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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 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 000cce m mmmoo0 m o e m m o mo b 000000 m m 000c00 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 000cce m mmmoo0 m o e m m o mo b 000000 m m 000c00 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: