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Home My WebLink Aboutf2020-0452 - Permits.tck City of Newport Beach - Building Division IIIII�IIIII'IIIIIIIIIIII�IIIllll�llllllll II '. 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 4 5 2 5 Permit Counter Phone (949)644-3288 Job Address: 501 TUSTIN AVE NB Description: SFR FIRE SPRINKLERS (X2019-2744) 47 Inspector Area: 3 Owner: MOHR CAMMY & STEVE Address: 501 TUSTIN AV NEWPORT BEACH CA 92663 Phone: 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: R3IU Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 0 Flood Zone: X Bldg Sprinklers: Y Legal Description: FIRST ADD TO NEWPORT HEIGHTS BLK 35 LOT 24 Contractor: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-5370 Con State Lic: 876004 Lic Expire: 04130/2022 Bus Lic: BT30040107 Lic Exp Date: 08/3112021 Worker's Compensation Insurance Carrier: SECURITY NATIONAL INS Policy No: SWC1325710 Expire: 02/15/2022 Issued Date: 11/12/2020 Setback- Front: Rear: Left: Right: Architect: Address: Phone: Engineer: Address: FIRE Permit: F2020-0452 Project No: 2079-2020 Inspection Requests Phone (949)644-3255 Phone: State Lic: Designer: CASEY MONTY I %, I P % S Address: 1101 KINGSTON DID LA HABRA CA 90631 Phone: 714-476-5370 Special Conditions: Revised # of heads 5110121 EC R FEES Construction Valuation: $4,000.00 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: $484.00 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 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 IS 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 mfessions 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). 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, ,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). 1 1, 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 legall} ell a structure thafI 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 Tofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. signature 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 the Business and Professions Code, and my license is in full force nd effect. icense Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 erformance 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' rance carrier and policy number are: Policy Number of Agent Date 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant uate DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I 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). 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 enter the above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent _ Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE AITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART61 OF TITL.E40AND AOMDRULE1403. ❑ I SUBWTTEDASBESTOS N071FICATION TO: ❑ EPA ❑ AQMD PERMITEXPIRED PERMIT CANCELLED PERMiTEXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL ( '[ CERTIFICATEOF OCCUPANCYISSUED `� SIGNATURE: