HomeMy WebLinkAboutF2020-0335 - Permits (2)City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII FIRE Permit: F2020-0335
4 ' 100 Civic Center Drive, Newport Beach, CA .92660 F 2 0 2 0 0 3 3 5 Project No: 1450-2020
Permit Counter Phone (949)644-3288
�'°etf ate Inspection Requests Phone (949)644-3255
Job Address: 20181 SPRUCE AVE NB Description: SFR FIRE SPRINKERS (X2020-0922) 10 HEADS
*REVISED 10/08/2020
Inspector Area: 3
Legal Description:
N TR 1506 LOT 10
Owner: WINKLE JAKE
Contractor:
FIREPROOF FIRE PROTECTION Architect:
Address: 20181 SPRUCE AVE
Address:
1101 KINGSTON DR Address:
NEWPORT BEACH, CA 92660
LA HABRA CA 90631
Phone:
Phone:
714-476-5370 Phone:
State
Lic
rli
Applicant: CASEY MONTY
Con State Lie:
876004 Engineer:
Address: 1101 KINGSTON DR
Lie Expire:
04/30/2022 Address:
Y`
LA HABRA CA 90631
Bus Lie:
BT30040107
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Phone:
Lie Exp Date:
08131/2021 Phone:
State
Lie: "
Code Edit : 2019
Worker's Compensation
Insurance Designer:
CASEY MONTY
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Type of Construction: V -B -SPR
Carrier:
NORGUARD INS CO Address:
1101 KINGSTON DR
Occupancy Group: R31U
Policy No:
MOWC148394
LA HABRA CA 90631
Added/New sq.ft. Bldg: 0
Expire:
0211512021 Phone:
Added /New sq. ft. Garage: 0
_
No of Stories: 1
Issued Date: 09/22/2020 Special Conditions:
No of Units : 0
Setback- Front:
Flood Zone: X
Rear:
Bldg Sprinklers: Y
Left:
Right:
FEES
Construction Valuation: $400.00
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 :
$484.00
Plan Check Fee : $484.00 Fee Due at Permit Issuance:
$0.00
PROCESSED BY:
OTHER DEPARTMENT:
ZONING APPROVAL:
PIAN CHECKEt, BY::
FIRE APPROVAL: \
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PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST YJLID INSPECTION
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)WNER-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)
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
he 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
Irofessions 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
lot 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,
3usiness 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
mprovements 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
m 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' Slate License Law does not
Ipply 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:
3y 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
yell 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:/Aw .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 the Business and Professions Code, and my license is in full force
Ind effect. /::
.icense Class License No Dat tyk�
Contractor Signa
r%�t�.�
YORKERS' COMPENSATION DECLARATION
IARNING: 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
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
erformance of the work for which this permit is issued. Policy No.
have and willIn In workers' compensation ipsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
rance carrier Blocv number are!i'1
Date
of Agent
certify that, in the 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
, if I should become sLIMect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with tho a provisions.
Iatar^e of,AppMc ^ ! � cL ^' ^ A^cK ^V ate
areby 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 county ordinances and state laws relating to building construction.
I authorize representatives of this city or coun}y tg tinter the above -identified property for inspection purposes. II j A A I
ACTION DATE BY
DECLARATION OF COMPLIANCEWITH CODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 69 OFTI ME40AND
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