HomeMy WebLinkAboutF2019-0546 - Permitsyrvr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
'.. 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 5 4 6
Permit Counter one (949)644-3288
FIRE Permit: F2019-0546
Project No : 2199-2019
Inspection Requests Phone (949)644-3255
Job Address: 2045 OCEAN BLVD NB
Description: FIRE SPRINKLERS FOR NEW SFR (X2018-2913) 32 HEADS
Inspector Area: 1
Legal Description: N TR 518 BLK D LOT 20
f AA�
NCONSTRUCTION NOISE
Owner: MIRHADI AMIN
Contractor: RED LIGHT FIRE PROTECTION
Architect:
Address: 2045 OCEAN BLVD
Address: PO BOX 3927
- Address:
.$0.00 Records Management:
NEWPORT BEACH, CA. 92661
HUNTINGTON BCH CA 92605
$0.00
Planning Counter Review:
Phone.
Phone .714-841-5076
Phone:
O 1 "fM WEEKEND
4./I V ArN
Applicant QUINTALILLA OVI
Con State Li¢ 904315
Engineer:
Building Investigation Fee:
. PO BOX 3927
Address:
Lic Expire: 10/31/2019
Address:
$0.00
- HUNTINGTON BEACH CA 92605
Bus Lic:. BT30069187.
Public Works PC Fee:
$0.00
.:Phone: 714.841-5076
Lic Exp Date: 10/3112020
Phone:
State Li¢
Code Edit: 2016
Worker's Compensation Insurance
Designer:
QUINTANILLA OVI
-. Type of Construction: V -B -SPR.
Carrier: STATE FUND
Address:
PO BOX 3927
Occupancy Group: R3/U
Policy No: 9099358
$0.00 Fee Due at Permit Issuance :
HUNTINGTON BEACH CA 92605
Added /New sq.ft. Bldg: 0
Expire: 05/14/2020
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 3
Issued Date:. 10107/26 w
E r ` � ' 3Special
Conditions:
11 NSY
u
No of Units : 0
Setback- Front
Flood Zone:
Rear:
Bldg Sprinklers: Y
Left:
..
Right
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
-•e sYx • {,`� °�`Y° OTHER DEPARTMENT;
W L o s e m a Y Y
PLAN CHECKED BY::
APPROVAL TO ISSUE:
L f G O
Y G
PERMIT a X711RES 1 �0 0AYSGAF7`ER fS:SUANCE OR LAST VALID INSPECTION
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FEES
Construction Valuation:
$10,000.00
Building PCFee:
$202.00
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 :
$240.00
TOTAL FEE :
$446.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$446.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
-•e sYx • {,`� °�`Y° OTHER DEPARTMENT;
W L o s e m a Y Y
PLAN CHECKED BY::
APPROVAL TO ISSUE:
L f G O
Y G
PERMIT a X711RES 1 �0 0AYSGAF7`ER fS:SUANCE OR LAST VALID INSPECTION
YY. Y4 Y Y YO 4G u04
OWNER -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 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
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter9 (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 U 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
improved 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 Cade: The Contractors' State License Law does not
ap ly 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:
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 legally
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://w m.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 Prof ons Code, and my license is in full force
and effect.
License Class �-« License No �3�5 Date1G1 Contractor Signatue
NORKERS' COMPENSATION DECLARATION ���///y\\\bbb
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO RIMINAL PENALTIES AND CIVIL FINES UP TOO HU DRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
J 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
eee���rrr�e�e�e�rqq�11r��Dr��\��\mance of the work for which this permit is issued. Policy No.
Fe 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' compensa
)sura ce carrier and policy number are:
irl[A r Policy Number Expiration Date
lame of Agent Phone #
]I certify that, in the performan a 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 at
Iat, if I should become subjec he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignatureof Applicant Date 0 s 7'�.
iECLARATION REG.#RIJINU 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 (vection 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 ord'n ; Ces and state laws relating to building construction.
I authorize representatives of this city or county t n3�t eerab�ove-identified property for inspection purposes. /;'� �''' t� j
ipnature of Property Owner or Authorized Agent / C —� Print Property Owner's or Authorized Agent's Name , OV I C.V U 1 Yt jGhi &Dale T r
ACTION
DATE BY
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