HomeMy WebLinkAboutF2018-0112 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII II FIRE Permit: F2018-0112
a 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 0 1 1 2
p Project No: 0440-2018
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Job Address: 4 CANYON FAIRWAY DR NB Description: SFR FIRE SPRINKLERS (151) HEADS (X2016-2196)
Inspector Area: 4
Owner:
PREMIER VISION HOLDING LIMITED
Address:.
4CANYON FAIRWAY DR
Added /New sq.ft. Bldg:
NEWPORT BEACH, CA 92660
Phone:
0
Applicant:
PRECISION FIRE SYSTEMS
Address:
27068 LA PAZ RD #212
Flood Zone:
ALISO VIEJO CA 92656
Phone:
949-337-3317
Code Edit: 2016
Type of Construction:
V-BSPR
Occupancy Group:
R38/U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
0
Flood Zone:
09/30/2018
Bldg Sprinklers:
Y
Construction Valuation: $15,000.00
Building PC Fee:
Building Overtime PC Fee:
Building Extention Fee:
Building Investigation Fee
Fire Plan Check Fee:
Fire Permit Fee:
Building Permit Fee
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
Legal Description: N TR 10814 LOT 15
Contractor: PRECISION FIRE SYSTEMS
Address:
27068 LA PAZ RD #212
$0.00 Records Management: $10.00
ALISO VIEJO CA 92656
Phone:
949.337.3317
Con State Lie:
906248
Lie Expire:
11/30/2019
Bus Lie:
BT30052678
Lie Exp Date:
09/30/2018
Worker's Compensation Insurance
Carrier: EXEMPT NO EMPLOYEES
Policy No:
Expire:
Issued Date: 02/22/2018
Setback- Front:
Rear:
Left:
Right:
FEES
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
State Lie:
State Lic:
MCSTAY MIKE
27068 LA PAZ RD #212
ALISO VIEJO CA 92656
949-337-3317
i
$190.00
Fire Residential Alarm PC Fee :
$0.00 Records Management: $10.00
$0.00
Planning Counter Review:
$0.00
$0.00
Planning Zoning PC Fee :
$0.00
$0.00
$0.00
$0.00
Public Works PC Fee:
$0.00 $0.00
$0.00
Public Works Traffic Plan Check Fee;
$0.00
$225.00
$425.00 Plan Check Fee:
$0.00 Fee Due at Permit Issuance
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APPROVAL TO ISSUE:
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PERMIT EXPIRES 180 DAYS AFTER ISSU4NCE Ofi LRSY VtoAeto 1 &ECTION
eco •o •o • • •on •nc
$425.00
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
is 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).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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).
7 1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below 1 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
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 gite:http://www.leginfo.ca.gov/calaw.html.
lignature 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 with Section 7000) of Division 3 of the Business and Professions Code, and my license is 'D-hi�ce
nd effect.��7
icense Class �� 6 �7 License No �67 � �r3 Date 2 L r Contractor Signal
YORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL RF{ ,0001, 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:
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, for th
erformance of the work for which this permit is issued. Policy No.
have 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'
rance carrier and policy number are: ,
Policy Number
p of Agent
certify that, in the pe o ee-of-the'warkf9�f ww Ich this permit is issued, I
if 1 should become subject to the woji�rs�dompensation provisions of Sir
hereby affirm under penalty of perjury that there is a consJrOction lending a ncy
ender's Name
ly my signature below, 1 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 and state laws
I authorize representatives of this city or county toezbove-identified
Date
employ any person in any manner so as to become subject to the workers' compensation laws of California, and
3700 of the Labor Code, I shall forthwith comply with those provisions. -
for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Address
purposes.
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ACTION
DATE By
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