HomeMy WebLinkAboutF2020-0001 - Permits (2)0 �gwr 1# City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII II FIRE Permit: F2020-0001
„ 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 0 0 1 Project NO : 0002-2020
'- Permit Counter Phone (949)644-3288
it+seln"`�
Inspection Requests Phone (949)644-3255
Job Address: 1521 BAYADERE TER NB
Description: NEW SFR FIRE SPRINKLERS (55 HEADS) X2018-1226
Inspector Area: 5
Legal Description:
N TR 2813 LOT 155.
,�-`•�
Owner: REKLAW LLC
Contractor:
FIREPROOF FIRE PROTECTION
Architect: V
���
Address: 418 ORCHID AVE #5
Address:
1101 KINGSTON DR
Address:
CORONA DEL MAR, CA 92625
LA HABRA CA 90631
®�.
Phone:
Phone:
714-476-5370
Phone: State Lic:
Applicant: FIREPROOF FIRE PROTECTION
Con State Lic:
876004
Engineer:
Address: 1101 KINGSTON DR
Lic Expire:
04130/2020
Address:
LA HABRA CA 90631
Bus Lic:
BT30040107
Phone: 714-476-5370
Lic Exp Date:
07131/2020
Phone: State Lic:
....
.
Code Edit : 2010j
Worker's Compensation Insurance
Designer: CASEY MONTY
°
.000
• "
Type of Construction: V -B -SPR
Carrier:
NORGUARD INS CO
Address: 1101 KINGSTON DR
Occupancy Group: R31U
Policy No:
MOWC002750
LA HABRA CA 90631
Added /New sq.ft. Bldg: 0
Expire:
0 2/1 51202 0
Phone:
°mo °
Added /New sq. ft. Garage: 0
No of Stories: 1
Issued
Date: 01/02/2020 Special Conditions:
....
No of Units : 0
Setback- Front:
Flood Zone:
Rear:
Bldg Sprinklers: Y
Left:
Right:
..
°
FEES
Construction Valuation: $5,500.00
......
....
Building PC Fee :
$202.00
Fire Residential Alarm PC Fee, $0.00
Records Management :
$6.00
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
$0.00
Fire Plan Check Fee:
$0.00
Public Works PC Fee: $0.00
$0.00
Fire Permit as :
$0.00
Public Works Traffic Plan Check Fee; $0.00
Building Permit Fee :
$240.00
TOTAL FEE :
$448.00
Plan Check Fee: $0.00
Fee Due at Permit Issuance :
$448.00
PROCESSED BY: C.>'V
OTHER DEPARTMENT:
ZONING APPROVAL:
PLAN CHECKED BY::
G -
FIRE APPROVAL:
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) indicated below by the checkmark(s) I have placed next to the applicable items)
(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 (_) 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).
1, 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 legal)
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"�icense is in full force
and effect. ....
�
License Class • License No ieContractoroignature
1Q/( FjCRS' CO
.MPE14SATION DECLARATION �( Y�
RARNING!FAILURL•70-SEBSRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLA ($100,000), IN ADDITION TO THE
COST Ofi COMPENSATION, EIAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I}Ie*rWV%ffirm under penalty of perjury one of the following declarations:
••••
1 hate 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 thE
perfo"ance of the work for which this permit is issued. Policy No.
22M% and w11L Oinjain 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' compensation
Ifl lrSnce carrier and policy number are:
�9rjiv • Policy Number Expiration Date
o?Agent •�•- - vnone s
Uy that, irotheQerformance of the work for which this permit is issued, I shall not employ any person in any manner so as to become ubject to the workers' compensation laws of California, and
i should boQW§whbjsSUo the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thos provisions.
e of Ar
iECLARATION REGARDING CONSTRUCTION LEkOING AGENCY
hereby affirm under penalty of perjury that there isnstruction 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.
I agree to comply with all applicable city and county ordinances and state Is
I authorize representatives of this city or count41Qenter the above-identifieTe
ACTION
PERMITFINAL
CERTIFICATEOF
OCCUPANCYISSUED
DATE I BY
relating to building construction.
)perty for inspection purposes.
Print ProDertv Owner's or
fitOF T/7LE40AND
AQMD RULE 1403.
t SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIRCARONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
co
'(
In
N
a
10P
Oo
V
m
U
to
-i
tan
r
o
n
n
g
o
3D
o
C,
ro
m
3
p
M.01m
w
o
a
0
N
a
am
"
o
alA
w
0
0000 ❑❑❑❑❑❑❑❑❑Io
CLTTO�
91 8
O
b
A�tlaay
0
5. n
0
m
CD
� O
� V
33
��nMOy� 0
0 0
V,
. , wy l
p�q
by O.p V
y� Zb
w n y�
NOD
fn
fn
❑❑❑❑ ❑❑ ❑ ❑❑❑ ❑ ❑❑
� u
N
� °
sU
0
L
N
od
3U
N
a
0
E
N O
o C
O
R
0
a
o
ro
2
E
> 39
a
12
a
E
3
°
o
c
c
C
F
l0
>
>
W �j
N
m
e
ryry
v
-a
m
o C
m 0
°
FL
a1
E3:
0
I
m
o. A
a
d
v
N
6 .d d
-d
ai
a
ai a
N
M 1r
0
O
a
0
m
N
O!
12 y 9
m
m
m
c E
a
U V
N
a
>o
'(D
U N
0
Fw a
N
Z �
� °
sU
N
od
3U
a
0
E
N O
o C
R
0
a
o
ro
2
E
> 39
12
a
E
3
°
o
c
c
E
l0
j
W �j
N
a1
E3:
0
I
m
o. A
a
d
v
M 1r
0
O
a
0
m
N
O!
12 y 9
m
m
m
c E
a
U V
N
a
>o
'(D
U N
0
Fw a
N
Z �