HomeMy WebLinkAboutF2018-0675 - Permitsa Ir City of Newport Beach - BuiLgLn9o®iyi&h ..F il�� ��111111111111111111111111 a��111111111111111111
O 100 Civic Canter Drive, Newport Beach, CA 92660 . a g 0 1 8 8 7 5
Permit Counter Phone (949)644-3288 `° • °° ° ° °
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Job Address: 226 ORCHID AVE NB
Inspector Area: 5
142
Owner: SWEENEY JENNIFER & RYAN
Address: 53 BARRY LN
ATHERTON, CA 94027
Phone:
Applicant: GABRIELIRESIDENTIAL FIRE SYS
Address: 8085 E CRYSTAL DR
ANAHEIM CA 92807
Phone: 714-666-8450
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: 2
No of Units : 0
Flood Zone:
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:
$12,681.00
FIRE Permit: F2018-0675
Project No: 2963-2018
Inspection Requests Phone (949)644-3255
... Description: FIRE SPRINKLERS FOR NEW SFR (X2018-1165) 58 HEADS
Legal Description: RESUB OF CORONA DEL MAR LOT 26 BLK 142(AND NELY112LOT 24 BILK
Contractor:
RESIDENTIAL FIRE SYSTEMS INC
Address:
8085 E CRYSTAL DR
$0.00
ANAHEIM CA 92807
Phone:
714-666-8450
Con State Lie:
786965
Lie Expire:
11130/2020
Bus Lie:
BT30003809
Lie Exp Date:
0 413 012 01 9
Worker's Compensation Insurance
Carrier:
CYPRESS INS
Policy No:
REWC811068
Expire:
0910112019
Issued Date: 1211912018
Setback- Front:
Rear:
Left:
Right:
F
$202.00
Fire Residential Alarm PC Fee
$0.00
Planning Counter Review:
$0.00
Planning Zoning PC Fee:
$0.00
$0.00
Public Works PC Fee
$0.00
Public Works Traffic Plan Check Fee;
$240.00
$452.00 Plan Check Fee
Architect:
Address:
Phone:
Engineer: -
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
$0.00
$0.00
$0.00
$0.00
$0.00
State Lie:
State Lie:
Records Management
$0.00 Fee Due at Permit Issuance :
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
$10.00
$0.00
$0.00
$452.00
OWNER -BUILDER DECLARATION ; : o : • . •
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the *reAbn(97Aicfl belogv by4 he 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 Tepa4wy 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. Abyviolargn of Section 1031.5 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 C all of or(1);portiona of the Work a;Sj 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, throu? 11 a, yee� op per>ional 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 awnErODuilder 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 exclusivelycontracting 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 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.html.
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 andg sions e, and my license is in full force
and effect. I/
License Class License No Dat 2 t C Contractor Signatun /
INORKERS' 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 5705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 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 IN
�f rmance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
1e of Agent
certify that, in the performance of the
if I should become subje0fo—th6,wo
of
Policy Number
Date
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
C99
ensation rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
C_.nA 171n/1S'
CLARATION REGWRDING CONSTRUCTION LENDING AGENCY " `
Ireby 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 owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and cou o antes �Td state laws relating to building construction.
I authorize representatives of this city or coy t e -I n 'ed property for inspection purposes.
nature of Procertv Owner or Authorized ADent Print Property Owner's or Authorized Agent's Name C••'•il�+V�Ce-i
ACTION
DATE �_I' ` BY
I PERMITEXPIRED I I I
PfRMITCANCEi.LED
P€RMIT EXfEl DED ,
CERTIFICATE OF
OCCUPANCYISSUED
❑ 1 SUBMITTED ASBESTOS M071FICATIONTO.
❑ EPA
❑ AQMD
❑ ASBESTOS NORRCATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE.
Date
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