HomeMy WebLinkAboutF2019-0286 - Permits1 City of Newport Beach - Building Division
®4' - 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 311 ORCHID AVE NB
Inspector Area: 5
Owner:
SMITH ELOISE
Address:
311 ORCHID AVE
Occupancy Group:
CORONA DEL MAR, CA 92625
Phone::
0
Applicant:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
No of Units:
LA HABRA CA 90631
Phone:
714-476-5370
Code Edit: 2016
Contractor:
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:
Engineer:
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
TOTAL FEE
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL :
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FIRE Permit: F2019-0286
Project No : 1081-2019
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLER SYSTEM 46 HEADS (X2018.3412)
Legal Description: CORONA DEL MAR LOT 11 BLK 241(AND SWLY112 LOT 13 BLK 241
Contractor:
FIREPROOF FIRE PROTECTION
Architect:
- Address:
1101 KINGSTON OR
Address:
Policy No;
LA HABRA CA 90631
Public Works PC Fee:
Phone:
714.476-5370
Phone:
Con State Lic:
876004
Engineer:
Lic Expire:
04/30/2020 -
Address:
Bus Lic:
BT30040107
Lic Exp Date:
07131/2020
Phone:
INSPECIv
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State Lic:
State Lic:
Workers Compensation Insurance
Designer:
CASEY MONTY
Carrier:
NORGUARD INS CO -
Address:
1101 KINGSTON OR
Policy No;
MOWC002750
Public Works PC Fee:
LA HABRA CA 90631
Expire:
02115/2020
Phone:
714-476.5370
Issued Date:
05114/2019
Special Conditions:
PERMIT. REVISED 09-10.19
Setback- Front:
Rear:
Left:
Right:
$4,100.00
FEES
$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
$448.00
Plan Check Fee
$0.00 Records Management
$0.00
$0.00
$0.00
$0.00
$448.00 Fee Due at Permit Issuance
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE: (I�
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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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 items)
'action 7031.5, Business and Professions Code: Any city or county that requires apermit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
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 (_) 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).
1 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
only 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).
It am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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
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.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of t Business and Professions Code, and my license is in full force
nd effect. /
icense Class .... License No i ba(e' Co for Signature
V}ARKE�R"S' CONIWNSATION DECLARATION \\rT
f4FINTt�iF. CAILURE jQ §%pU jE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA O LARS ($100,000), IN ADDITION TO THE
DST OF COMPENSA14014DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
heroby affirm under penalty of perjury one of the following declarations:
IJ Kaye and 41: VMain 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,
ce of the work -for which this permit Is Issued. Policy No.
and wl4 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 BIMIAlicy number are:
• Policy Number Expiration Date
of Agent ' ' rnmien
?:Ff that, in W 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
•I ould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply provisions.
1 hereby affirm under penalty o perjury that re a construction lending agency for the performance of the work for which this permit is Issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By 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 thsGKyor co the above -identified property for inspection purposes.
Sianature of Proaertv Owner or uthgal Agent Print Propert Owner's or Authoillied Agent's Na Date t
ACTION DATE BY v
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FEDERAL REGULATIONSPART 61 OF TITLE40AND.
AQMD RULE 1403.
I SUBMITTEDASDESTOS NO7IFICATION TO:
❑ EPA
❑ ASBESTOS
❑ ASDESTOS NOTfFICADONIS NOT APPLICABLE TO
PROPOSED DEMOLITION,
SIGNATURE:
PERMIT EXPIRED
PERMITCANC€LLED
PERMITEXTENDED
PERMIT FINAL
CERTIHCATEOF
OCCUPANCYISSUED