HomeMy WebLinkAboutF2021-0377 - Permits (2)City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
d. 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 3 7 7
Permit Counter Phone (949)644-3288
Job Address: 3701 SEAVIEW AVE NB
Inspector Area: 5
Owner: HAZAM HADDAM
Address: 6900 SKYLAB
HB CA
Phone:
Applicant: CASEY MONTY
Address: 1101 KINGSTON DR
LA HABRA CA 90631
Phone: 714-476-5370
Code Edit : 2019
Type of Construction: V-B-SPR
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 0
Flood Zone:
Bldg Sprinklers: Y
Construction Valuation
Building PC Fee :
Building Overtime PC Fee
Building Extention Fee :
Building Investigation Fee
Fire Plan Check Fee:
Fire Permit Fee :
Building Permit Fee
TOTALFEE
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
$1,600.00
FIRE Permit: F2021-0377
Project No : 1971-2021
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS - 16 HEADS (X2021-0327)
Legal Description:
RESUB OF CORONA DEL MAR BLK
143 LOT 34
0
z
Contractor:
FIREPROOF FIRE PROTECTION
Architect:
. Address:
1101 KINGSTON DR
Address:
( tP1
LA HABRA CA 90631
�
Phone:
714-476-5370
Phone:
State Lic:
Con State Lic:
876004
Engineer:
Lic Expire:
04/30/2022
Address:
p� •' ° °
Bus Lic:
BT30040107
Lic Exp Date:
07/31/2022
Phone:
State Lic:
° o ° • °
Worker's Compensation
Insurance
Designer:
CASEY MONTY
°
Carrier:
SECURITY NATIONAL INS
Address:
1101 KINGSTON DR
m e • me° o
Policy No:
SWC1325710
LA HABRA CA 90631
°
Expire:
02/15/2022
Phone:
714-476-5370
°
mm
Issued Date: 09/15/2021
Special Conditions:
Setback —Front:
m m
Rear:
°
° e•
Left:
Right:
ommmmo
m
FEES
$222.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$4.00
$0.00
Planning Counter Review:
$0.00
$0.00
Planning Zoning PC Fee:
$0.00
$0.00
$0.00
$0.00
Public Works PC Fee :
$0.00
$0.00
$0.00
Public Works Traffic Plan Check Fee;
$0.00
$269.00
$495.00
Plan Check Fee:
$222.00 Fee Due at Permit Issuance :
$273.00
OTHER DEPARTMENT:
PLAN CHECKED BY::
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 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
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
'rofessions Code) or that he or she is exempt from Iicensure 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
lot 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,
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).
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
Ipply 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 Iicensure 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
;ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
319natvm of Property Owner or Authorized Agent Date
JG6NriED CONTRACTOR'S DECLARATION
hweby 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
reder 1Signature/ Q�`
.ice�nsse Cl Class License No Date Contractor �(I 1'
VQRKVS' COMPENSATION DECLARATION
YARI R06.:-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
:DST OF MOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
$er�b1 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 IN
rroance 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
Date
le of Agent rnone n
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.
of
t1
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
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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to an r the above -identified property for inspection purposes.
ionature of Pronertv Owner or Authorized ADent / 1%— Print Property Owner's or Authorized Agent's Name L r-
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 51 OF TITLE40AND
AQMD RULE 1403.
PERMIT EXPI RED
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERA4ITEXTENDED
❑ ASBESTOS NOTIFICATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIFICATE OF
SIGNATURE:.
OCCUPANCYISSUEO
N
E^
O)
�
z
co
U
W
o
Q m
I+I
w zm�
A
e�
Z00)
m
OC7��
W
I�
L
zoo
Amy
� C
O
C'�
c
FBI
U
U
o
U
U
O
0
W
wa
z1 ❑❑❑❑
El El
El
0 El El
El
0 El
E
O
L
N
O
m
C
N
d
O
t0
O.
a
rn
U
�
C
m
>
d
m
U
j
0
0.
v
U
>
a
N (D
n
o
U
U
N
H
E J
N
a)
N
N
J
T N
❑mco
Nina
1- N
c
N O)
�Q
'a
c0 U
L�
o d
N
3U
j
C
N
N O
a
E
o 0
m
E2_
d
O
E
Q a
a=
N
'O
T 39
O N
a
3
a
o
aN.
U
D
c
a
a4
o
a
O'
N C
O
tOp
yNE
N
O
a
a
N
O
m
C
ca
}g
O
a
N
N
�o
aN)
C
CO
(D
S
— N
Q U
_a
ILm
O
ai
aLc
ai
d
ti
-o
ml
ai
c i v L6
I
W
m G.
§
0 0 0 0
0 0 0 0
m
9
.
.
.
.
.
.
.
.
�P%
q
E,
,
a
g
a
2»
\
;
k
;
4
/
E
:
Z
`
-
Er.
}
\
\
/ID
}
\
aq
CD
o
o
}
\
CD
\
?
-
3
§
0
\
,
0
w
(
§
0
2
-06
_
_
(
_
°
<
D
J
/
/
\
\
\_
\
2
o�
2
$
°
_
\§�
}0\\
k
-
(
(�
[-
\\�)
�
CD
�z�f\§j
H
.
w /
{22 (
CD
9
�\
CD�
\
\
�
.2
El0
2
El
2
2
2
2/
/)
O o 2 0 2 O o 2 0 2