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HomeMy WebLinkAboutF2020-0333 - PermitsCity Centeric Drive, ofNewport Be a Beach, - Building A66o 19tlg Division 0IIIIIIIINIIIdIIIIIdIIIIII�lllll� II 3 Permit Counter Phone (949)644-3288 FIRE Permit: F2020-0333 Project No: 1442-2020 Inspection Requests Phone (949)644-3255 Job Address: 1807 GALATEA TER NB Description: SFR - FIRE SPRINKLERINEW SFR 66 HEADS (X2019-0480) 1442-2020 Inspector Area: 5 Legal Description: N TR 2813 LOT 144 . Owner: ZAHEDI MOSHENIPEGGY Contractor: FIREPROOF FIRE PROTECTION Architect: Address: 621 MALABAR DR Address: 1101 KINGSTON DR Address: CORONA DEL MAR, CA 92625 - LA HABRA CA 90631 Phone: Phone: 714-476-6370 Phone: State Lic: Applicant: CASEY MONTY Can State Lic: 876004 Engineer: Address: 1101 KINGSTON DR Lic Expire: 04/30/2022 Address: LA HABRA CA 90631 Bus Lic: BT30040107 Phone: 714-476-5370 Lic Ecp Date: 08/31/2021 Phone: State Lic: Code Edit: 2019 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: 02116/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Issued Date: 0912212020 Special Conditions: No of 0 Setback- Front vL OR Zone: Flood Zone: Rear: Bldg Sprinklers: Y Left: Right: FEES Construction Valuation: $6,600.00 Building PC Fee: $217.00 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 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 : $486.00 Plan Check Fee: $217.00 Fee Due at Permit Issuance : $269.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL `d 1 B° ®•° OTHER DEPARTMENT: oon ems^ ° ° m •°c m o�m c c ° • ° PLAN CHECKED BY:: APPROVAL TO ISSUE: . ® coo - copERMLT EXRIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 0 o6m moa owe ® e m° ¢e )WNER-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) 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 professions Code) or that he or she is Exempt from licensors 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 rut 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, fusiness 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 Tlprovements are not intended or offered forsale. 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 n 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 Code: The Contractors' State License Lew does not ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). I am exempt from licensors under the Contractors' State License Law for the following reason: fy 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, 1 cannot legally yell a structure that I have built as an owner -builder H it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable few, Section 7044 of the Business and rrofessions Code, is available upon request when this application is submitted or at the following Web site:http:tAvww.leginfo.ca.govlca(aw.hhnl. signature of Property Owner or Authorized Agent Date JCENSED 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 Ifcense IS in Full force and effect. Icense Class License No DaleY ��?-r��2=ram Contractor Slgnsturg� ---� VORKERS' COMPENSATION DECLARATION iARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OPAL FINES UP TO ONE HUNDRED THOUSAND OOLLARS 4100,000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37N OF THELABOR 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 the w*rrmance of the work for which this permit is issued. Policy No. 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' Cartier and policy number are: Number Expiration Date is of Agent Phone f) certify that, in the performance of the work for which this ermd 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 subjgcR%4he vwoorkem' comps cation pRitiskns of Section 3700 of the Labor Coda, I shall forthwith comply with those provisions. Store of Applicant Date-,/ Elts :LARATIONI REG RDING CTION LENDIN Y Eby affirm under penalty of perjury that there is a consbimllbrit lending agency for the performance of the work for which this penult is issued (Section 3097, Civil Code). lees Name - Lender's Address Ty 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 sta s relating to building construction. I authorize representatives of this city or county I idenOfted prop for inspection purposes. \ r iature Of Property Owner crAuthorized Agent-� -�� Print Property Owners or Authorized Agent's AC770N DATE BY --DECLARA17ON OF COMPLIANCE WITH CODE OF FOROFRCEU. E LY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AyMDROLE 1403. PERMITEXPIRED ❑ I SUBM7TfEDASBESTOS NOTLF/CATION TQ• ❑ EPA AQMG ❑ A❑SBESTOS NO17FICATIVNISHOTAPFCICiV;E70 ° • PROPOSED DEMOLITION. • • •� • • •• ' •� PERMITCANCELLED PERMITEi7EN0ED PERMITRNAL L CERTLFICATEDF SIGNATURE: OCCUPANCYISSVED e • e s ° ome eras ° • e p° e °