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Home My WebLink AboutF2020-0488 - Permits (2)w City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 h Permit Counter Phone (949)644-3288 Job Address: 2701 CIRCLE DR NB Inspector Area: 2 Owner: LISENBEE GARY Address: 2581 CIRCLE DR NEWPORT BEACH CA 92663 Phone: Applicant: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-4765370 Code Edit: 2019 Type of Construction: V-BSPR 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: Bldg Sprinklers: N FIRE Permit: F2020-0488 IInIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII4IQllllllll II Project No : 2266-2020 Inspection Requests Phone (949)644-3255 Description: FIRE SPRINKLER SYSTEM 55 HEADS (X20193958) Legal Description: N TR 1102 LOT 27 Contractor: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-5370 Con State Lie: 876004 Lie Expire: 0413012022 -Bus Lie: BT30040107 Lie Exp Date: 0813112021 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: MOWC148394 Expire: 02/15/2021 Issued Date: 12108/2020 Setback- Front: Rear: Left: Right: Architect: Address: Phone: State Lie: Engineer: Address: ® ° • oommea Phone: State Lie: 0 0 Designer: CASEY MONTY ° ° • • ° Address: 1101 KINGSTON ®°°•.�'� ° LA HABRA. CA 90631 • Phone: 714-476-5370 °o 0 0 0 mmomo Special Conditions: mo 0 ••ao• • o ° m oo•• oaoo° FEES Construction Valuation: $5,500.00 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: $0.00 Fee Due at Permit Issuance : $486.00 PROCESSED BY: _ \ y OTHER DEPARTMENT; ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: 1 J�o�I APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 items) (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 Iicensure under the Contractors' State License Law for the following reason: 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 legally 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://w .leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED COPJiM CTOR'S DECLARATION iJV9*y:ffirm under papalty of perjury that I am licensed under provisions of Chapter 9 (commencing ith p ection 7000) of Division 3 of the Business a ,Professions Code, and my license is in full force and effect. • • • • I License Class License No Date'. l ' 1 Contractor Signature • • • VVOR4FERS' COJjeVNSATION DECLARATION WARNINO: FAILURPrO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU WECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE CI)Sf Q .4.OMPENSA'h5A,•OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - b"•ip7Y affirm upaPf'llepalty, of perjury one of the following declarations: al•I•Iraae and will maintain a certificate of consent to self -insure for workers' to orelence of the work for which this permit is issued. Policy No. ave•and wMigAnt'Din 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' �e a carrier andpolicy number are: ;afriel • • • Policy Number Expiration Date compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for m of Agent Phone I certify that, in th akbjrct co ance ofthe work for which this permit is issued, I shall not employ any person in any manner so as to become su if I should betotheworkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Iature of Applicant // / "` �4✓ Date_ �reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is Ider's Name Lender's Address 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. 1 agree to comply with all applicable city and co y ordinances and state laws relating to building construction. I authorize representatives of this city or count nter� e^obove-identified property for inspection purposes. nature of Property Owner or Authorized Agent I v f .i�r--' Print Property Owner's or Authorized Agen the workers' compensation laws of California, and 3097, Civil Code). ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOROFFICEUSEONLY FEDERAL REGULATIONS PART 61 OF TITL€40 AND AQMD RULE 4403. PERMITEXPIRED ❑ I SUBMITT€DASBESTOS NO77FICATION TO: ❑ EPA ❑ AQMD _ PERMIT CANCELLED N, PERMITEXTENDEO ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSEDDEMOL17-107[ PERMIT FINAL Ti CER77FICATEOF SIGNATURE: OCCUPANCYISSUED