HomeMy WebLinkAboutF2020-0035 - PermitsCity of Newport Beach - Building Division *F2020-0035*
o� A 100 Civic Center Drive, Newport Beach, CA 92660
N Permit Counter Phone (949)644-3288
Job Address: 108 PEARL AVE NB
Inspector Area: 2
Owner:
LISSOY SCOTT
Address:
108 PEARL AVE
Occupancy Group:
NEWPORT BEACH, CA 92662
Phone:
949-224.1970
Applicant:
SCHROEDER ANTON
Address:
1325 N RED GUM ST #10
No of Units :
ANAHEIM CA 92806
Phone:
714-630-3916
Code Edit: 2016
ANAHEIM CA 92806
Type of Construction:
V -B -SPR
Occupancy Group:
R3IU
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
0
Flood Zone:
Policy No:
Bldg Sprinklers:
Y
FIRE Permit: F2020-0035
Project No : 0146-2020
Inspection Requests Phone (949)644.3255
Description: SFR - FIRE SPRINKLERS/NEW SFR 35 HEADS (X2019-3202)
0146-2020
Legal Description: BALBOA ISLAND RESUB SEC 1 BLK 7 LOT 30
Contractor: ACT FIRST FIRE PROTECTION INC Architect: ECTO
Address: 1325 N RED GUM STREET #10 Address: ll
Issued Date: 01/23/2020
Setback- Front:
Rear:
Left:
Right:
Phone: ' State Lic:
Engineer: -
Address:
Phone: State Lic
Designer: SCHROEDER ANTON
Address: 1325 N RED GUM ST STE 10
ANAHEIM CA 92806
Phone: 714-630-3916
Special Conditions: "PERMIT REVISED 07-28-20
ANAHEIM CA 92806
Phone:
714-630-3916
Con State Lic:
830883
Lic Expire:
03131/2022
Bus Lic:
BT30014493
Lic Exp Date:
11/30/2020
Worker's Compensation Insurance
Carrier:
SECURITY NATIONAL
Policy No:
SWC11188764
Expire:
0311212021
Issued Date: 01/23/2020
Setback- Front:
Rear:
Left:
Right:
Phone: ' State Lic:
Engineer: -
Address:
Phone: State Lic
Designer: SCHROEDER ANTON
Address: 1325 N RED GUM ST STE 10
ANAHEIM CA 92806
Phone: 714-630-3916
Special Conditions: "PERMIT REVISED 07-28-20
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Construction Valuation:
$3,300.00
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 Fee :
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee:
$240.00
TOTAL FEE :
$448.00
Plan Check Fee :
$448.00 Fee Due at Permit Issuance :
$0.00
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: 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 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
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
iot 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,
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
mproved 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:
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
WI 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
3rofessions 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
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
and effect.
-icense Class License No Date Contractor Signature
NORKERS' COMPENSATION DECLARATION
VARNING: 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 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 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 thJ
Jerformance of the work for which this permit is issued. Policy No.
:1I have 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' compensatior
nsurance carrier and policy number are:
Policy Number
Date
3e 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant nate
)ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby 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).
.ender's Name Lender's Address
3y 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 county to enter the above -identified property for inspection purposes.
;innahae of Prnnertv Owner Dr Authorized Anent Print Provertv Owner's or Authorized Agent's Name Date
ACTION DATE BY Ut ULA6 r I vfv yr wiRruAfvr.0 vvr f n U. Cyr
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❑ ASBESTOS M017RCAJIONIS NOT APPLICABLE TO
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CERTIFICATEOF
OCCUPANCYISSUED
SIGNATURE: