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HomeMy WebLinkAboutF2020-0503 - Permitsar„� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II FIRE Permit: F2020-0503 Aal 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 5 0 3 Project No : 2322-2020 :r.,. n' Permit Counter Phone (949)644-3288 y: e:. Inspection Requests Phone (949)644-3255 � ZIYi)i��*� Job Address: 3404 QUIET COVE NB Description: SFR FIRE SPRINKLERS @ DIET. POOL HOUSE (6) HEADS (X2020-0948) Inspector Area: 6 Legal Description: N TR 6228 LOT 40 '} Owner: FLORIANI JORDAN Contractor: FIREPROOF FIRE PROTECTION Architect: Address: 1701 PORT MARGATE PL Address: 1101 KINGSTON DR Address: ppA NEWPORT BEACH CA 92660 LA HABRA CA 90631 Phone: Phone: 714-476-5370 Phone: State Lic: gg Applicant: CASEY DENISE Con State Lic: 876004 Engineer: Address: 1101 KINGSTON DR Lic Expire: 04/30/2022 Address: _ LA HABRA CA 90631 Bus Lic: BT30040107 I. .. Phone: 714-476-5370 Lic Exp Date: 08/31/2021 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: CASEY MONTY Type of Construction: V-B-SPR Carrier: NORGUARD INS CO Address: 1101 KINGSTON DR Occupancy Group: R3 Policy No: MOWC148394 LA HABRA CA 90631 Added /New sq.ft. Bldg: 0 Expire: 02115/2021 Phone: 714-476-5370 Added /New sq. ft. Garage: 0 No of Stories: 1 Issued Date: 1211512020 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: X Rear: Bldg Sprinklers. Y Left: Right: FEES Construction Valuation. $1,000.00 Building PC Fee: $217.00 Fire Residential Alarm PC Fee : $0.00 Records Management : $0.00 Building Overtime PC Fee: $0.00 Planning Counter Review: $0.00 Building Extention Fee : $0.00 Planning Zoning PC Fee : $0.00 $0.00 Building Investigation Fee: $0.00 $0.00 $0.00 Fire Plan Check Fee: $0.00 Public Works PC Fee: Fire Permit Fee . $0.00 Public Works Traffic Plan Check Fee: $0.00 Building Permit Fee : $263.00 TOTAL FEE : $480.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $480.00 PROCESSED BY: OTHER DEPAPTMENT: ZONING APPROVAL: F LAN C.AECKEL BY:: FIRE APPROVAL: �� APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAPS AFT;z713SJANCE OR LAST VALID INSPECTIOA IWNER-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 ie 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 (_) 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). 1 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 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). 7 I am exempt from Iicensure under the Contractors' State License Law for the following reason: 'y 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/calaw.html. signature of Property Owner or Authorized Agent Dale .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 On license is in full force nd effect. C icense Class License No Date^ iJJ Contractor Signat VORKERS' COMPENSATION DECLARATION 'ARNING: 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 ($ , Oi, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 th erfymlance of the work for which this permit is issued. Policy No. have and will maintain workers' com ensation 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 ply number n ne of Agent certify that, in the performance of the wod, for which this I , if I should become su workers' compensation iature of Applicant Date is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ,ions of Section 3700 of the Labor Code, I shall forthwith comply with those rprovisions. 1 �reby affirm under penalty of perjury that there is a co ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name ( 1\ 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 owner's 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 t building construction. I authorize representatives of this city or county tLo gVtorth"boye-identified property fo inspection purposes. of Property Owner or Authorized Name ACTION DATE BY DECLAWION OF COMPLIANCE IMTH CODE OF FOR OFFICE LaLOy .I "UE L, kGL'LATIO(,',�''AR. 61 OF TITL€40AND AQMDR 3 ❑, 151,1130 ED ASB€SI OS M 171FICATiON TO: ❑ EPA ❑ AOMD PERMITEXPIRED a PERMIT CANCELLED .I PERMITEXTENDEO ASBESPERMIT F OFOSECTDEMOLIOS RthATiONlS NOT APPLICABLETO FINAL "]-(2 �Z ^-f, CERTIFICATEOF OCCUPANCYISSUED S GIVAi'URF: