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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 et �'il�ij?'11t1�xh 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 : Iliiiii0iiiiiiiii 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 tl 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 0coo o 000e e om 0 0 eomm 0 o m oeeoom 0000 0 0 a000 0 c c m mm 0 0 0 0000 $6.00 $0.00 $0.00 $0.00 o 00000c o m 0 0 0 0 0 00 0 0 0 0 0 0 00 0 ooeoo 0 00000 000moc m c c s ooemom m m 0000 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 ULLLHeW fltnv air-i.vlriruiaira,a-rn 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