HomeMy WebLinkAboutF2020-0334 - Permits1't City of Newport Beach - Building Division
QT100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
I.`N ' T
Job Address: 25 SARTEANO DR NB
Inspector Area: 6
Owner:
BLECHMAN DAVID
Address:
25 SARTEANO DR
Occupancy Group:
NEWPORT COAST, CA
Phone:
0
Applicant:
CASEY MONTY
Address:
1101 KINGSTON DR
No of Units :
LA HABRA CA 90631
Phone:
714-476-5370
Code Edit: 2019
Contractor:
Type of Construction:
V -B -SPR
Occupancy Group:
R3IU
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
1
No of Units :
0
Flood Zone:
X
Bldg Sprinklers:
Y
FIRE Permit: F2020-0334
IIIII�IIII0IIIIIIIIIIII�IIIIIIIIIIIIIII II
Project No : 1447-2020
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (X2020.0893) ADD 1 HEAD
Legal Description: N TR 15400 LOT 14
Contractor:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
Carrier:
LA HABRA CA 90631
Phone:
714-476-5370
Con State Lie: 876004
Lie Expire: 04130/2022
Bus Lie:
BT30040107
Lie Exp Date:
0813112021
Worker's Compensation Insurance
Carrier:
SECURITY NATIONAL INS
Policy No:
SWC1326710
Expire:
02115/2022
Issued Date: 0312412021
Setback- Front:
Rear:
Left:
Right:
Special Conditions:
0000
Construction Valuation:
$100.00
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°
Architect:
$0.00 Records Management :
$4.00
° • • ° °
Address:
Planning Counter Review:
° •
® • •
o °
Building Extention Fee :
$0.00
om o•
° o
e °
Phone:
State Lie:
°
•
•• °
$0.00
eo •
°ee°
o °
• °
Engineer:
$0.00
o
00
Address:
Public Works Traffic Plan Check Fee;
®e • o
00000
Phone:
State Lic:
o
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°
oe000
TOTAL FEE :
°
Plan Check Fee:
Designer:
CASEY MONTY
•• • 0
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Address:
1101 KINGSTON DR
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oe0°°°
LA HABRA CA 90631
Phone:
714.4763370
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0
Special Conditions:
PROCESSED BY:�
0
ZONING APPROVAL:
FIRE APPROVAL: L✓J
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Construction Valuation:
$100.00
Building PC Fee :
$217.00
Fire Residential Alarm PC Fee:
$0.00 Records Management :
$4.00
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 Fee :
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$263.00
TOTAL FEE :
$531.50
Plan Check Fee:
$0.00 Fee Due at Permit Issuance ;
$531.50
PROCESSED BY:�
0
ZONING APPROVAL:
FIRE APPROVAL: L✓J
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
)WNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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
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 L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
yroved for the purpose of sale).
1, as owner gf•tke property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
,pply togan ownenofgxoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
�I anexemfl from licensure under the Contractors' State License Law for the following reason:
ly my�signaturo below T 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
eltl stbucture 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 Codp, iso vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
IignalWe of Propperly (:wner or Authorized Agent Date
.ICENSED COATRACTOR'S DECLARATION
I*Myy affirm unUr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofessions Code, and my license is in full force
�rMmect. ....
/� _
iear" Class • License No Date 3 L Contractor Signature r/ 11k,
&RkERS',COMNSATION DECLARATION
DARNING: FAILURE TO SPCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
QJT.M COMPENSATIOII DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm un'(?&:)enalty of perjury one of the following declarations:
I I 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 the
prformance 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:
Policy Number Expiration Date
ne of Agent
certify that, in the
, if I should beton
iature of ADolican
I 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
the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thosegovisions.
'ECLARATION REGA'9611%G CONSTRUCTION LENDING AGENCY
hereby affirm under penalty o perjury that there is a construction lending agency for the performance of the work for which this permit is
ender's Name Lenders 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 laws relating to building construction.
I authorize representatives of this city or countyme ee above -identified - y for inspection purposes.
ianature of Prooertv Owner or Authorized Agent �O �I Print Property Owner's or Authorized Agent
ACTION DATE BY
uca-r_arrw I turn yr i..vmruaRt.e "I I" w.. yr
FEDERAL REGULATIONSPART 61 OF TITLE40 AND
AQMD RULE 9403.
PERMITEXPIRED
❑ ISUBMfTTEDASBESTOSNOIIFICATIONTO.
❑ EPA
❑ AQMO
PERM/TCANCELIED
PERMITEXTENDED
ASBESTOS NORRCARONIS NOT APPLICABLE TO
PROPOSEDDEMOLITION.
PERMITFINAL —Z$-2�
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED
3097, Civil Code).
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