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HomeMy WebLinkAboutF2022-0036 - PermitsCity of Newport Beach - Building Division *F2022- 0036* 100 Civic Center Drive, Newport Beach, CA 92660 �. Permit Counter Phone (949)644-3288 Job Address: 621 MICHAEL PL NB Inspector Area: 3 Owner: 11 MARBELLA LLC Address: 31 NEEDLE GRASS IRVINE CA 92603 Phone: Applicant: BISHIP JAMIE Address: 705 E HARRISON 5T #200 CORONA CA 92879 Phone: 951-272-2522 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R3/1.1 Added /New sci t. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Flood Zone: Bldg Sprinklers: Y 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 TOTALFEE: PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $14,175.00 Description: SFR FIRE SPRINKLERS Legal Description: N TR 4106 LOT 4 Contractor: FIRE SPRINKLER SYSTEMS INC Address: 705 E HARRISON #200 CORONA CA 92879 Phone: 800-915-3473 $501 Con State Lic: 684600 Lic Expire: 02/2812024 Bus Lic: BT30027990 Lic Exp Date: 05/31/2022 Worker's Compensation Insurance Carrier: INS CO OFT HP Policy No: WSD50313 6 Expire: 10/01/2 Issued Date: Setback- Front: Rear:. PERMIT EXPIRES FIRE Permit: F2022-0036 Project No : 0182-2022 Inspection Request€ Phonpe (949)644-3255 41 -61 Architect: b 3 Address: -Qz .r -�' Phobete rV �.. J sneer: ddress'. 010 Phon State O,`Vbslgner: BISHIP JAMIE Address: Phone: cial Conditions: r � :a c ea $0.00 c Plan Checlsree $0.00 g, Fee : t'g ;.1 $222. NIL-JOTHER D ARTM T:,_,es" i e CHEC APPR Al. ISSUE: ISSUA EE LAST VALID INSPECTION 705 E HARRISON ST #2,$0 CORONA CA 9287 951-272.2522 Permit Issuance $10.00 $0.00 $0.00 $279.00 OWNER -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 items) (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 Iicensure 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 U all of or U portions of the wo{k1-4ha 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 empGiees' 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-Builderwill Oave the burden of proving that it was not built or improved for the purpose of sale). - oltx,�r El I, as owner of the property, am exclusively contracting with licensed Contractors to construct thegztuj€ct (Section 7044; Business and-P.t. sftns Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projectswiih a licensed Contractor pursuant;(di91e Contractors' State License Law). ❑ I am exempt from Iicensure under the Contractors' State License Law for the fold. g'ieason: By my signature below I acknowledge that, except for my personal residence i ch I must have resi sell a structur,=. that I 'lave built as an owner -builder if it has not been c cted in its entirety by-licer Professions Cade, is available upon request when this applicat�o, ' ubmitte I or at f ing Web 13: iiiure of Fropeny, Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am'licensed under pro " ns of Chapte^' Ing and effect. License Class License No :'xti,, ivk F3at6 ;ARN.NG: FAILURE TQSECURE Wf j 'DST OF COMPENSATION, DAMAGE1 hereby affirm under penalty o J 1 have and will maintain a ejDiinzance of the work for wh '� Iiave and will. maintain wo Isurance carrier and policy nui iS` COMPENSATION COVERAGE Is UNLAWFUI PROVIDED FOR IN SECTION 3706 OF THE LAD rjury, one - Following declarations: rtificate )sent to self -insure for this pel -sued. Policy No. ne of Agent certify that, in the performance of , if I should become subjec the iature of Applicant hereby affirm under penalty of perjury that ljen ender's Name ly my signature below, I certify to each of the'io I am the property owner or authorized to adi I have read this application and the informat I agree to comply with all applicable city and I authorize representatives of this city or cou ienature of Prooertv Owner or Authorizer) Anen 4-1-1 E , PERMITEXTENDED DATE I AN INTEREST, at least one year prior to completiyn-df the improvements covered by this permit, I cannot )tractors. I understand that any of the applicable law, Section 7044 of the Business and p://www.leg nfo.ca.gov/cAGw.htm1. Date Section 7 00) of Division 3 of the Business and P fe/ss/ions�yedE, and my license is in full force / Contractor Signature / { MINAENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thl insurance, as required by Se'ption 3700 of the Labor Co ,1r tft� performance of the work for which this permit is issued. My workers' compensatiol Policy Numbed Expiration Date. _ \ l> V y � �����1 Phone # ' h7Lh this permit is issued, I shall,n8;' %1 ny person in any manner so as to become subject to the workers' compensation laws of California, and agree motion provisions of Section 3t(JQ0 T the Labor Code, I shall forthwith c with those provision 14, lendingagency for the work for h'IeF thi it is issued (Section 3097, Civil Code). the property owner's behalf. i I have provided is correct. ,max unty Ord Ances a.d state laws relating to-t3ullding construction. to eove-i Ified property for inspection purposes. Print Prooertv Owner's or 61 OF TITLE40AND ❑ 1 SUBMITTED ASBESTOS NOTIFICATION' TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NO nnCARON IS NOT APPLICABLE TO PROPOSED DEMOLITION. OCCUPANCYiSSUED I 6f I I SIGNATURE: