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Home My WebLink Aboutf2020-0325 - Permits' City of Newport Beach - Building Division 1pi11111111111111p111111111111111111111111N 11FIRE Permit: F2020-0325 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 1397-2020 N _ Y Permit Counter Phone (949)644-3288 ej°Y e��trdR�"� Inspection Requests Phone (949)644-3255 Job Address: 2209 BAYSIDE DR NB Description: SFR FIRE SPRINKLERS (X2018-0569) 92 HEADS ' REVISED 10108/2020 Inspector Area: 5 Owner: 2209 BAYSIDE LP Address: 6641 ESPIONAGE PLAYA DEL REY, CA 90293 Phone: 310-702-5252 Applicant: CASEY MONTY Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-5370 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added ]New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Flood Zone: AE 8' Bldg Sprinklers: Y Construction Valuation Building PC Fee: Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee TOTALFEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL : Legal Description: Contractor: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-4765370 Con State Lic: 876004 Lic Expire: 04/30/2022 Bus Lic: BT30040107 Lic Exp Date: 08/31/2021 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: MOWC148394 Expire: 02/1512021 Issued Date: 09/03/2020 Setback- Front: Rear: Left: Right: FEES $8,400,00 Architect: Address: Phone: State Lic: Engineer: ! =1 l Address: 0 Phone: State Lic: Designer: CASEY MONTY �w e e 'e Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-473-5370 Special Conditions: HIGH DENSITY $202.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $8.00 $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee : $0.00 $0.00 $0.00 $0.00 Public Works PC Fee: $0.00 $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $240.00 $450.00 Plan Check Fee: $450.00 Fee Due at Permit Issuance : $0.00 OTHER DEPARTMENT: PJNN CWECKED BY:: � o �.a°• • . •°° AP?RO%M TO ISSUE: o ° ° J PERMIT EXPIRES 180 DAYS AFTER ISSUANCE Q82.AST 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 was not built or 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: r 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, I cannot legal[) 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:http:[Avww.leginfo.ca.gov/calaw.html. 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. f .1 License Class License No Dater J 1 ' Contractor Signature .1--/ ORKERS' 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 (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I 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 performance of the work for which this permit is issued. Policy No. and will mainta'Ip�workers' compen'Ion 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 and poii tuber are: f ) _ A IS, of Agent certify that, in the pl if I should become iature of Applicant _ Date Ice of the work`for Nich 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 to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisiions. r/-'-\ A — Hate st / t� /9, h I hereby affirm under p nalty 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 Lender's Address By 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 ente�r th ^ve,- entified property for inspection purposes. Signature of Property Owner or Authorized Agent X0 Print Property Owner's or Authorized Agent's Name 4.: ACTION DATE BY DECLARATION OF COMPLIANCE MTN CODE OF FOR OMCE USE ONLY FEDERAL REGULATIONS PART 61 OF I[ TL E 40 AND AQMDROLE1403. PERMITEXPIRED Q 4 SUBMI TT€QASE ESTOS NORFICATION TO. ; Q • • . . •' PERMITCANCELLED .SPA : q •AQMQ • e C} AS,9tST0SJWf1T1R(!AT70AI•I4KWIPPLICA&_E TO PROPOSEDDEMOLI M. PERMlT EXTENDED PERMITFINAt C€RTIFICATEOF OCCUPANCYfSSUED SIGIYAR RE'o e o 0 0 0 oco 00 0 0 ooc o0 0o e o oeo oeo