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Home My WebLink AboutF2019002532 FIRECITY OF HUNTINGTON BEACH ��": DEPARTMENT OF BUILDING & SAFETY f . ; 2000 Main St., Huntington Beach, CA 92648 Inspector: F` Y" / For Inspections Call: (714) 536-5241 Kho, Billy (714) 536-5408 �``-"i� FIRE PERMIT Permit Number: F2019-002532 Sprinklered? No Valuation: $105.04 Date Issued: 0523/2019 Zone: RMH-A Coastal Permit? No Building Address: 1101 England St Block No. Families: Date Entered: 04/18/2019 Tract: A0813 No, Stories: Building Use: SFR Lot: 1 Public Building? No Owner Contractor ',MODERN NEST LLC A H ACCORD GROUP INC I,PO BOX 1252 111320 WEST CIARY AVE ARTESIA CA 90701 'SAN GABRIEL CA 91776 5625470698 6263089155 Project Description: INSTALL RESIDENTIAL FIRE SPRINKLERS & PIPING FOR NEW 3187 SF SFD W/ 424 SF GARAGE, 328 SF OPEN DECK, & 196 SF COVERED DECK * **3 BEDROOMS & 5 BATHROOMS*** ALL WORK MUST COMPLY WITH 2O16 CFC, NFPA 13D & HBMC. SCOPE CONSISTS OF INSTALLING 42 HEADS TO PROTECT SFR AND GARAGE. Occ. Group Construction Type Occupancy Load Permit Fees: Inspection: $0.00 Park & Red: $0.00 Microfilm: $0.00 Building Plan Review: $0.00 Library: $0.00 Penalty: $0.00 Planning Plan Review: $471.15 Traffic Impact: $0.00 Extension: $0.00 Processing: $674.08 Door Impact Fees: $0.00 C/O: $0.00 SHIP: $0.00 Demolition: $0.00 Permit Total: $1,145.23 Outstanding Amount: Permit Details Permit Fees: Inspection Plan Review Fire � Related Items Unit Type 'Quantity � $549.08 $125.001, Fire Sprinkler SFR Base (up to 30 heads) Plan Check QTY 1 Fire Sprinkler SFR Base (up to 30 heads) Inspection QTY 1 Fire Sprinkler, Per Add. Head (All Types of Bldgs.) Pin Chk QTY 12 Fire Sprinkler, Per Add. Head (All Types of slogs.) Insp. QTY 12 Scanning Small - 8.5" x 11" (Per Page) QTY 10 Scanning Large - 11" x 17" or Greater (Per Page) QTy 2 WORKERS' COMPENSATION DECI-ARATION I hereby affirm ands pmalryof perjury one ofthe following declarations: [ ] I have and will maintaionce of Consrnt to self -insure for workers' compensation as provided for by Seuion3]00 ofthe Labor Code, for the peh rmance ofthe work for which this permit is ssued. 'Ir:. P,hay. d will maintain workers' cempensazion insurance, az requirN by Section 3700 of the Labor Code, forth performance ofthe work for which this permit is issued. My workers' Compensation policy info ti is, Carrier: STATE COMPENSATyION INSURANCE F Policy Nu�Ch 196961 Expires:�'[Z.�20(/ly Agent: ��1 CtOM P P work i� 5 I V N Phone subject 308-91 r [ ] I cent if that the performance to lot which this permit rs ed,1 shall not employ any person in any manner so a to become subject to the workers' compensation laws of California, and agree that if [should become subject m the workersCompensation provision of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFULAND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADOPTION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTOR'S DECLARATION I hereby aff order penalty of pejury that am licensed order provisions of Chapter (Commencing w.tls Section 70D0)of Division 3 of the Business and Professions Code, and my license ¢in full f ContraeandeSig Lcense No.: 57 license Clazs: C-16 2 ctor'ss Signature Date S S� (/-�! IF WORK IS NOT COMM145iIE) 180 DAYS FROM DATE OF ISSUE OF THIS PERMIT, OR IFTHE WORK IS ABANDONED FOR MORETHAN 180 DAYS, THIS PERMIT SHALL BE SUBJECT TO EXPIRAT10 OWNER -BUILDER DECLARATION (Decoration Form Attached) CONSTRUCTION LENDING AGENCY I hereby affvm under pmalry of perjury at are is a Construct on Coo agenry for he performance of+he work for which this permit is issued (Sec..3097, Civ. C). Lender. Address: DECLARATION BY CONSTRUCTION PERMR APPLICANT By my signature below, I eetify to each of the following: I am ACalifomia licensed Connector; or [ The property owner*; or [ ]Authorized to not on the property owner's behalf Con1 certify that I have read this Construction application and that the information I have provided le corset. I agree tI Comply with all Ciry and County City or Co and State Laws relating to building serty or i I shall be responsible m ensure all improvements are Consistent with all applicable HOA CC&Rs. I authorize representatives of this Ciry or Cotmry m enter upon the above -identified property for inspection Purposes. California Licensed Contractor, Property Owner* or Authorized Agent"* I understand that all Dan: are subject to aprocessing fee azlisted in the City MasterFce Schedule. Signature. Requ res separ on form '**Requires Sep onranon form