HomeMy WebLinkAboutF2021-0132 - PermitsCity of Newport Beach - Building Division *F2021-0132* FIRE Permit: F2021-0132
_ +' 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0761-2021
�, Permit Counter Phone (949)644-3288
0ar.
''IWrr�c Inspection Requests Phone (949)644-3255
Job Address: 1973 PORT CARDIGAN PL NB Description: SFR FIRE SPRINKLERS (6 HEADS) X2020-1749 I SP E6 -T®
I
Inspector Area: 4
Owner: VASQUEZ
Address: 1007 EMERALD BAY
LAGUNA BEACH, CA 92651
Phone
Applicant: J B FIRE PROTECTION
Address: 1229 E ASH AVE
FULLERTON CA 92831
Phone: 714-578-0900
Code Edit: 2019
Type of Construction:
V-B
Occupancy Group:
R3/1.1
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:.
0
No of Stories:
1
No of Units :
0
Flood Zone:
Bldg Sprinklers:
N
Legal Description: N TR 7027 LOT 69
Contractor:
J B FIRE PROTECTION
Address:
1229 E ASH AVE
FULLERTON CA 92831
Phone:
714-578.0900
Con State Lie:
647282
Lie Expire:
0313112023
Bus Lie:
BT30054756
Lie Exp Date:
04/30/2021
Worker's Compensation Insurance
Carrier:
STATE FUND
Policy No:
1962369
Expire:
03/01/2022
Issued Date: 0410812021
Setback- Front:
Rear:
Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
State Lic:
State Lie:
BLEPSOE JOE
1223 E ASH AVE
FULLERTON, CA 92831
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FEES
Construction Valuation:
$2,000.00
Building PC Fee :
$217.00
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 :
$263.00
TOTAL FEE :
$480.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$480.00
PROCESSED BY:
OTHER DEPARTMENT:
ZONING APPROVAL:
PLAN CHECKED BY::
FIRE APPROVAL:
` 1 / 1 APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
PYYIYCR-OUILVCR IJIM�L MM I IWIM
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)
3ection 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' Slate 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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
nproved 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
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 exemptfrom 1loensure under the Contractors' State License Law for the following reason:
ly my signature b✓ lbM 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
JIM Sttljcture tlfat t pave 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.htmi.
ignatuFgof Property Owner or Authorized Agent Dale
ICERSED CON-;Rj,)CTOR'S DECLARATION
42rgb)'gffirm urtdefpp,5alty of perjury that I am licensed under provisions of Chapter 9 (commencing ith Prection 7000) of Division 3 of the Business a d Pro sions Codd my license is in full force
Rd effect.
iceDse.Class .�.. License No Date: `O—Contractor Signatur'
03RKERS' COMPENSATION DECLARATION
ARM" FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H DRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
45TOF Cj1MPENS0110I6 BJIMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
4e�rgljy.iffirm undet pelfalty of perjury one of the following declarations:
�.I.have and Amaintain 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 thI
Wcprmance of the work'for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
,me of Agent
I certify that, in the Kujec
nce oft ork for which this
d, if I should becomt to t rkers' compen do
)nature of Applicant
Jed, I shall not employ any person in any manner so as to become
of Section 3700 of the Labor Code, I shall forthwith comply with the
hereby affirm under penalty of peGry that there is a construction lending agency for the performance of the work for which this permit is
.ender's Name Lender's Address
ly 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 coun lnances and state laws relating to building construction.
I authorize representatives of this city or coun o ter the abov ntified property for inspection purposes.
signature of Property Owner or Authorized Age /'I Print Properly Owner's or Authorized Agent
Date
to the workers' compensation laws of California, and
2—
(Section 3097, Civil Code).
AC710N
DATE
BY
DECLARATION OF COWLI NCE WTH CODE OF
FOROFFICEUSEONLY
FEDERAL REGULATIONS PART 61 OF TIILE40AIVD
AQMD RULE 1403.
PERMITEXPIRED
❑ ISUBMfTTEDASBESTOSNORFICATIONTO:
❑ EPA
❑ AQMD
ASBESTOS NO-URCARONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT CANCELLED
PERMITEXTENDED
PERMITFINAL
CER77FICATEOF
SIGNATURE.
OCCUPANCYISSUED