HomeMy WebLinkAboutF2019-0012 - PermitsIr(I City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660 .
Permit Counter Phone (949)644-3288
Job. Address: 7401 SEASHORE. DR NS
Inspector Area: 3
Owner. CLARIZIO DINO & HOPE
Address: 329 VIA LIDO SOUD
NEWPORT BEACH, CA
Phone: 949-392-3030
Applicant: NGUYEN VINCENT.
Address: .1601 W ORANGEWOOD AVE
ORANGE, CA 92868.
Phone: 714-634-3923
Code Edit: 2016
Type of Construction: V -B -SPR
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 0
Flood Zone:
Bldg Sprinklers: N
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
I TOTAL FEE:
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
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FIRE Permit: F2019-0012
Project No: 0098-2019
Inspection Requests Phone (949)644-3255
1 ,ECTOR
State Lie:
Lie Exp Date: 11/30/2019
Description: MFR FIRE SPRINKLER SYSTEM 25 HEADS (X2018-3593)
Legal Description:
SEASHORE COLONY TR BLK N LOT 8
-
Contractor:
A & D FIRE SPRINKLERS INC
Architect:
Address:
1601 WEST ORANGEWOOD AVE
Address:
ORANGE, CA 92868
ORANGE, CA 92868
Phone:
Phone:
714-634-3923
Phone:
Con State Lie:
902053
Engineer:
Lie Expire;
08131/2019
Address:
'Bus Lie:
BT30045302
1 ,ECTOR
State Lie:
Lie Exp Date: 11/30/2019
Phone:
State Lie:
Worker's Compensation Insurance
Designer:
NGUYEN VINCENT
.Carrier: BERKSHIRE
Address:
1601 W ORANGEWOOD AVE
Policy No: ADWC818691
Planning Counter Review: -
ORANGE, CA 92868
Expire: 11/01/2019
Phone:
714-634-3923
Issued Date: 01/10/2019 Special Conditions:
Setback- Front:
Rear:
Left:
Right:
OTHER DEPARTMENT:
PLAN CHECKED BY::
C APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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FEES:
$5,100.00
$202.00
Fire Residential Alarm PC Fee :.
$0.00 Records Management:
$0.00
Planning Counter Review: -
$0.00
$0.00
Planning Zoning PC Fee:
$0.00
$0.00
$0.00
Public Works PC Fee :
$0.00
$0.00
Public Works Traffic Plan Check Fee;
$0.00
$240.00
$446.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance
OTHER DEPARTMENT:
PLAN CHECKED BY::
C APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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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 penally 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
improved 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).
❑ 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 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/colaw.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 +Setion 0) of Divisio/3f the Business rofessions Code, and my license is in full farce
and effect
License Class License No Dat r Signature
WORKERS' COMPENSATION DECLARATION
NARNING: 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and wilf 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
pe¢ormance of IN work'for which this permit is issued. Policy No.
and wig J ajgt@in 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'
carrier and p cy number are:
of Agent
rlify that, in the
Policy Number
Date
the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the
coglpensa ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of perjury that there Is a construction lending agency for the performance of the work for which this permit is
Lender's Address _.
Illy §ignature M% ,+certify to each of the folio g:
I am the prop6df Owner or authorized to act o lh property owner's behalf.
I have read this application and the informati n I ave provided is correct.
I agree to comply with all applicable cit oun y or inances and state laws relating to building construction.
I authorize representatives of this ci or cou t to ove-Ide titled property for inspection purposes.
-f6 of DmnnMv n ... —, nr Ainhnrlvcd Aann Print Prooertv Owner's or
ACTION DATB BY
ees..c.+...v.,v,: r. . ........ ..........�....,
FEDERAL REGULATIONS PART Hf OF illggD
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❑ t SUBMITTED ASBESTOS NOTIFICATION T0:
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❑ ASBESTOS N07IRCA170MIS NOT APPLICABLE TO
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SIGNATURE:
PERMITFINAL 2¢9 /S
CERTIFICATE OF
OCCUPANCYISSUED
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