HomeMy WebLinkAboutF2019-0420 - Permitsa
City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII III�IIII IIIIIIIIIII FIRE Permit: F2019-0420
100 Civic Center Drive, Newport Beach, CA 92660 F 2 8 1 9 9 4 2 0 Project No : 1648-2019
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Job Address: 402 HELIOTROPE AVE NB Description: SFR FIRE SPRINKLERS .(45.HEADS) X2018-3525
Inspector Area: 5
Owner: 402 HELIOTROPE LLC
Address: 2630 WALNUT AVE ATE A
TUSTIN, CA 92780
Phone: 949-633-7103
Applicant: H 2 O FIRE PROTECTION INC
Address: 449 W FOOTHILL BLVD
GLENDORA CA 91741
Phone: 909-394-7979
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
Construction Valuation: $11,000.00
Legal Description: CORONA DEL MAR BLK 335 LOT 4
Contractor:
H 2 O FIRE PROTECTION INC
Address:
449 WFOOTHILL BLVD
GLENDORA CA 91741
GLENDORA CA 91741
Phone:
909-394-7979
Con State Lie:
897997
Lie Expire:
06130/2020
Bus Lie:
BT30064153
- Lie Exp Date:
08131/2020
Worker's Compensation Insurance
Carrier:
BENCHMARK
Policy No:
CSTS011543
Expire:
1210112019
Issued Date: 0712312019
Setback- Front:
Rear:
TOTAL FEE :
Left:
Plan Check Fee :
Right:
FEES
Architect:
Address:
Phone: State Lie:
Engineer:
Address:
Phone: State Lic:
Designer:
ARIAS MARCEL
Address:
449 W FOOTHILL BLVD
Building Overtime PC Fee:
GLENDORA CA 91741
Phone:
909-394.7979
Special Conditions:
# of.headSIr
-Revised
10115/19; --
Building PC Fee:
$202.00
Fire Residential Alarm PC Fee:
$0.00 Records Management
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
Fire Plan Check Fee: -
$0.00
Public Works PC Fee:
$0.00
Fire Permit Fee:
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$240.00
TOTAL FEE :
$452.00
Plan Check Fee :
$452.00 Fee Due at Permit Issuance
PROCESSED BY: v�
OTHER DEPART,MBNT9:<.
ZONING APPROVAL:
FIRE APPROVAL:
lL 9C:p
PLAN CHECKED
o u
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VA116INSFEC`TI(W
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$10.00
$0.00
$0.00
$0.00
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).
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
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).
d I 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 legall,
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
LICENSED CONTRACTOR'S DECLARATION
I 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
and effect.
License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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 th
performance of the work forwhich this permit is issued. Policy No.
131 have 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' compensatioi
insurance Carrier and-pplicy number are:
Carrier - Policy Number Expiration Date
Name of Agent Phone #
131certify that, in the pertormanca`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 agre
that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Date
iECLARATION REGARDING CONSTRUCTION LENDING AGENCY -
hereby 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).
Ender's Name Lender's Address
y my signature below, I certify to each of the following:
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 laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
ACTION
DATE BY
DECLARATION OF COMPLIANCE 1MTN CODEOF
FOR OFFICE USE ONLY
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