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Home My WebLink AboutF2019-0335 - Permits (3)City of Newport Beach - Building Division *F2019-0335* FIRE Permit: F2019-0335 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1259-2019 E ` Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 225 VIA LIDO SOLID NB Description: SFR FIRE SPRINKLERS (X2016-4342) 46 HEADS Inspector Area: 2 .Legal Description: TR 907 LOT 895 AND SELY112 LOT 894 AND NWLY 5 FT LOT 896 Owner: - ERICKSON ANITA M Contractor: FIREPROOF FIRE PROTECTION Architect: - Address: 225 VIA LIDO SOUD Address: 1101 KINGSTON DR Address: NEWPORT BEACH, CA 92663 Fire Residential Alarm PC Fee : LA HABRA CA 90631 $6.00 Phone:. Phone: 714.476.5370. Phone: State Lie: Applicant: CASEY DENISE - Con State Lie: 876004 Engineer: Address:.' -..1101 KINGSTON DR > Lie Expire: 0413012022 Address: - ` LA HABRA CA 90631 Bus Lie: BT30040107 t Phone:. Lie Exp Date: 08/31/2021 Phone: State Lic: .Code Edit : 2016 Worker's Compensation Insurance Designer: CASEY MONTY Type„of;Construction: V-B•SPR - `Carrier: NORGUARD INS CO Address: 1101 KINGSTON DR Occupancy Group: R31U Policy No: MOWC148394 LA HABRA CA 90631 Added /New sq.ft. Bldg: 0 -` Expire: 02115/2021 Phone: Added/New sq. H. Garage: 0 { TOTALFEE : $448.00 -' No of Stories:. 2 Issued Date: 0610412019 Special Conditions: revised # of heads No of Units : 0 - Setback -Front: 7124119 Flood Zone: Rear: - Bldg Sprinklers: Y Left: Right: PROCESSED BY: 7 ` ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Construction Valuation: ._,Building $4,700.00 - 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 r �r FirePlan' 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 { TOTALFEE : $448.00 Plan Check Fee : $448.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: 7 ` ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: 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 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). 111, 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, 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 wasnotBuilt of 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 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: - 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) 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:hftp://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 Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 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 th1 performance 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' compensatioi urance carrier and policy number are: crier Policy Number Expiration Date rte of Agent Phone # 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 afire t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. nature of Applicant - Date CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby 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). 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 county to enter the above -identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OE COMPLIANCE KITH CODEOE FOR OFFICE USE ONLY 1 11 FEDERAL REGULATIONSPART 61OFTITL€40AND PERMIT EXPIRED ❑ I SUBMTTTEDASBESTOS NO77FICATION TO:. ❑ EPA ❑ AQMO PERMIT CANCELLED PERMfTEXTE'NDED ❑ ASBESTOS M07IRCARONISNOTAPPLICABLETO PROPOSEDDEMOLITION. PERMIT FINAL D CER77FICATEOF SIGNATURE: OCCUPANCYfSSUEO