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Home My WebLink AboutF2020-0022 - Permits�ycvt j4�y City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II FIRE Permit: F2020-0022 a,, 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 0 2 2 Project No : 0108-2020 E~ : _., ,'+,i. Permit Counter Phone (949)644-3288 J $ `r'x�,��yx^ Inspection Requests Phone (949)644-3255 Job Address: 4818 CORTLAND DR NB Description: SFR FIRE SPRINKLERS X2019-1628 (28 HEADS) Inspector Area: 5 Legal Description: N TR 3519 LOT 16 ®V' INSPECTOR ^�� Owner: STELLAR JOHN Contractor: FIREPROOF FIRE PROTECTION Architect: i � L Address: 265 BEVERLY ST Address: 1101 KINGSTON DR Address: LAGUNA BEACH CA 92651 LA HABRA CA 90631 Phone: Phone: 714-476-5370 Phone: State Lie: Applicant: FIREPROOF FIRE PROTECTION Con State Lie: 876004 Engineer: Address: 1101 KINGSTON DR Lie Expire: 04/30/2020 Address: LA HABRA CA 90631 Bus Lie: BT30040107 Phone: 714-476-5370 Lie Exp Date: 07131/2020 Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer: CASEY MONTY Type of Construction: V -B -SPR Carrier: NORGUARD INS CO Address: 1101 KINGSTON DR ° ° ° ° o ° Occupancy Group: R3IU Policy No: MOWC002750 LA HABRA CA 90631 .... Added /New sq.ft. Bldg: 0 Expire: 02/15/2020 Phone: Added/New sq. ft. Garage: 0 No of Stories: 2 Issued Date: Special Conditions: No of Units: 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: Y Left: Right: 9 o a c oom 1) 11 co c FEES°°o0 °° ° ° Construction Valuation: $2,800.00 ° ° c° Building PC Fee : $202.00 Fire Residential Alarm PC Fee : $0.00 Records Management: ° ° ° ° °.$6.00 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 : $448.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $448.00 PROCESSED BY: vw�- OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: _ APPROVAL TO ISSUE: I PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION IWNER-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) lection 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 1e 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 of 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, usiness 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 nproved 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 pply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ',y 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. ignature 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 theess and Professions Code, and my Iicens i full force nd effect. icense Class License No \ Contracto nature YORKERS' 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 1810 ,IN ADDITION TO THE OST OF COMPENSAVIONMAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. iareWy affirm under jenalty of perjury one of the following declarations: 1.1 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, OrrrpBce of the Mork for which this permit is issued. Policy No. _. have and will inairitain 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' compensatior i$ur%%L? carrier and policy number are: arriea. :*: 0. Policy Number Expiration Date of in % e peEormance of the work for win 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 be co je he workers' compensatio provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. �nlinanY Ql � Data_ CCARATION AEGARbING CONSTRUCTIONING AGENCY r' �reby affirm under penalty of perjury that there iy�,�onstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lender'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 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 countyd#onteLthgiove-identified propelr,y- inspection purposes. f. nature of Property Owner or Authorize Print Property Owner's or Authorized A ent's am LAR TION OF COMPLIANCE MTH CODE OF ACTION DATE BY FOR FE L REGULATIONS PART 61 OFTITLE40AND OLE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD - V PERMITEXPIRED PERMITCANCEIEED PERMIT EXTENDED ASBESTOS RONiS NOT APPLiCABL.E TO PROPOSED DEMOLITION. PERMIT FINAL CER77FICATEOF SIGNATURE: OCCUPANCYISSUED E8 09 w� �a z°OI ❑❑❑❑ ❑❑ ❑ ❑❑❑ ❑ ❑❑ a •: fV r. M 4 ld CL w 0 ro m� g_q M.8 f E a yUy Z L 1p I ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Io ca go Czo ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Io