HomeMy WebLinkAboutF2017-0196 - Permits,N City of Newport Beach - Building Division.
e.. # 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 306 RIALTO NB
Inspector Area: 1
Owner: LAYTON STEVEN
Address: 136 VIA HAVRE
NEWPORT BEACH CA 92663
Phone:
Applicant: CASEY MONTY
Address: 1101 KINGSTON DR
LA HABRA CA 90631
Phone:. 714-476-5370
$0.00
Code Edit: 2016
Phone:
Type of Construction:
V -B -SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
2344
Added /New sq. ft. Garage:
452
No of Stories:
3
No of Units :
0
Flood Zone:.
0.2
Bldg Sprinklers:
Y
Construction Valuation
Building PC Fee:
Building Overtime PC Fee:
Building Extention Fee :
Building Investigation Fee:
Fire Plan Check Fee:
Fire Permit Fee:
Building Permit Fee:
TOTAL FEE:
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
$3,000.00
FIRE Permit: F2017-0196
IIIIIIIIIIIIIII�IIIIII��IIIIIIIIIIIIII II
Project No : 0788-2017
Inspection Requests Phone (949)644-3255
Description: RES FIRE SPRINKLERS (28) HEADS (X2015-1875) NEW SFR
Legal Description: CANAL SECTION LOT 4 BILK 236 ALL -EX ALLEY -
Contractor: FIREPROOF FIRE PROTECTION Architect:
Address:
1101 KINGSTON DR
$0.00
LA HABRA CA 90631
Phone:
714-476-5370
Con State Lic:
876004.
Lic Expire:
04/30/2020
Bus Lic:
BT30040107
Lic Exp Date:
0 713112 01 9
Worker's Compensation Insurance
Carrier:.
NORGUARD INS CO
Policy No:
MOWC002750
Expire:
02115/2020
Issued Date: 04/1112017
Setback- Front:
Rear:
Left:
Right:
FEES
$190.00
Fire Residential Alarm PC Fee:
$0.00
Planning Counter Review:
$0.00
Planning Zoning PC Fee:
$0.00
CASEY MONTY
$0.00
Public Works PC Fee:
$0.00 -
Public Works Traffic Plan Check Fee;
$225.00
714-476-5370
$419.00 Plan Check Fee
Address
Phone: State Lic
Engineer:
Address:
Phone:
State Lic:
Designer:
CASEY MONTY
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
714-476-5370
Special Conditions:
$0.00
$0.00
$0.00
$0.00
$0.00
Records Management:
$419.00 Fee Due at Permit Issuance
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPE
$4.00
$0.00
$0.00
$0.00
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 U 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).
1. as owner of the property, am exclusively contractingwith 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.gov/calaw.htmi.
Signature of property Owner or Authorized Agent Date
LICENSES CONTRACTOR'S DECLARATION
hergby affirm wade 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 isin full force
an effect. ; •„
Licrynse Class License No Date?zG?_y Contractor Signature
INQAKERS' );.ONVENSATION DECLARATION
NARKING: FAILSff;�7O &CURE 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
COST SF COMPEI7SATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirrrj i15derQenalty of perjury one of the following declarations:
1,116ve and VII 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
Z*rpance of the work for which this permit is issued. Policy No.
ace and Wir liiawtain 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
nce carried 9nd golicy number are:
r • _: ' Policy Number Expiration Date
of Agent
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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p^rovisions. _
latureofApplicant-2,�.C_--, Qs\Jzl 1.1.s\ \R
�reby affirm under penalty of perjury 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 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 to a th ve-identified pro y -for inspection purposes.
nature of ProDertv Owner or Authorized ADent Print Prooertv Owner's or Authorized Aoent's Name
ACT70N DATE BY
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❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO:
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