. fl. Garage: 0 No of Stories: 3 Issued Date: 1110812019 Special Conditions: No of Units: 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $6,000.00 Building PC Fee: $202.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $2.00 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 : $240.00 TOTAL FEE : $444.00 Plan Check Fee: $444.00 Fee Due at Permit Issuance: $0.00 PROCESSED BY: ® • • o OTNf WQEPARIMENeT: m o c • • • ° ZONING APPROVAL:® oe m • Pl.Atd CFSSCKE®@Y:: m E �, FIRE APPROVAL: APPROVAL TO ISSUE: l om meo ® • oem PERMIT EXPIRES 180 DAYS AFTEk I&SU41J0� ItR CAST VALID P�SPECTION • • c o o m • )WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 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 penalty 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.hlml. 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. Jcense Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 (5100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 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 th erformance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: Policy Number of Agent Date certify that, in the performance 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant vale DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I 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). Lender's Name Lenders Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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. Sicnature of PrODertV Owner or Authorized ADent _. Print Property Owner's or Authorized Agent's Name Date ACTION DATE 8Y UCLLR FIUN Ur UUMVLIARUIC rY/rn IVUC Vr , •� Cl;pERROqL REGULATIONS PART 61 OF TITLE40AND A91jfDOULE 1 99.• • • PERMITEXPIRED • 1 SVBM(TTEVA*ATOS NORFICATION TO: •: .• EPA• .. AQML? PERMITCANCELLED • • PERMIT EXTENDED ❑ ASBESTOS NORRCATLONIS NOT APPLICABLE TO PR,OPOIEDDEMOLITION- PERMITFINAL q 3a 06,10 ••• CERDFICATEOF • QCCUPANCYISSUED •�� • SIGNATtiRt: _ • • • .