HomeMy WebLinkAboutF2019-0526 - Permitst City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 211 32ND ST NB
Inspector Area: 1
Owner: OC LUXURY 2017 -Qt LLC
Address: 12 CORPORATE PLAZA DR #250
NEWPORT BEACH, CA 92660
Phone:
Applicant: FIREPROOF FIRE PROTECTION
Address: 1101 KINGSTON DR
LA HABRA CA 90631
Phone: 714-476.5370
Cade Edit: 2016
Type of Construction: V -B -SPR
Occupancy Group: R3IU
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 0
Flood Zone:
Bldg Sprinklers: Y
*F2019-0526"
FIRE Permit F2019-0526
Project No : 2110-2019
Inspection Requests Phone (949)644-3255
State Lia
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Worker's Compensation Insurance Designer: CASEY MONTY
Carrier:. NORGUARD INS CO Address: 1101 KINGSTON DR
Policy No: MOWC002760 LA HABRA CA 90631
Expire: 02/15/2020 Phone:
Issued Date: 09/23/2019 Special Conditions:
Setback- Front:
Rear"
Left:
Right:
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Description: MFR FIRE SPRINKLERS (55 HEADS)X2019-1737
Legal Description:
LAKE TR LOT 18 BLK 132(AND NELY 15 FT LOT 19 BLK 132
Contractor:
FIREPROOF FIRE PROTECTION
Architect:
Address:
1101 KINGSTON DR
Address:
Construction Valuation:
LA HABRA CA 90631
Phone:
714-476.5370
Phone:
Con State Lie:
876004
Engineer:
Lie Expire:
-
04130/2020
Address:
Bus Lie:
BT30040107
Lie Exp Date:
07/31/2020
Phon
State Lia
e. .1arr
Worker's Compensation Insurance Designer: CASEY MONTY
Carrier:. NORGUARD INS CO Address: 1101 KINGSTON DR
Policy No: MOWC002760 LA HABRA CA 90631
Expire: 02/15/2020 Phone:
Issued Date: 09/23/2019 Special Conditions:
Setback- Front:
Rear"
Left:
Right:
poem
occ000
00
0 o m
.bone
0
00 0
am o
mm
m m
�0000c
0
m m
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PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: ��� APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
co 0
0comm
FEES
Construction Valuation:
$4,600.00
Building PC Fee:
$202.00
Fire Residential Alarm PC Fee:
$0.00 Records Management :
$6.00
Building Overtime PC Feer
$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 :
$450.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$450.00
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: ��� APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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 (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
not more than five hundred dollars ($500).
❑ 1, 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,
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 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
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
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 al
�fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
nature of Property Owner or Authorized Agent
'ENSED CONTRACTOR'S DECLARATION
vents covered by this permit, I cannot
law, Section 7044 of the Business and
Date
rreby affirm W IM %natty of perjury that I am licensed under provisions of Chapter 9 (com enc with Section 7000) of Division 3 of the usiness and Professions Cc
I effect.
DR91class •. . License No ate _ ntra r Signatur U�-
)R,KERS' COMPENSATION DECLARATION
4yIdG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
iT OF COMPENVTIOU,.1AMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
'reby affirmtWgdr penalty of perjury one of the following declarations:
my license is in full force
($700,000[, IN ADDITION TO THE
�•�•��ve anA 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
�RrEvnce of $he v$o4k for which this permit is issued. Policy No.
and wili'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 nd policy number are:
Policy Number Expiration Date
iebf Agerlt• -
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 beco
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with
subject to the workers' compensation laws of California, and
n ture of Appflcan ""'�
C REGARDING CON T TION LENDING AGENCY
Ireby affirm under penalty of perjury ere 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(T"nter the above -identified r rirtspection purposes.
ACDON L—� DATE
PERMIT EXPIRED
PERMITCANCELLED
PERMITEXTENDED
PERMITFINAL
C€RTI€ICATEO€
OCCUPANCYISSUED
BY
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
El AQMD
❑ ASBESTOS NOIIRCATIONIS NOT APPLICABLE TO
PROPOSED. DEMOLITION.
SIGNATURE: