HomeMy WebLinkAboutF2018-0331 - Permits (3)wIw City of Newport Beach - Building Division
3 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 245 HELIOTROPE AVE NB
Inspector Area: 5
Owner: SMITH DAVE
Address: 245 HELIOTROPE AVE
CORONA DEL MAR CA 92625
Phone:
Applicant: MONTY DENISE
Address: 1101 KINGSTON DR
LA HABRA CA 90631
Phone
Code Edit: 2016
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
No of Units
Flood Zone:
Bldg Sprinklers:
V -B -SPR
R3/U
0
0
IIIII IIII IIIII IIIII IIIII IIII IIINI IIIII IIIII IIIII IIIA II
FIRE Permit: F2018-0331
Project No : 1327-2018
Inspection Requests Phone (949)644-3255
3 Issued Date: 06105/2018
0 Setback- Front:
Rear:
Y Left:
Right:
Special Conditions:
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0000 °
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Description: FIRE SPRINKLERS FOR NEW SFR (X2017-3593) 31 HEADS
Legal Description:
RESUB CORONA
° ° °
,
CTOR
OF DEL MAR BILK 134 LOT 19
FEES
Contractor:
FIREPROOF FIRE PROTECTION
Architect
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Address:
1101 KINGSTON DR
Address:
° °
LA HABRA CA 90631
Phone:
714-476.5370
Phone:
State Lie:
Con State Lie:
876004
Engineer:
Lie Expire:
04130/2020
Address:
$0.00
Bus Lie:
BT30040107
Building Extention Fee:
$0.00
Lie Exp Date:
08/3112018
Phone:
State Lie:
Worker's Compensation Insurance
Designer:
Carrier:
NORGUARD INS CO
Address:
Fire Plan Check Fee:
Policy No:
MOWC901180
$0.00
Expire:
0211512019
Phone:
Public Works Traffic Plan Check Fee;
3 Issued Date: 06105/2018
0 Setback- Front:
Rear:
Y Left:
Right:
Special Conditions:
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o
0000 °
0000 000e°�
PROCESSED BY: A
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
° ° °
FEES
Construction Valuation:
$3,100.00
.••®
•
° °
°
° ° °
Building PC Fee:
$190.00
Fire Residential Alarm PC Fee:
$0.00 Records Management:
° .$0:00
Building Overtime PC Fee:
$0.00
Planning Counter Review:
$0.00
Building Extention Fee:
$0.00
Planning Zoning PC Fee:
$0.00
0000
Building Investigation Fee:
$0.00
•
$0.00
Fire Plan Check Fee:
$0.00
Public Works PC Fee:
$0.00
Fire Permit as :
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$225.00
00
TOTAL FEE :
$415.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$415.00
PROCESSED BY: A
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
DWNER-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
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).
❑ 1, 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,
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
improvem'pts ace, nqj Vinded 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 (or the purpose of sale). '
❑ I, as o ner 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 so' owner of Rroperty 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 Iegall}
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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:http://ww .leginfo.ca.gov/calaw.html.
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 Professions a is in full force
and effect.
License Class License No Dated- � �»� Contractor Signatu
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T N HUNDRED THOUSAND LA (5100,0001, 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:
❑ 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 the
3%ormance of the work for which this permit is issued. Policy No.
and will.maistain 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'
carrie?apcj,gdticy number are:
Policy Number
Date
ie Pf Agent: rnone s
oedily that, in the performance of the work for whiSb 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
IQ should beoomees1ubject to the workers' com nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
1re of ADDiican� 1(L y� QoV
19R
tATIORI TQEQAjRl%NG CONSTRUCT101 LENDING AGENCY
affirm 'Under -penalty of perjury that the onstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Name . Lender's Address
3ymyt ignature.belov{, I certify to each of the following:
....
,,,I�jrl the propert�$wner or authorized to act on the property owner's behalf.
-heve read.thilppplication and the information I have provided is correct.
I agree to cphlp^Ith all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county Uj enter the above-idenped property for inspection purposes.
iinnntnrw of Pmnwrfv Owner nr Authnrized Aaent \ / Print Prooertv Owner's or Authorized
ACTION DATE BY
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FEDERAL REGULATIONSPART Of OFTIILE40.AND
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PERMIT CANCELLED
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