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Home My WebLink AboutF2019-0494 - PermitsCity of Newport Beach - Building Division 4° 100 Civic Center Drive: Newport Beach, CA 92660. * Permit Counter Phone (949)644-3288 iiii 0190 iii 4 II FIRE Permit: F2019-0494 Project No: 1898-2019 Inspection Requests Phone (949)644-3255 Job Address: 4313 CHANNEL PL NB Description: SFR - FIRE SPRINKLERS FOR NEW SFR (34) HEADS X2018-2974 Inspector Area: 1 Legal Description: CANAL SECTION LOT 7 BLK 143(AND NELY 4.42 FT LOT 6BLK 143 -- Owner: VAN DUONG FIRE TECH Architect: ' 0 SP ECT-O Address: 13880 HARBOR BLVD #6D Addressor: 13167 PINNACLE COURT Address: • A - GARDEN GROVE CA 92843 CHINO HILLS, CA 91709 Phone: Phone: 909-2174624 Phone: State Lie: Applicant: DE LA TORRE MICHAEL Con State Lie 998433 Engineer: ° ... Address: 13167 PINNACLE CT Lie Expire: 1113012020- .Address: CHINO HILLS CA 91709 Bus Lie: BT30068816 ° ea o Phone:. 909.217-4624 Lie Exp Date: 09/30/2020 - Phone: State Lie: Code Edit : 2016 Worker's Compensation Insurance Designer: DE LA TORRE MICHAEL Type of Construction: V-B-SPR - Carrier: EXEMPT Address: 13167 PINNACLE CT Occupancy Group: R3IU Policy No: - CHINO HILLS CA 91709 Added /New sq.ft. Bldg: 0 Expire: Phone: _°0000 Added /New sq. ft. Garage: 0 No of Stories: 3 Issued Date: 09/0912019 Special Conditio � CONSTRUCTION NOISE No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: Y Left: Right: Construction Valuation Building PC Fee: Building Overtime PC Fee Building Extention Fee : Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee: Building Permit Fee, II TOTALFEE: PROCESSED BY:. ZONING APPROVAL: FIRE APPROVAL: FEES $2,800.00 $202.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $6.00 $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee: $0.00 $0.00 Public Works PC Fee : $0.00 $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $240.00 $448.00 Plan Check Fee: $202.00 Fee Due at Permit Issuance : $246.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION rNER-BUILDER DECLARATION i 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(sl ction 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 app'•nt for 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 Busyness and fessions 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 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 :iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu Irovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cl (roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70 fly to an owneraf property who builds or improves thereon, and who contracts for the projects with a licensed Contra I am a ampt irem.licensure_under the Contractors' State License Law for the following reason: mg6gnatura 4alow L acknowledge that, except for my personal residence in which I must have resided for at least o. a structure f%ClAe built as an owner -builder if it has not been constructed in its entirety by licensed contractors. jeftns Code, is available upon request when this application is submitted or at the following Web site:http://www.if nature of Property Owner or Authorized Agent TENSED COMiQACTOR'S DECLARATION 1a;affirm Afef penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 701 le�Gt. •..• anse•Class ••.• License No Date COMPENSATION DECLARATION WING- FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL T OF COMPENSA'flW DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 're61;affirm upcjer penalty of perjury one of the following declarations: I have and WiM Tneintain a certificate of consent to self -insure for workers' compensation, issued by the Dire( prmance 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 Kance carrier and policy number are: rier Policy Number of Agent rtify that, in the pert manse of the work for which this permit is issued, I shall not employ any person in any I should become �ject to the workers' coMpE;psation provisions of Section 3700 of the Labor Code, I shall nature of Applicant CLARATION REG RDING CONSTRUCTION LENDING AGENCY :reby affirm underlpenalty of perjury that there is a construction lending agency for the performance of the work for 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and couryty ordinances and state laws relating to building construction I authorize representatives of this city or countyenter the above-identtaiiad'property for inspection purposes. the work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the pletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). e year prior to completion of the improvements covered by this permit, I cannot understand that a copy of the applicable law, Section 7044 of the Business and jinfo.ca.gov/calaw.html. Date of Division 3 of the Business an rofessions Code nd license is in full force Contractor Signature AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' compensation Expiration Date Phone # ar so as to become subj Gt to the workers' compensation laws of California, and agre ,ith comply with those )provisions. , i this permit isifssued (Section 3097, Civil Code). IlSignature of Property Owner or Authorized Agent fUf/r/ G'---PTInLPraperty Owner's or Authorized Agent's Nary% Yb!`(' 1 Jam. L.lr %G�ate //7// % 11 AC77ON DATE BY DECLARATION OF COMPLIANCE KITH CODEOF FOR OFFICE USED €Y FEDERAL REGULATIONS PART 61 OF TITLE40AMD AQMD RULE 1403. PERMITEXPIRED ❑ I SUBWTTEDASBESTOS M077FICATfON TO: ❑ EPA 0 AOMD PERA41TCANCELLED PERA41TEXTENDED 0 ASBESTOSNOTFACATTONISNOTAPPLfCABLETO PROPOSED DEMOUDON PERMITFINAL CERTIRCATE OF SIGNATURE: OCCUPANCYISSUED