HomeMy WebLinkAboutF2018-0606 - Permits (3)4 City of Newport Beach - Building MyLqiora•Q II�III�I�sllll lel llllllllllllllllll FIRE Permit: F2018-0606
100 Civic Center Drive, Newport Beach, CA 92660 m ° Project No: 2639-2018
Permit Counter Phone (949)644-3288. o • o ° • ° ° ®° o ° • m
e'ra�rnvwx' ° ° Inspection Requests Phone (949)644-3255
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Job Address: 518 ALISO AVE NB
Inspector Area: 2
Owner: FOSS FAMILY TRUST
Address: 518 ALSIO AVE
NEWPORT BEACH, CA 92663
Phone:
Applicant: FIREPROOF FIRE PROTECTION
Address: 1101 KINGSTON DR
LA HABRA CA 90631
Phone: 714-476.5370
Code Edit: 2016
FIRST ADD TO NEWPORT HEIGHTS BLK 38 LOT 5
Type of Construction:.
V-BSPR
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:
Building Overtime PC Fee:
Bldg Sprinklers:
Y
° ° ° ° eme. m •ee ee
e. Description: SFR FIRE SPRINKLERS (X2018-0881) 30 HEADS
Legal Description:
FIRST ADD TO NEWPORT HEIGHTS BLK 38 LOT 5
Contractor:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
NORGUARD INS CO
LA HABRA CA 90631
Phone:
714-476-5370
Con State Lic: 876004
Lie Expire: 04/3012020
Bus Lie:
ST30040107
Lie Exp Date:
07/31/2019
Worker's Compensation Insurance
Carrier:
NORGUARD INS CO
Policy No:
MOWC002750
Expire:
0211512020
Issued Date: 11/0812018
Setback- Front:
Rear:
Left:
Right:
Architect:
Address:
Phone: State Lie:
Engineer:
Address:
Phone: State Lie:
Designer: CASEY MONTY
Address: - 1101 KINGSTON DR
LA HARBRA CA 90631
Phone: 714-476-5370 -
Special Conditions: Revised# h I& W 1h ,
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PROCESSED BY: " l 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:
$3,300.00
Building PC Fee:
$202.00
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 :
$240.00
TOTAL FEE :
$446.00
Plan Check Fee:
$446.00 Fee Due at Permit Issuance:
$0.00
PROCESSED BY: " l OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
IWNER-BUILDER DECLARATION ,
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State Licerfse -Law for the je0on(st indicatRd below by the checkmark(s) I have placed next to the applicable item(s)
lection 7031.5, Business and Professions Code: Any city or county that requires a permit to constrddt,'altel, improve, Wnglif Iy 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). • .. ,', -, .. ,
I, as owner of the property, or my employees with wages as their sole compensation, wi: do (_)ell of o :(_jporoonsrof the:wbrk;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,, operty who, $hrough:9 IQysea' 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& comp Rtion,{tie Owner -Builder will have the burden of proving that it was not built or
n roved for the purpose of sale).
1, 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 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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
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 site:http://www.leginfo.ca.gov/calaw.htmi.
signature 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 in full force
nd effect.
icense Class License No Date Contractor Sigrw
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND D RS ($100,000), 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:
] 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
lirformance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the work 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
if I should become subject to the workers' compensatis.provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant _ \ Dafee No
CLARATION REGARDING CONSTRUCTIO ENDING AGENCY
Ireby affirm under penalty of perjury that tha 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 owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county Vnter tl�e ove-identified propctyfor inspection purposes.
of Property Owner or Authorized Agent \- Print Property Owner's or Authorized Agent's Na52
ACTION DATE B DECLARATIONOF COMPLIANCEMTN CODEOF FOROFFICE
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SIGNATURE:
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