HomeMy WebLinkAboutF2019-0004 - PermitsCity of Newport Beach
100Civic CenteeP7f ve, New ort Beach,BAtgtl 609 DtVISlOt1
Permit Counter Phone p
(949)644-3288
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Job Address: 220 VIA ITHACANB
Inspectorgrea: 1
...Owner. CHILDRENS-GRANDCHILDRENS
Address: 220 VIA ITHACA
Phone:. NEWPORT BEACH, CA 92663
Applicant: DIANA/RESIDENTIL FIRE SYS
Address: 8085E CRYSTAL DR
Phone: ANAHEIM CA 92807
714.666-8450
Code Edit: 2016
Type of Construction -
Occupancy Group- V -S -SPR
.. Added /New sq It Bldg: R3/U
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 2
Flood Zone: 0
Bldg Sprinklers: X
Y
Construction Valuation:
Building PC Fee. $9,326.00
Building OvertimePC Feer
Building$202.00
Extortion Fee: $0.00
Building Investigation Fee:
Fire Plan Check Fee: $000
Fire Permit Fee: - $0.00
Building Permit Fee: $0.00
$0.00
$240.00
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FIRE Permit: F2019-0004
Project No: 0062-2019
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS
Legal Description: N TR
(35) HEADS
Issued Date -Phone:.
01/08/2018
907 LOT 731
(X2018- 2019)
Contractor:
Address:
RESIDENTIAL FIRE SYSTEMS INC
8085 E CRYSTAL
Special Conditions: LIQUEFACTION
Phone:
ADR
NAHEIM CA 92807
Architect:
$0.00
714-666-8450
8450
Address:
Con State Lic:
Lic Expire:
786966
Phone:
Bus Lic:
Lic Exp Date:
11/30/2020
BT30003809
Engineer:
04/30/2019
Address:
' Worker's Compensation Insurance
Carrier
Phone:
PolicyCYPRESS
No:
INS
RE -
D
State Lic:
State Lic:
ExpireWC811pgg
: 09/01/2019
esigner: VEKASCO GABE
Address:
Issued Date -Phone:.
01/08/2018
8085 E CRYSTAL DR
ANAHEIM CA 82807
Setback- Front:
714.666-8450
Rear.
Left:
Special Conditions: LIQUEFACTION
Right:.
AREA
TOTAL FEE:
PROCESSED BY:
ZONING APPROVAL:
$442.00
FEES
71rea�sidentialAlarm
PC Fee
Planning Counter
Review:
Planning Zoning PC Fee:$0.00
$0.00
Records Management
Public Works P
$0.00
Public WorksC Fee : Traffic Plan Check Fee;
$0.00
$0.00
Plan Check Fee:
$0.00 Fee Due at Permit
Issuance
APPR n�a o00 •°° oon °Op °°o .OTHER DEP
FIRE OVAL : DEPARTMENT:
PLAN CHECKED BY.:
APPROVAL TO ISSUE:
PERM/T t",IIRE YB,d DAYS `9FTER I�SUANCE OR LAST V
° `o • • • ° • ® � • � • • ®• • ALID INSPECTION
$0.00
$0.00
$0.00
$442.00
laced next to the applicable item(s)
s I have p requires the applicant for
the checkmark n also req
g indicated Or repairow by any structure, Prior t° its issuance, penalty of
or rep with Section 7000) of Division 3 of the Business an
im rove, demolish, (commencing ermit subjects the applicant to a civil p
DECLARATION alter, P Chapter 9 (commllcanl for a p
VNER-BUILDER that I am exempt from the Contractors'
Statelt License
constauclor the reason(s) an aPP
cit or county that requires a p Section 7044,
I hereby affirm under penalty of perjury pursuant 10 the P tion. Any violation of Section 7031.5 by Y rovided that the
provisions it the Contractors' State License aw
ed exemp roves the Property, P
action 7031.5, Business and Professions Code: Any Y onions of the work, builds or imp that it was not built or
t from licensure and the basis for the alleged and the structure is not intended pr offered for sa e
g permit to file a signed statement that he or she l license P will do (_) all of or (_Who through emPl°Yeas or p
ersonal effort, roving
'ofessions Code) Or that he or she is exemp es as their sole compensation, ro arty letion, not
it more than five hundred doll ori mY employees with wag
riot
I to an owner of p P ear r comp the Owner -Builder will have the burden o p
I, as owner of the properly, the building or Improvement is sold within one Y
however, Section 7044, State License Law).
Business and Professions Code: The Contractors' State License Law does
Vusiness and Professions Code: The Contractors' State License Law does not appy ro act ( Contractor pursuant to the Contractors' this permit, 1 cannot legal)
Tiprovements are °toseeofsale). ed or offered for sale. If, ro ecis with a licensed letion of the improvements covered by
mproved for the Pu P am exclusive) contracting with licensed Contractors to construct the p I. Prior to comp Section 7044 of the Business and
arty y and who contracts for the p reason: year p of the applicable IoW,
t Who builds or improves thereon,
i] I, as owner of the prop Date
apply to an owner of property Contractors' State License Law for the following le info.ca.govlcalaw.html.
t from licensure under the t for my P y licensed contractors. I understand that a COPY
exceP ersonal residence to which 1 must have resided for at 1'� g
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lam exempt that, Web site:http: and my lig rise is in full force
By my signature below I acknowledge asrequest when this application is submitted or at the following r.1
i1 available upon req 7000) of Division 3 of the Business and Professions C ,
sell a structure Ihat I have built as an owner -builder tf tt has not been constructed in its entire with Sectio
Professions Code, TION ler 9 (commencing , Contractor Signature
Signature of ProPedY Owner or Authorize
gent provisions of Chap U r 0 soo IN ADDITION TO TNr
LICENSED CONTRACTOR'S that I am licensed under p Date
I hereby affirm under penalty of Perjury
and effect. License No for t
' enSe Class CLARATIDN wFULr AND SNALL SU 8T nTwo NT710RNE'r S FEES'
RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU SectionL3 Ogl of f the Labor Code,
LIC INTERE provided for by
WORKERS' COMPENSATION DEensat
COMPENSATION COVERAGE IS UN WOfkgf3� comp
wARNING: FAILURE TO SECUREwORKE0.5' DED of the following declare compensation,
Bneatl0n, ISSUed by the Director of Industrial Relations as P Permit is issued. My
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION g e cl THE LABOR COD Come
affirm under penalty of perjury
oneI hereby for the performance of the work for which this
certificate of consent to self -insure for workers' of the Labor Code,
for which this permit is issued. Policy N° wired by Section 3700 Expiration Date
1 have and will maintain a as req and a
performance of the work compensation insurance, Phone #
tntain workers' ensatton laws of California,
I have and wl otic num re: y tuber get to the workers' co P
insurance carrier nd, Y - manners° as to become sublrovisions.
to ally person in any I with those P
Carrier I shall not emP Y I shall forthwith comply -Date
Name of Agent permit,- issued,
to the performance of the work for ween to is rpProvisions of Section 3700 of the Labor Co e, Civil Code).
I certfy that, Perm
is issued (Section 3097,
that, if I's hould become su 'e tto the workers'
titan LENDING AGENCY 89 ency for the performance of the work for which this p
Signature of ApP NG CONSTRUCLenders Address
DECLARATION REGA natty of perjury that there is a construction lending ,
I hereby affirm under P !
Lender's Name 1 certify t° each of the following: ro arty owner's behalf. Dat
By my signature below, construction.
I am the properly owner or authorized to act on the P rovided is correct. ur oses. ant's Name
lner Of and the infor and county e p r arty for inspectton.P P FDR OFFlC€ USEDNLY
I have read this app in and stale laws relatingto building Owners or Authorized A
I agree to comply with all app
licabIs city bove-i tified p print Pro ed
I authorize representatives of this CODEOF
city or county t en Of CO. Pt1ANCE5f OFTIRE40AND
Owner or Authorized Agen FEDERAL rpTIONSPART ,•,
Si nature of Prope BY FEDERAL . •;' t•�0 ZgF:C4Tl0N TV +
ACTION DATE Q i s hwu �i#'lJ45 STQS • ' : • : • : •
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PERMITERPIRED [3A4MD
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PER MIT€XTENDED �f
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PEIFINAL •; ; ' •' •� ��•
rERTIFICATE OF