HomeMy WebLinkAboutF2017-0607 - PermitsCity of Newport Beach - Building Division IIIIIII'lllllllllllllllllllllllllllll Jill
+a 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 7 0 6 0 7
i Permit Counter Phone (949)644-3288
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Job Address: 429 ISABELLA TER NB
Inspector Area: 5
Owner:
429 ISABELLA TER
Address:
429 ISABELLA TER
Occupancy Group:
CORONA DEL MAR, CA 92625
Phone:
0
Applicant:
VO JOHN
Address:
526 N SHADYDALE AVE
No of Units :
WEST COVINA CA 91790
Phone:
714-310-0194
Code Edit : 2016
Description: RES FIRE SPRINKLERS (70 HEADS) X2017-2046
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:
714.310-0194
Bldg Sprinklers:
Y
FIRE Permit: F2017-0607
Project No: 2531-2017
Inspection Requests Phone (949)644-3255
In
VAA, LCT
State Lie:
State Lie:
Worker's Compensation Insurance
Description: RES FIRE SPRINKLERS (70 HEADS) X2017-2046
Legal Description:
N TR 1237 LOT 158
Address:
Contractor:
FIREGUARD SPRINKLER SYS INC
Architect:
Address:
9543 VICTORIA AVE
Address:
$7,000.00
SOUTH GATE CA 90280
Special Conditions:
Phone:
714.310-0194
Phone:
Con State Lie:
992002
Engineer:
Lie Expire:
0413012018
Address:
Bus Lie:
BT30046886
Building Extention Fee:
Lie Exp Date:
04/30/2018
.Phone:
In
VAA, LCT
State Lie:
State Lie:
Worker's Compensation Insurance
Designer:
VO JOHN
Carrier: FALLS LAKE FIRE & CASUALTY
Address:
526 N SHADYDALE AVE
Policy No: FLA0080008.00
FEES
WEST COVINA CA 91790
Expire: 12/29/2018
Phone:
$7,000.00
Issued Date: 11/14/2017
Special Conditions:
REVISED 01-11-18
Setback- Front:
Rear:
Left:
Right:
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PROCESSED BY:
OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Construction Valuation:
$7,000.00
Building PC Fee :
$190.00
Fire Residential Alarm PC Fee:
$0.00 Records Management:
$4.00
Building Overtime PC Fee:
$0.00
Planning Counter Review:
$0.00
Building Extention Fee:
$0.00
Planning Zoning PC Fee :
$0.00
Building Investigation Fee:
$0.00
$0.00
Fire Plan Check Fee:
$0.00
Public Works PC Fee:
$0.00
$0.00
Fire Permit Fee :
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee:
$225.00
TOTAL FEE :
$419.00 -
Plan Check Fee :
$419.00 Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
OWNER -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 items)
(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 penally 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 L) all of or L) 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).
i0 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:http://www.leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent eate
LICENSED CONTRACTOR'S DECLARATION
I hereby affirlfi }Iptlar`penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profo anqiy license is in full force
and effect.
til Class. • • •. License No Dat - t Contractor 'nature
WORKERS' CQMPENSATION DECLARATION
INAMWG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPEWI44TWM•DAMAGES AS PROVIDED FOR IN SECTION 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Ido J y affirm under penalty of perjury one of the following declarations:
�6lIave and -will"" intain 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
erg%nce of the work for which this permit is issued. Policy No.
and wijj 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' compensatior
s8ran�e carrier-antJ J)Dlicy number are:
assfAgent" 0_0
certify that, in the peormanc of the
, if I should become s bject to e*
Policy Number Expiration Date
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
[Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoseprovisiPns. ) -
CLARA-TIQF} REGARDI C STRUCTION LENDING AGENCY I
Ireby affirm under penalty erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
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 h provided is correct.
1 agree to comply with all applicable city and coupo dinan sad state laws relating to building construction. 1
I authorize representatives city or county to ent thea oventified property for inspection purposes.
ACTION _ DATE
171 BY
DECLARATION OF COMPLIANCE4VITN CODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OFTITLE40AND
AQMD RULE 1403.
PERMfT EXPIRED
❑ 1 SUBMITTED ASBESTOS N077FICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS NO7IRCA1ION/S NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMlT RNAL _Z' 0' r3
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CERTIFICATEOF
OCCUPANCYISSUED
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