HomeMy WebLinkAboutF2018-0611 - PermitsCity of Newport Beach - Building Division
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FIRE Permit: F2018-0611
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100 Civic Center Drive, Newport
Beach, CA 92660
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Project No: 2678-2018
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Permit Counter Phone (949)644-3288.
Inspection Requests Phone (949)644-3255.
Job Address: 420 CATALINA DR NB -
Description: NEW SFR FIRE SPRINKLERS (X2017.3420)
38 HEADS
Inspector Area: 2
Legal Description:
TR 27 LOT 7 BLK 12 ALL -EX SELY 72 FT-
Owner. JOHN TR SALVUCCI
Contractor:
PRECISION FIRE SYSTEMS
Architect:-�
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Address: 420CATALINA DR
Address
27068 LA PAZ RD #212:
Address:¢s
NEWPORT BEACH, CA 92663
ALISO VIEJO CA92656.
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Phone:
Phone:
949.337-3317
Phone:
State Lie:
Applicant: PRECISION FIRE SYSTEMS
bon State Lie:
906248
Engineer.
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Address:: 27066 LA PAZ RD #212
Lie Expire:
11/30/2019
Address:
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ALISO VIEJO CA 92656.
: BUS Lic:
BT30062678
Phone 948-337-3317..
Lie Exp Date:
09/30/2019
Phone:
State Lie:
Code Edit : 2016
Worker's Compensation Insurance
Designer:
MCSTAY MIKE
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Type of Construction: V -B -SPR
Carrier:
EXEMPT NONEMPLOYEES
Address::
27068 LA PAZ RD #212 'o mmmmm
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Occupancy Group: R31U
' Policy No:
ALISO VIEJO, CA 92656 °
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Added /New sq.ft. Bldg: 0
Expire.
Phone:
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Added /New sq. ft. Garage: 0:
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No of Stories; 2
Issued Date: 1 111 4/2 01 8 Special Conditions:
No of Units : 0
Setback- Front
Flood Zone:
Rear:
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Bldg Sprinklers: -Y
Left:
Right:
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FEES
Construction Valuation: - $8,000.00
.Building PC. Fee:
$202.00 :
'Fire Residential Alarm: PC Fee: - $0.00
Records Management: $8.00
'. Building Overtime PC Fee:
.$0.00
--$0.00
Planning Counter Review: $0.00
-
Building Extention Fee: -
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 as
$0.00
Public Works Traffic Plan Check Fee; .$0.00.
Building Permit Fee:
$240.00
TOTAL FEE :
$450.0
Plan Check Fee: $0.00
Fee Due at Permit Issuance : $450.00
PROCESSED BY:
OTHER DEPARTMENT:
ZONING APPROVAL:.
PLAN CHECKED BY
FIRE APPROVAL :
1.
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 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).
❑ 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,
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
Im 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
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).
EJ I 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:hftp://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Qwner or Authorized Agent Date
LICENSED CC5Pf P4CTOR'S DECLARATION
C l;lq;4):affirm urjder pgnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect' n 7 00) of Division 3 of the Business and Professigas Code, and my license is in full force
end effect. .....
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License Class • License No Date ( o Contractor Signature
WRKERS' COMPENSATION DECLARATION
WARNING: FAILURH 6 aBOURE 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
§O&•OFCOMPENSATION, 6AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I•flej�by affirm dridbr penalty of perjury one of the following declarations:
® 4.heve and wilt 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 thi
p6y(Wlilnce of thlfwork for which this permit is issued. Policy No.
®I have and viiR /r19ARain workers' compensation insurance, as required by Section 3700 of the Labor Code, for anteof the work for which this permit is issued. My workers' compensatior
iaeuraaae carrier and policy number are:
Camel• • _ • • • • • • Policy Number Expiration Date
)e of Agent
certify that, in the
, if I should bacon
lature of ADercan
this permlss e , I shall not employ any person in any manner so as to become subject to the orkers' compensation laws of California, and
vlslons of Section 3700 of the Labor Code, I shall forthwith comply with those proves
nate l // ' /
:reby affirm under penalty of perjurythAKhere is ruction 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 have provided is correct.
I agree to comply with all applicable city and count .o s a
s relating to building construction.
I authorize representatives of this city or coun enter ov ntified
prope ec ton purposes.
nature of Property Owner or Authorized
Print Property Owner's or Authorized Agent's Ne
ACTION DATE BY
DECLARATION OFCOMPLIANCE WIT CCODEOF
FEDERAL REGULATIONS PART 61 OFTITLE40AND
AQMD RULE 1403.
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PROPOSEDDEMOIITION.
PERMIT €7CPIRED
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PERMITEXTENDED
PFRIV1tTFINAL I I
OCCUPANCYISSUED
SIGNATURE:
Date
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