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HomeMy WebLinkAboutF2018-0335 - Permits1!0� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 N 3s Permit Counter Phone (949)644-3288 Job Address: 3725 OCEAN BLVD NB Inspector Area: 5 Owner: FISCHER DESMOND LAWRENCE Address: PO BOX 65 OOLTEWAH TN 37363 Phone Applicant: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714.476.5370 Code Edit: 2016 Type of Construction: V -B -SPR Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Flood Zone: Bldg Sprinklers: Y IIY�F IIILII0IIIIILII8III1111110 IIIT3 III II FIRE Permit: F2018-0335 Project No: 1369-2018 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (67 HEADS) X2015.1631 Aft Legal Description: CORONA DEL MAR LOT BLK A POR OF BLK I,R Contractor: FIREPROOF FIRE PROTECTION Architect: LuAddress: 1101 KINGSTON DR Address: LA HABRA CA 90631 Phone: 714-476-5370 Phone: State Lic: Con State Lic: 876004 Engineer: Lic Expire: 04/30/2020 Address: Bus Lic: BT30040107 Lic Exp Date: 08131/2018 Phone: State Lic: 0 °000 Worker's Compensation Insurance Designer: CASEY MONTY Carrier: NORGUARD INS CO Address: 1101 KINGSTON DR Policy No: MOWC901180 LA HABRA CA 90631 Expire: 02/1512019 Phone: °00000 0 0 Issued Date: 06108/2018 Special Conditions: PERMIT REVISED 06-12-18 Setback- Front: 0 0°000 Rear: o °o Left: Right: c o PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES o° o 0000°o Construction Valuation: $5,600.00 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 as : $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: ZONING APPROVAL: FIRE APPROVAL: OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION )WNER-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 he 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 Irofessions 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 lot 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 mproved 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 Ipply town 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 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 yell 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 (commenci with Section 7000) of Division 3 of the siness a ofessicns Code, and m Ire se is in full force Ind effect. .... .icense Class° . License No tDate ` _ Contr or S g ture YORKERS' COMPENSATION DECLARATION IARNIN& FAILURE TO.SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI S UP TO ONE HUNDRED THOUSAND DOL S ($10 001, IN ADDITION TO THE QST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hhzby affirm under penalty of perjury one of the following declarations: I FFaye and'will ma`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 erlo-rin-ance of ttje wgrk for which this permit is issued. Policy No. 1fie and w444ain 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' compensation TS ce carrier Bad policy number are: 0149 Sarformance of the beeolTls sl 'ect to the wo hereby affirm under penalty of perjury that Policy Number Expiration Date 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 npWTrsati¢g,provisions of Section 3700 of the Labor Code, I shall forthwith comply with tho"ovisions. 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 fo 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.` 1 agree to comply with all applicable city and county ordinances and state lal I authorize representatives of this city or ou- nter the above -identified 3 to building construction. for inspection purposes. Print Property Owner's or AC770 DATE BY DECLARATION OF COMPLIA CE3MT OF FOR 77772€ NLY FEDERAL REGULATIONS PART 614 ITLE40AND AOMDRULE1403. PERMIT€XPIRED ❑ f SUBMfTTEBASBESTOS NO7IFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED P€RMIT€XTENDED ❑ ASBESTOS NOTIRCA170MIS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMITFINAL CERTIFICATEOF OCCUPANCYISSUEO SIGNATURE: