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Home My WebLink AboutF2020-0499 - Permits (3)ulf".t'�nrl 'r�4City of Newport Beach -Building Division II'IIIIIIIIIIIIIIIIIIIIIIIIIIII II100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 4 9 9 Permit Counter Phone (949)644-3288 Job Address: 44 TIMOR SEA NB Inspector Area: 5 Owner: MASHOUR NICK Address: 44 TIMOR SEA NEWPORT COAST CA 92657 Phone: Applicant: MARTINEZ ARMANDO Address: 888 N H ST SAN BERNARDINO CA 92410 Phone: 909-562-8637 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: 2 No of Units: 0 Flood Zone: X 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: $4,000.00 FIRE Permit: F2020-0499 Project No: 2312-2020 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (x2019-3947) 19 HEADS Legal Description: Contractor: MARTINEZ FIRE PROT SYS Address: 888 N. H ST SAN BERNARDINO, CA 92410 Phone: 909-562.8637 Con State Lie: 955955 Lie Expire: 12/3112020 Bus Lie: New License Lie Exp Date: 12/31/2021 Worker's Compensation Insurance Carrier: SECURITY NATIONAL INS Policy No: SWC1310641 Expire: 11/0812021 Issued Date: 1211412020 Setback- Front: Rear: Left: Right: $217.00 $0.00 $0.00 $0.00 $0.00 $0.00 $263.00 $486.00 FEES Fire Residential Alarm PC Fee: Planning Counter Review: Planning Zoning PC Fee: Public Works PC Fee: Public Works Traffic Plan Check Fee; Plan Check Fee : Architect: Address: Phone: State Lie: Engineer: Address: Phone: State Lie: Designer: MARTINEZ ARMANDO Address: 888 N H ST SAN BERNARDINO CA 92410 Phone: Special Conditions: $0.00 Records Management : $6.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $486.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: Fee Due at Permit Issuance : $0.00 PERMIT EXPI.-2ES 183 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 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). ❑ 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' State 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 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:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I 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 Prof ions Code, d- i nse is in full fGKIs and effect. !1 License Class License No Date .�� Contractor Signatu WORKERS' COMPENSATION DECLARATION NANNING: 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 (S100,000), IN ADDITION TO THE COST 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: ❑ 1 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, forth performance of the work for which this permit is issued. Policy No. Jtve and will maintain 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' compen !r nce carrier and policy number are: far Policy Number Expiration Date ie of Agent Phone # certify that, in the performance of the work for whi is It is issued, I all n ploy any person in any manner so as to become subject to the workers' compensation laws of California, and if I should become subject tot Nafkers' co nsatio p vlslons of Sec ion 0 of the Labor Code, I shall forthwith comply with those provisions. / Iature of Applicant / C� /%/7 .. Date L l IECLARATION REGARDING CONSTRUCTION LENDING AGENCY — ' 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 ly 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 ordi ces a�-id,; laws relati o building construction. I authorize representatives of this city or county to e r the abed grope orinspection purposes. signature of Property Owner or Authorized Agenf.I �. Print Property Owner's or Authorized Agent's Name. ACTION DATE BY DECLARATION OF COMPLIANCE INITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF IfTLE 40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ 1 SUBMITTEUASBESTOS NOTiFICATI0IJ TO:. ❑ EPA ❑ AQMD PERIVITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICA3LE TO PROPOSED DEMOLI RON. PERMIT FINAL CERTIRCATEOF SIGNATURE: - OCCUPANCYISSUED