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Home My WebLink AboutF2020-0243 - PermitsC� tylVofcNewDport Beach Division IIIj��I��II�IIIIIIIIUIIIIIIII�IIIIIIII�IIIIIIIINIII FIRE Permit: F2020-0243 'P I • p Project No : 0981-2020 Er - Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 1715 PORT SHEFFIELD PL NB Description: NEW SFR FIRE SPRINKLERS (54 HEADS) X2019-0502 Inspector Area: 4 Legal Description: N TR 6621 LOT 13 Owner: PALAZZOLA JOHN Contractor: FIREPROOF FIRE PROTECTION Architect:, - Address: 1715 PORT SHEFFIELD PL Address: 1101 KINGSTON DR Address: NEWPORT BEACH, CA 92660 LA HABRA CA 90631 Phone: 818.371-7790 Phone: 714-476-5370 Phone: State Lie: Applicant: CASEY MONTY Con State Lie: 876004 Engineer: Address: 1101 KINGSTON DR Lie Expire: 0413012022 Address: -- w LA HABRA CA 90631 Bus Lie: ST30D40107 Phone: 714-476-5370 Lie Exp Date: 0813112021 Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer: CASEY MONTY Type of Construction: V-B-SPR Carrier: NORGUARD INS CO Address: 1101 KINGSTON DR Occupancy Group: R3/U -- Policy No: MOWC148394 LA HABRA CA 90631 Added /New sq.ft. Bldg: 0 Expire: 02115/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 06/30/2020 Special Conditions: PERMIT REVISED 11-03-20 • ° No of Units : 0 Setback- Front: ...... Flood Zone: Rear: Bldg Sprinklers: Y Left: ° ° ° • ° ° • ° o..00• • o Right: 0 0 FEES •°°°°• ..•• • o Construction Valuation: $4,800.00 ° • ° ° a • .o.o• Building PC Fee : - $202.00 Fire Residential Alarm PC Fee, $0.00 Records Management: ° ° ' $4.00 ° ° ° o •. 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 : E0.00 : • •$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 : $240.00 TOTAL FEE : $446.00 Plan Check Fee: $446.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL : l 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 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 ie 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 )rofessions 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). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, fusiness and ProfessionsCode 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, 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: ly 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 ell 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 )rofessions Code, is available upon request when this application is submitted or at the following Web sfte:http:/Aw .leginfo.w.gov/caiaw.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 (commen ing with Section 7000) of Division 3 of tya Business and Professions Code, and my license is in full force and effect. 3dc�x, .scene Class License No Da I I Contr Signature F / 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: 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 IN performance of the -work for which this permit is issued. Policy No. +gad 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' compensatior zu'ret CE:carrierAdDPQcV number are: Policy Number Expiration Date Ice of the work for which this permit is issued, I shall not employ any person in any manner so as to become to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with t7E 3natura of part �(�'�.ltS� ?ttJ1i2ATION RE)aARDING CONSTRUCTION LENDING AGENCY &yy6>' affirm under pggalty of perjury that there is a construction lending agency for the performance of the work for which this permit is nder's Name • • • Lender's Address e )baignature berow, rcertify to each of the following: • yam the property owner or authorized to act on the property owner's behalf. I have read this z%lication 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 thigFity or county to enter the above -identified property for inspection purposes. Owner or or Authorized to the workers' compensation laws of California, and (Section 3097, Civil Code). AC73ON DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFAC€USE ONLY — FEDERAL REGULATIONSPART61 OFTLTLE40AND AQMD RULE 1401 PERMIT EXPIRED ❑ ISUB60TTEDASBESTOS/017FICATIONTO: ❑ EPA ❑ AQMD PERMITCA.NCELLED PERMITEXTENDED 0 ASBESTOS PROPOSED DEMOLITION. TION75 NOT APPLICABLE TO PERMIT FINAL 2 2 / CER7IACATEOF SIGNATURE: OCCUPANCYISSUED