HomeMy WebLinkAboutF2019-0568 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
"Permit Counter Phone (949)644-3288
Job Address: 1722 W OCEAN FRONT NS
iiiiiiiiiii II
FIRE Permit: F2019-0568
Project No: 1787-2019
Inspection Requests Phone (949)644-3255
Description: NEW SFR FIRE SPRINKLERS (X2019-0077) 14 add'I HEADS
Inspector Area: 1 Legal Description: NEWPORT BEACH SEC B BLK 17 LOT 11
Owner: COLLINS JIM Contractor: FIREPROOF FIRE PROTECTION
Address: 1722 W OCEAN FRONT Address: 1101 KINGSTON DR
NEWPORT BEACH CA 92663 LA HABRA CA 90631
Phone: Phone: 714-476-5370
Applicant: FIREPROOF FIRE PROTECTION
Address: 1101 KINGSTON DR
LA HABRA CA 90631
Phone: 714-476-5370
Code Edit : 2016
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:
Bldg Sprinklers:
Y
Con State Lic: 876004
Lie Expire: 04/3012020
Bus Lia BT30040107
Lie Exp Date:. 07/31/2020
Worker's Compensation Insurance
Carrier: NORGUARD INS CO
Policy No:/10,2115/2020
MOWC002750
Expire: j 0 2/1 512 0 2 0
Issued Date: 10/15/2019
Setback- Front:
Rear:
Left:
Right:
Architect:
Address:
Phone: State Lie:.
Engineer:
Address:
Phone: State Lie:
Designer: CASEY MONTY
Address: 1101 KINGSTON DR
LA HABRA CA 90631
Phone:
Special Conditions:
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
NO6 o ,TION NOISE
o 0 0 0 00 o c c
PU- $CKOCIZEEY c0
APPROVAL "�(T,�O ISSUE:
�� THE -WEEK
AV)Doc. •oo o ar. oM ('- E- EEK
c c < c c e
PERMIT EXPIRES 180 DAYS AFTE6 IS,'SUAfYC E QR CkST IY,$LID�INSPECTION???l
00 000 0 0 00 00 Dao ae�"a q"-^S®,9'�
FEES
Construction Valuation:
$3,000.00
-
�-
Building PC Fee:
$202.00
Fire Residential Alarm PC Fee:
$0.00 Records Management :
$0.00
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:
$0.00.
TOTAL FEE :
$202.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$202.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
NO6 o ,TION NOISE
o 0 0 0 00 o c c
PU- $CKOCIZEEY c0
APPROVAL "�(T,�O ISSUE:
�� THE -WEEK
AV)Doc. •oo o ar. oM ('- E- EEK
c c < c c e
PERMIT EXPIRES 180 DAYS AFTE6 IS,'SUAfYC E QR CkST IY,$LID�INSPECTION???l
00 000 0 0 00 00 Dao ae�"a q"-^S®,9'�
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)
lection 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).
1 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,
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
n roved for the purpose of sale).
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
pply 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).
I 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 legalI3
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 the Business and Professions Code a a is in full force
nd effect.
icense Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
DARNING: 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 ($1 00 IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 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 th
rformance of the work for which this permit is issued. Policy No.
I ve 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' compensatiol
i4ur ce carrier and policy number are:
i Policy Number Expiration Date
to of Agent rnone s
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 becomes ocrt to the workers' compensation pons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
hereby affirm undo penalty of perjury that there isOnstruction lending agency for the performance of the work for which this permit is issued (Section 3097
ender's Name ( \ Lender's Address
Code).
By my signature below, I certify to each of the folio
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 rela' g'td building construction.
I authorize representatives of this city or county t e ter above -identified perty for inspection purposes.
Sionature of Property Owner or Authorized Agent r Q� Print Pro arty Owner's or Authorized Agent's Name Date �� J
ACT70N DATE
BY
CLARATIONOFCOMPLIANCEWITHCODEOF
-" FOROFFICE USE ON y
•••
fEOERAL REO"TMS PART 61 OF TITLE40AND
AiXIII ROLE 14(D. .:
PERMIT€XP/R€D
. . •
ISt/BNItTftpA$Elt"$TOSM077FICATIONTO: _
• ❑• • • EPA
❑ AQMD
PERMITCANC€LLED
• •
PERMITEXT€NDED
❑ ASBESTOS NOITHCADONIS NOTAPPLICABL.ETO
1. Pj0PQ9Ff3 P{EA)OfVnOM
SIQIGATItR�:
PERMITFINAL
CERTIFICATEOF
:
OCCUPANCYfSSUED