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Home My WebLink AboutF2019-0579 - Permits (2)��1aPa# City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II FIRE Permit: F2019-0579 4. 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 5 7 9 Project No: 2333-2019 N k Permit Counter Phone (949)644-3288 G ''rraa>t�`}'. Inspection Requests Phone (949)644-3255 Job Address: 1814 W BALBOA BLVD NB Description: SFR - FIRE SPRINKLERS FOR NEW SFR (X2018-3395) 47 HEADS Inspector Area: 1 Legal Description: NEWPORT BEACH SEC B BLK 118 LOT 8 Owner: KUO PANG LI Contractor: PREMIER FIRE CORP Architect: ' FOR Address: 1814 W BALBOA BLVD Address: PO BOX 2027 Address: {,�v� 1 Building Extention Fee : NEWPORT BEACH CA 92663 Planning Zoning PC Fee: LAKESIDE CA 92040 Building Investigation Fee: $0.00 Phone: Phone: 619-871-9795 Phone: State Lie: a a Public Works PC Fee: $0.00 $0.00 Fire Permit Fee: $0.00 Public Works Traffic Plan Check Fee; $0.00 Applicant: PETRI STEVE Con State Lie: 939040 Engineer: e Address: P.O. BOX 2027 Lie Expire: 10/31/2019 Addres® o ... LAKESIDE CA 92040 Bus Lie: BT30067260 CO�] ® ® Phone: 619-390-5047 Lie Exp Date: 05131/2020 Phone: 'e��q-7 I A1°At 9 �4 s ab TIO®I� �, ° ° 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: R31U Policy No: 4EA5WC000074100 SIDE CA 92040 Added /New sq.ft. Bldg: 0 Expire: 0910112020 Phone: 61(gtil-'�0�1Ao��,^� Added /New sq. ft. Garage: 0 N V N No of Stories: 3 Issued Date: 1110812019 Special Conditions: oO°c°1 No of Units : 0 Setback- Front: Flood Zone: Rear: occ°o° Bldg Sprinklers: Y Left: °°o°,° °... Right: PROCESSED BY: ' — OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: At FIRE APPROVAL: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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: $202.00 Fee Due at Permit Issuance : $242.00 PROCESSED BY: ' — OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: At FIRE APPROVAL: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 'rofessions 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). 3 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). D I 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 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 Coda,•is available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.htmi. Signature of Property Qwner or Authorized Agent Date 1057 L*ENfED CPXTUCTOR'S DECLARATION Iherebyy affirm under pAnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of t e Business and Professions d y license is in full force V effect. • .p !icentg Class ..... License No a "� Contr for 'gnature YWKIiRS' COMPENSATION DECLARATION IARNIA& FAILURE 90 SEBURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE M-0 OF•COMPEN9AIlbp,J AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LAeOR CODE, INTEREST, AND ATTORNEY'S FEES. 41sreby affirm under penalty of perjury one of the following declarations: 3•I;Ra,$ and wig 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 thI �erformaflce of tfid tft? for which this permit is issued. Policy No. and will "jntlin 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' carrier aa$I policy number are: rier Policy Number Expl is of Agent Phor certify that, in the performance ofWewhich this permit is issued, I shall not employ any person in any manner so as to become if I should beco a subject to t pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with tl� iature of ant 4 Date to the workers' compensation laws of California, and /— P-1( CLARATIOIQIGARDING COM TION LENDING AGENCY ;reby affirm and r penally of perjury th t there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name - Le 's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's alf. I have read this application and the information I have provided is rr t. I agree to comply with all applicable city and county ordinances a d relating to building construction. I authorize representatives of this city oorr%ounty to enter the abo e- property for inspection purposes. nature of Prooertv Owner or Authoriz( or Print Property Ownei BY I PERMITEXPIRED I I I PERMfTCANCEILED PERMITEXTENDED _ QCCUPANCYISSUED 61 OFTITLE40AND AQMDRULE9403. ❑ 1 SUBMITTED ASBESTOS NOIIFICATION TO: EPA ❑ AQMD ❑ ASBESTOS M07IRCA77ON IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE. 5FUF- Is. �I❑❑❑❑❑❑❑❑❑ ❑❑❑❑ A d e a at E it AZ 21 C7 [4, M FI] X h. r1, bo M { a o o a m= y W I� o 0 N z 9 a s < p chi z m N v n er v e z 3 0 m nw �• m c 3 n m N x _ pu N n o o a OR a� a �s N U.l O N A �d a o a m= y W &�,_. m M 9 a s er N e 3 0 nw �• m to d "o N GG m m m iV ■I�:ii El El ❑ ❑❑❑ ❑ El El ❑❑❑El,