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Home My WebLink AboutF2021-0121 - Permitswr City of Newport Beach - Building Division ��D��I��A�� FIRE Permit: F2021-0121 a'L 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0705-2021 F ti, Permit Counter Phone (949)644-3288 9s. �"xr+sx+' .. Inspection Requests Phone (949)644-3255 Job Address: 1801 SABRINA TER NB Description: NEW FIRE SPRINKLERS (54) HEADS X2020-0493 /4 Inspector Area: 2 Legal Description: N TR 2813 LOT 111 Owner: ARONOFF BARRY Contractor: FIREPROOF FIRE PROTECTION Architect S Address: 151 KALMUST DR STE HI Address: 1101 KINGSTON DR Address: `g COSTA MESA CA 92626 LA HABRA CA 90631 y Phone: Phone: 714476-5370 Phone: State Lic: i Applicant: FIREPROOF FIRE PROTECTION Con State Lie: 876004 Engineer: Address: 1101 KINGSTON DR Lie Expire: 04/3012022 Address: •,,,,• LA HABRA CA 90631 Bus Lie: BT30040107 ° Phone: 714476-5370 Lie Exp Date: 08/31/2021 Phone: State Lie: ° ° ..... Code Edit: 2019 Worker's Compensation Insurance Designer: CASEY MONTY • ° ° ° Type of Construction: V-BSPR Carrier: SECURITY NATIONAL INS Address: 1101 KINGSTON DR .... ° Occupancy Group: R3/1.1 Policy No: SWC1325710 LA HABRA CA 90631 °,°„• ,° ,', Added /New sq.ft. Bldg: 0 Expire: 02115/2022 Phone: Added /New sq. ft. Garage: 0 o..... No of Stories: 1 Issued Date: 04/0112021 Special Conditions: • ° .. o .. No of Units : 0 Setback- Front: Flood Zone: Rear: • ° ° o ° Bldg Sprinklers: Y Left: . °..� Right: o° °... °..... .,,, FEES Construction Valuation: $5,400.00 Building PC Fee : $217.00 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 : $263.00 TOTAL FEE : $484.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $484.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL : r\/Y APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION INER-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) fiction 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). 1, 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, siness 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 rroved 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 )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 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 a structure that I have built as an owner -builder if it has not been constmcted in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Proppa%pwner or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION ;rebyMffirm �n ler penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business aid Professions Code, and my license is in full force eniisi;; Class .... License No Date Z41k I -Lk Contractor Signature _ .%Ci/✓ 9RKERS' COIMPENSATION DECLARATION 3NIN(r: FAILURF.-"SELIYRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDmON TO THE ii OF BOMPENShMW$DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. rreby affirm under penalty of perjury one of the following declarations: j, p;Je and will mahtain 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 the (QrrQElnce of theVork for which this permit is issued. Policy No. and wWrmaintain 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 Aalld policy number are: Policy Number Expiration Date is of Agent certify that, in the p( , if I should become iature of Applicant _ r 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 the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1,—1 / n—� note 4) 1 / 1 1 hereby 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). Ender's Name Lender's Address y 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 or finances and state laws relating to building construction. I authorize representatives of this city or county to a he above -identified property for inspection purposes. innature of Pmnerty Owner or Authorized Acent A� Print Property Owner's or Authorized Agent's Name .. ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFRCE USE40NLY FEDERAL REGULA TIONS PART 61 OF T17LE40AND AQMO RULE 1403, ❑ I SUBAITTEDASBESTOS NO17FICARON TO: ❑ EPA ❑ AQMO PERMIT EXPIRED PERMIT CANCELLED PERMfTEXTENDED ❑ ASBESTOS M07IRCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMITFINAL CER77FICATEOF OCCUPANCYISSUED