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HomeMy WebLinkAboutF2019-0257 - Permits (2)n� City of Newport Beach -Building Division IIGIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 FIRE Permit: F2019-0257 Project No : 0975-2019 Inspection Requests Phone (949)644-3255 Job Address: 1703 OCEAN BLVD NB Description: SFR FIRE SPRINKLERS - 43 HEADS (X2018-2872) Inspector Area: 1 Legal Description: N TR 518 BLK C LOT 31 AA, red ` �$r Owner:HAGAN ANNIE & JIM Contractor: FIREGUARD SPRINKLER SYS INC Architect: s °,.fi '-, ,ae`,.�<.7 Address: 1703 OCEAN BLVD Address: 9543 VICTORIA AVE Address: NEWPORT BEACH CA 92663 SOUTH GATE CA 90280 ... • ° ° e Phone: Phone: 714-310-0194 Phone: State Lic: • ° Applicant: VO JOHN Con State Lic; 992002 Engineer: .... , e Address:. - 526 N SHADYDALE AV Lic Expire: 04130/2020 Address: • • • ° oe o W COVINA CA 91790 BUS tIC: BT30046886 ,. .... Phone:.-714-310-0194 Lic Exp Date: 05131/2020 Phone: State Lic: coon 0 0 Code Edit: 2016. Worker's Compensation Insurance : Designer: VOJOHN Type of Construction: V-B-SPR Carrier: FALLS LAKE FIRE & CASUALTY Address: 9593 VICTORIA AV Occupancy Group: R31U Policy No: FLA0080008 SOUTH GATE CA 90280 • ®° ° ° m �: Added /New sq.ft. Bldg:. 0 - Expire: 12129/2019 Phone: ©o o m m m m • ° ° Added /New sq. ft. Garage: 0 m No of Stories: 3 Issued Date: 05/0112019 Special Conditions: PERMIT REVISED 10-03-19 • o e c • • m m o No of Units : 0 Setback- Front Flood Zone: Rear: Bldg Sprinklers: Y Left: - Right: FEES Construction Valuation: $6,600.00 Building PC Fee: $202.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $4.00 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 : $446.00 Plan Check Fee : $446.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: (/ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST. VALID INSPECTION YNER-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) ,ction 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 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 )fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, sines and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the )rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or )roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: The Contractors' State License Law does not )ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: my signature t(elc1% tacknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal],. I a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and ,fecai$ns Code, "available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. naturb of PrdpgaX QMner or Authorized Agent Date -XN,%ED CONTRACTOR'S DECLARATION �rd)T affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with act! n 70 gf„pivision 3 of th Business and rote sions Code, and my license is in full force f effect. Anot Class "" License No fat Contra c Signature )&KERS' CbMPENSATION DECLARATION 1411I1e FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND THOUSAND DOLLARS t$100,0001, IN ADDITION TO THE iT O F ffirm uCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. )Rbyen de rpenalty of perjury one of the following declarations: L 11 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 fp"altice of Lhb%ort 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' compensatiol trance carrier and policy number are: Policy Number Date ne of Agent Phone # certify that, in the perf rm nce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subj ct to the workers' compensation laws of California, and 41(� I, if I should become su jec to t workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with t ovisiopyt .y' ) pr1 net re o ppli a CLA EGARDI C NSTR TION LENDING AGENCY )re )y a ' under penalty of p rjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ,der's Name Lender's Address my signature below, I certify to each of the foll&havprovided ' I am the property owner or authorized to act oowner's behalf. I have read this application and the informatiois correct. I agree to comply with all applicable city a -Ces and state laws relating to building construction.I authorize representatives of thi t counabove-identified property for inspection purposes. j nature of Property Owner or A r,z d Agent Print Properly Owner's or Authorized A 's- d d ate Q ACTION DATE BY DECLARATION OFCOMPLIANCEMTNCODE FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITL.E40AND AQMD RULE 1403. ❑ I SUBMITTEDASBESTOS NOTIFICATION TO: 0 EPA ❑ AQMG PERMlTEYPiR€D -- PERA41TCAFJCELLED PERMITEXTENDED ❑ ASBESTOS NORRCANOMIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL Q- CERTIFICATEOF SIGNATURE: OCCOPANCYISSUEO