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Home My WebLink AboutF2020-0411 - Permitswr, City of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111111 FIRE Permit: F2020-0411 �"^.�, 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 4 1 1 Project No : 1868-2020 - ( r. Permit Counter Phone (949)644-3288 c;�rtPr,uA'`�' Inspection Requests Phone (949)644-3255 Job Address: 1611 KINGS RD NB Description: SFR - FIRE SPRINKLERS/ADD 65 HEADS (X2019-3323) 1868-2020 Inspector Area: 3 Legal Description: N TR 1219 BLK E LOT 44 Owner: STREIFF KIMBERLEE Contractor: FIREGUARD SPRINKLER SYS INC Architect: Address: 1611 KINGS RD Address: 9543 VICTORIA AVE Address: NEWPORT BEACH CA 92663 SOUTH GATE CA 90280 Phone: Phone: 714-310-0194 Phone: State Lic: Applicant: VO JOHN Con State Lic: 992002 Engineer Address: 7907 LEEDS ST Lic Expire: 0413012022 Address: DOWNEY CA 90242 Bus Lic: BT30046886 Phone: 714-310-0194 Lic Exp Date: 04130/2021 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: VO JOHN Type of Construction: V-B-SPR Carrier: FALLS LAKE FIRE & CASUALTY Address: 526 N SHADYDALE AVE Occupancy Group: R3/1.1 Policy No: FLA0080008 WEST COVINA CA 91790 Added /New sq.ft. Bldg: 0 Expire: 12/29/2020 Phone: 714-310-0194 Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 1110312020 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Rear: Bldg Sprinklers: N Left: Right: FEES Construction Valuation: $10,000.00 Building PC Fee : $217.00 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 : $26.00 TOTAL EE : $464.00 Plan Check Fee : $336.00 Fee Due at Permit Issuance : — $148.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION DWNER-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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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). LJ 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' Stale License Law). ❑ 1 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 legall, 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://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED COTITRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000 of Division 3 of the Business and Profes ions ode, and my license is in full force a ndl effgr t. License Class License No Date t O Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO sFrURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPL YER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000), IN ADDITION TO THE CO-T OF COMPENS 1TION, D:%MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEPS FEES. 7erehy affirm under penalty of perjury one of the following declarations: gave and will mairitain 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 Vnce of the work for which this permit is issued. Policy No. and will mairtnin 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' carrier and po-icy number are: or Agent certify that, in the performance , if I should become sub ct to I Iature of Applicant Policy Number Date 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 ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.. I I 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 erty owner's behalf. I have read this application and the information I h#verovided is correct. - I agree to comply with all applicable city and co I authorize representatives of this city or county .ature of Property Owner or Authorized Agent� state laws relating to building construction. lentified property for inspection purposes. Print Property Owner's or Authorized ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF T1ILE40 AND AOMD RULE 1403. PERMIT EXPIRED ❑ L SUBMITTED ASBESTOS NOTIFICATION TO:. ❑ EPA ❑ AOMD PERMITCANCELLED ,. PERMIT EXTENDED ❑ ASBESTOS NOTIRCATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. .' PERMIT FINAL '�' ✓1/1/1_/ CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: