HomeMy WebLinkAboutF2018-0088 - PermitswAr,� City of Newport Beach - Building Division
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FIRE Permit: F2018-0088
.. 100 Civic Center Drive, Newport
Beach, CA 92660
F 2 0 1 8 0 0 8
8
Project No: 0377-2018
F; Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
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Job Address: 262 MORNING CANYON RD NB
Description: SFR - RELOCATE (1)
SPRINLERS AND ADD (12) SPRINKLERS T
Inspector Area: 5
Legal Description:
N TR 1116 LOT 85
+,L
Y
Owner: CL PROPERTIES 2017 TR
Contractor:
FIREGUARD SPRINKLER SYS INC
Architect:
Address: 233 EMERALD BAY
Address:
9543 VICTORIA AVE
Address:
-
LAGUNA BEACH CA 92651
SOUTH GATE CA 90280
'-
Phone:
Phone:
714-310-0194
Phone:
State Lie:
Applicant: VO JOHN
Con State Lie:
992002
Engineer-
ngineerAddress:
Address:526 N SHADYDALE AVE
Lie Expire:
04/30/2018
Address:
WEST COVINA CA 91790
Bus Lie:
BT30046886
.•`••.
Phone: 714-310-0194
Lie Exp Date:
04/30/2018
Phone:
State Lic: ...
om m °••.00
Code Edit : 2016
Worker's Compensation Insurance
Designer:
VO JOHN ; ° • • ° ° °
Type of Construction: V -B -SPR
Carrier:
FALLS LAKE FIRE 8 CASUALTY
Address:
526 N SHADYDALE AVE
Occupancy Group: R3/U
Policy No:
FLA0080008.00
LAGUNA BEACH CA 91790 - ° • °
Added /New sq.ft. Bldg: 0
Expire:
12129/2018
Phone:
...... • °
Added /New sq. ft. Garage: 0
No of Stories: 2
Issued Date:. 02/15/2018
Special Conditions:
No of Units : 0
Setback- Front:
mmmoo
Flood Zone:
Rear:
Bldg Sprinklers: Y
Left:
o ...00
Right:
boomom m o
moonom
FEES
°mm®• . m,,
Construction Valuation: $3,000.00
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 Fee :
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$225.00
TOTAL FEE :
$419.0
Plan Check Fee:
$0.00
Fee Due at Permit Issuance: $419.00
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: / PLAN CHECKED BY::
FIRE APPROVAL: t4l 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 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 far
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, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
''usiness 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
nprovements 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
nproved 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
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:
''y 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 legall,
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.
''ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm urldb? penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with " ion 7 00) of Division 3 of the Business and P fessi n o e, and my license is in full force
nd effect. .... 2 I /
isense.diass . License No Date l Contractor Signature
;gRKERS' COAIIPE4SATION DECLARATION
'ARNING: FAILURE TO BECURE 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
OST atOMPENSATjON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
kftby' ffirm urfAt pelalty of perjury one of the following declarations:
J±,�I have and 414 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 th
p oAlgce of tQe lrprklor which this permit is issued. Policy No.
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'
ier and policy number are:
. . . .+ Policy Number Expiration Date
certify that, in fhe p'ertorman Atwork for which this permit is issued, I shall not employ any person in any manner so as to become subject tot workers' compensation laws of California, and
if I should become sub' t tk ' co nsation provisions of Section 3700 of the Labor Code, shall forthwith comply with those prow /
iature of Applicant Date
CLARATION REGARDING CCSTIWCTION LENDING AGENCY '
Ireby affirm under penalty of pe 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 erty owner's behalf.
I have read this application and the information I h ve ovided is correct.
I agree to comply with all applicable city and coun y ordi )ans and at to laws relating to building construction.
I authorize representatives of this city or county t a ve-i ntifled property for inspection purposes.
nature of Prooertv Owner or Authorized ADent Print Property Owner's or Authorized Agent's Name
ACTION DATE V/ BY
IbNtLLut fJUM ur wlwrutrrvi.c vvs fn...uuc ur
FEDERAL REGULATIONS PART 61 OFTITLE40AND
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