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Home My WebLink AboutF2022-0204 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 2 0 4 Permit Counter Phone (949)644-3288 Job Address: 205 AMETHYST AVE NB Inspector Area: 2 Owner: BOHLINGER PETER Address: 1857 COAST VILLAGE RD #1-640 SANTA BARBRA CA 93108 Phone: Applicant: ACT FIRST FIRE PROTECTION INC Address: 1325 N RED GUM STREET #10 ANAHEIM CA 92806 Phone: 714-630-3916 Code Edit : 2019 Type of Construction: V-B-SPR 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: F2022-0204 Project No : 1031-2022 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLER SYSTEM 33 HEADS (X2021-1303) Legal Description: BALBOA ISLAND SEC 3 BLK 19 LOT 26 Contractor: ACT FIRST FIRE PROTECTION INC Address: 1325 N RED GUM STREET #10 Architect: Address: ANAHEIM CA 92806 Phone: 714-630-3916 Phone: State Lic: " Con State Lic: 830B83 Engineer: ^ " Lic Expire: 03/31/2024 Address: . . Bus Lic: BT30030288 - Lic Exp Date: 11/30/2022 Phone: State Lic , Worker's Compensation Insurance Designer: SCHROEDER ANTON Carrier: STATE COMP Address: 1325 N RED GUM ST STE 10 < Policy No: 9314359 ANAHEIM, CA 92806 - . - - Expire: 03/1212023 Phone: Issued Date: 0411912022 Special Conditions: _ Setback- Front: Rear: Left: - Right: FEES Construction Valuation: $5,200.00 Building PC Fee: $222.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $4.00 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 : $269.00 TOTAL FEE : $495.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $495.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION ER -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 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). 1, 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, 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). 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). I am exempt from licensure 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.html. Signature of Property Owner or Authorized Agent )Da�:CLNSED CONTRACTOR'S DECLARATION I hereby affirm unaer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 7000) of Division 3 of the Business and Profes ons an y license is in full force Pnd effect. / n License Class _ License No Dat I `f l ( 2 Contractor Signature, WOPKERS' COMPENSATION DECLARATION WARNING: FAILUr.E TO ScCURE 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 CDC —OF COMPcNSAgo1N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ' icrrby affirm under penalty of perjury one of the following declarations: I have and will-,raintain 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. and will ma-ntain 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' came- and policy number are: me of Agent I certify that, in the pi It, if I should become Policy Number Date 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 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with th(Mp provisions, , IECLARATION REGAIFDING-CO"TRWMON LENDING AGENCY / ` L ' hereby 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). ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property nerg ehalf. I have read this application and the information I have provi Is �� Tect. I agree to comply with all applicable city and county ordina es SO state laws relating to building construction. I authorize representatives of this city or county )t enter abo den ified property for inspection purposes. ACRON DATE BY DECLARATION OF COMPLIANCE WITH CODEOF FOR OFFICE USE O L FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE'I403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICA77ON IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED U) to V N D) ot Vo 0 �m ¢1 a -- a paAffi rn W+ "jog � "C; A V U > U 0 zI El❑❑❑ ❑❑ ❑ ❑❑❑ ❑ ❑❑ r N N \V N in W n ® r G a n. n. v � L al LU L c � L �D = L mg w v 5 E y O qp q U� O CL U c p CL d Ouj U m S s m -n N m cn a m w a N m d m ro ,., y rn M E Ul 9 N IN ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 18.