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HomeMy WebLinkAboutF2021-0261 - Permitswl City of Newport Beach - Building Division ����������������������������������������������������������� FIRE Permit: F2021-0261 �. - - 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1430-2021 F,,. Permit Counter Phone (949)644-3288 '.. 0@�❑vfi'° r Inspection Requests Phone (949)644-3255 Job Address: 2807 NEWPORT BLVD NB Description: COMM FIRE SPRINKLER SYSTEM 344 HEADS (X2020.1031) Inspector Area: FIRE NEWPORT BEACH Owner: CITY OF NEWPORT BEACH Address: 100 CIVIC CENTER DR NEWPORT BEACH CA 92660 Phone: 949-644-3316 Legal Description: RECORD OF SURVEY 76.46 PAR H AND SUB OF ELK 227 SEC A Contractor: SHELTON FIRE PROTECTION CO INC Architect: Address: 22745 LA PALMA AVENUE Address: YORBA LINDA CA 92887 Phone: 714-692-3573 Phone: Applicant: ESTES KYLE Con State Lic: 677631 Address: 22745 LA PALMA AVE Lic Expire: _ 0513112023 YORBA LINDA, CA 92887 Bus Lic: BT30074829 Phone: 714-692-3573 Lic Exp Date: 03131/2022 Code Edit: 2019 Worker's Compensation Insurance Type of Construction: V-B-SPR Carrier: AMERICAN FAMILY HOME INS CO Occupancy Group: B/R-2/S Policy No: 5FA5WC800092700 '.. Added /New sq.ft. Bldg: 0 Expire: 03/01/2022 Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 07/22/2021 '.. No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: N Left: Right: Engineer: Address: Phone: Designer: Address: 'DUPLICATE State Lic: State Lic: ESTES KYLE 22745 LA PALMA AVE YORBA LINDA, CA 92887 Phone: \u Special Conditions: P`Iu� -1 /q-S-0q-03o-7 FEES Construction Valuation: $57,000.00 Building PC Fee': $0.00 Fire Residential Alarm PC Fee : $0.00 Records Management : $10.00 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: $1,107.26 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $1,229.75 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $0.00 TOTAL FEE : $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $0.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION LDER 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 ite ,%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 to 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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). 11, 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). 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 legall,. 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 site:http://www.leginfo.ca.gov/ca[aw.htmi. 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 PORKERS' COMPENSATION DECLARATION FARMING: 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 ATTORNEYS 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 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. nature of Applicant Late CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby 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). Ider's Name Lender's Address my signature below, I certify to each of the following: 1 am the property owner or authorized to act on the property owners 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. Date AC71011 DATE BY DECLARATIONOF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART tit OF TITLE40 AND AQMDRULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATIONTO:. ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED - ❑ ASBESTOS NOTIACABONIS NOTAPPLICABLETO PROPOSED DEMOLITION. PERNRTFINAI CER77FICAT€OF SIGNATURE., OCCUPANCYISSUED