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Home My WebLink AboutF2021-0459 - PermitsCity of Newport Beach - Building Division I 111�111111111111p11111p11111111111p111111111111111111 y 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 4 5 9 • ,y_„ Permit Counter Phone (949)644-3288 b Job Address: 515 JASMINE AVE NB Inspector Area: 6 Owner: 515 JASMINE LLC Address: 1110 VALLECITO RD CAPINTERIA CA 93013 Phone: Applicant: CASEY MONTY Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-5370 - 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: 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: $3,800.00 FIRE Permit: F2021-0459 Project No : 2303-2021 Inspection Requests Phone (949)644-3255 Description: MFR FIRE SPRINKLERS (X2020-2026) 42 HEADS *REVIED 12/2312021 Legal Description: CORONA DEL MAR BILK 536 LOT 15 Contractor: FIREPROOF FIRE PROTECTION Architect: Address: 1101 KINGSTON DR Address: LA HABRA CA 90631 Phone: 714476-5370 Phone: Con State Lic: 876004 EngineEr: Lic Expire: 04/30/2022 Address: Bus Lic: BT30040107 Lic Exp Date: 07/31/2022 Worker's Compensation Insurance Carrier: SECURITY NATIONAL INS Policy No: SWC1325710 Expire: 02/15/2022 Issued Date: 09/30/2021 Setback- Front: Rear: Left: Right: FEES $222.00 Fire Residential Alarm PC Fee $0.00 Planning Counter Review: $0.00 Planning Zoning PC Fee $0.00 $0.00 Public Works PC Fee $0.00 Public Works Traffic Plan Check Fee; $269.00 Phone: Phone: Special Conditions: $0.00 $0.00 $0.00 $0.00 $0.00 .$497.00 Plan Check Fee : $497.00 ` �C:THEP-75P1RTMENT: UPLAN r;HECK2D BY:: CI APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYC AFTER ISSUA NCE'OR LAST VALID INS, State Lic: State Lic: MONTY CASEY 1101 KINGSTON DR LA HABRA CA 90631 714-476-5370 Records Management Due at Permit Issuance : ri�ayi pl `, ) -- l 0 X $6.00 $0.00 $0.00 $0.00 )WNER-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 Irofessions 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 L) all of or L) 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 n roved 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 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing ith Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force no effect. 1 �/ icense Class License No Date 1'� 1 k Contractor Sig natured 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 ($100,000), IN ADDITION TO THE OST 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 erformance of the worrLtar which this permit is issued. Policy No. have and will maiktain ,porkers' compegsafjon insurance, as required Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier and Adicv Hurnter ie of Agent FG certify that, in thep if I should become lature of Applicant _ Date of the work for which 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 ag the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisions. A_-k� _ak\ tL/wit UECLAKA I ION REGARUIfNG CONSTRUCTION LENDING AGENCY \ I hereby affirm under penalty of perjury that there is a construction lendingage ncy for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 to building construction. I authorize representatives of this city or county to en r the above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent r1_" Print Property Owner's or Authorized Agent's Nam ' Cat ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEVERAL PFGUI ATION5?ART 51 OFTITLE40AND FQMD RULE 140. i ❑ I S'JDMI'TECASCEST(.S M )TIFICATION TO: - .❑ coA ❑ AQMD ❑ ASBESTOS NOTIHCA77ON IS NOT APPLICABLE TO PROPOSED PEMOIITIC,N. SIGNATURE FOR OFFICE USE ONLY PERMITEXPIRED PERA41T CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED