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Home My WebLink AboutF2021-0529 - PermitsCity of Newport Beach - Building Division u�. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 6 NIGHT SKY NB Inspector Area: 6 Owner: MIRRAFATI SAYED Address: 6 NIGHT SKY NEWPORT BEACH, CA 92657 Phone: Applicant: MARTINEZ FIRE PROT SYS Address: 888 N. H ST SAN BERNARDINO, CA 92410 Phone: 909-562-8637 Code Edit : 2021 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: 2 No of Units : 0 Flood Zone: Bldg Sprinklers: N 'F2021-0529' FIRE Permit: F2021-0529 Project No : 2594-2021 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLER SYSTEM 3 HEADS (X2021-2265) Legal Description: Contractor: MARTINEZ FIRE PROT SYS Address: 888 N. H ST SAN BERNARDINO, CA 92410 Phone: 909.562.8637 Con State Lic: 955955 Lic Expire: 12/31/2022 Bus Lic: BT30073741 Lic Exp Date: 1213112021 Worker's Compensation Insurance Carrier: SECURITY NATIONAL INS Policy No: SWC1310641 Expire: 11/08/2021 Issued Date: 11/0312021 Setback- Front: Rear: Left: Right: Architect Address: Phone: State Lic Engineer: Address: Phone: State Lic: Designer: MARTINEZ ARMANDO Address: 888 NORTH H ST y SAN BERNARDINO, CA 92410 = Phone: 562-441-6796 Special Conditions: FEES Construction Valuation: $2,500.00 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 $0.00 Building Extention Fee : $0.00 Planning Zoning PC Fee : $0.00 Building Investigation Fee : $0.00 $0.00 Public Works PC Fee: $0.00 $0.00 Fire Plan Check Fee: $0.00 Public Works Traffic Plan Check Fee; $0.00 Fire Permit Fee : Building Permit Fee: $269.00 TOTAL FEE : Plan Check Fee : $0.00 Fee Due at Permit Issuance : $495.00 c$495.00 ` --- OTHER DEPARTMENT: PROCESSED BY: � PLAN CHECKED BY:: ZONING APPROVAL: �1 APPROVAL TO ISSUE: FIRE APPROVAL: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION tK-t3UILUtK UtULAKAI ION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) indicated below by the checkmark(s) I have placed next to the applicable item($) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto 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 U 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 Coda, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/ca[aw.htm[. S:gnaturc of Property Owner or Authorized Agent Date LICENSED CCNTRACTOR'S DECLARATION I hrrebg affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing it Section 7000) of Division 3 of the Business n P e ssions e a my lice a is in full force and e4ct. License Class _ License No Date ih 2 Contractor Signature AO'RKERS' COMPENSATION DECLARATION NARNING: FAILURE' r0 SECURE WORKERS' COMPENSATION COVERAGE I$ UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSA-10P, nAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I, hand and On! mail,tain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the Dertormance of the .vork, for which this permit is issued. Policy No. have and will meirt'ain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' ante carrier and pdicy number are: mer Policy Number me of Agent certify that, in the performanc�ef�+a rk for wh' nit is ISsued,hall not t, if I should become subj etio the worke ' Cor/�' yerisstattti( provisionon 3700 nature of Applicant L/ - Date any person in any manner so as to become subject to the workers' compensation laws of California, and Labor Code, I shall forthwith comply with those provisions. I ] ULA"I IUIN K I - NSTRUCTION LENDING AGENCY TK- areby affirm un y of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county nonce$ and state s relating t ilding construction. I authorize representatives of this city or counttyy�t nter he above-ide dprgp� or pection purposes. /J nature of Property Owneror Authorized Ager¢,j l� ^ pd+.r�perty Owners or Authorzed Agents Name Y'S-�M.a...t� �wla_.� r�t6t7Date iI Civil Code). ACTlDN DATE BY DECLARA rION OFCOMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE 1403, ❑ I SUBMITTED ASBESTOS NORFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE:. FOROFFICE EONLY PERMIT EXPIRED PERP4fTCANCELLF0 PERMIT EXTENDED PERMITFINAL CERUF4CA TE OF 0CCUPA^JCYf5SUED