The URL can be used to link to this page

Home My WebLink Aboutf2020-0255 - PermitsCity of Newport Beach - Building Division IIII�IIIIIIIIIIIII�III�III�III�IIIIIIIIIIIII FIRE Permit: F2020-0255 �,$wI'o tY P 9 T 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 2 5 5 Project No: 1026-2020 +t Permit Counter Phone (949)644-3288 qi._y,� � Inspection Requests Phone (949)644-3255 e'��t+l4%�ts. Job Address: 703 JASMINE AVE NB Description: NEW DETACHED BONUS ROOM (4 HEADS) X2018-1309 Inspector Area: 5 Legal Description: CORONA DEL MAR BILK 736 LOT 3 Owner. 703 JASMINE LLC Address: 703 JASMINE AVE Contractor: Address: FIREPROOF FIRE PROTECTION Architect: 1101 KINGSTON DR Address: NOISE CORONA310E MAR, CA 92625 LA CA 90631 �('� ,ON f Phone: 949 Phone: 14-476-� Phone: 100 C®NS'TRl9t�t8 Applicant: FIREPROOF FIRE PROTECTION Con State Lic: 876004 Engineer. Address: 1101 KINGSTON DR Lic Expire: 04/30/2022 Address: LA HABRA CA 90631 Bus Lic: BT30040107 'MYS -4765370 Lic xp Date: Phone:Insurance �, ,Ay, S f Code Edit: 2019 Compen ation/2020 Worker's Designer: CASEONTY Type of Construction: V-BSPR Carrier: NORGUARD INS CO Address: 1101 KINGSTON DR Occupancy Group: R3/U Policy No: MOWC148394 LA HABRA CA 90631 Added /New sq.ft. Bldg: 0 Expire: 02116/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Issued Date: 07/0212020 Special Conditions: No of Units : 0 Setback- Front: Flood Zone: Bldg Sprinklers: Y Rear: Left: ••• Right: iO.J• ��, FEES Construction Valuation: $1,000.00 Building PC Fee: $202.00 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: $240.00 TOTAL FEE : $442.00 Plan Check Fee: $202.00 Fee Due at Permit Issuance : $240.00 PROCESSED BY: .•• .•® ,,, OTHER DEPARTMENT: ° ° ° ° o NECKED BY:: ZONING APPROVAL: o ° o ° o , ,PILR�N o �j FIRE APPROVAL: Yil• .APPROVAL TO ISSUE: PERMIT EXPIRES 980 DAYS &III 21SSililNI&OR LAST VALID INSPECTION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License taw for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) 'Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, Sitar, 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 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 lot more than five hundred dollars (S500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 forsale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving {hat it was not built or mpraved for the purpose of sale). 5 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 DIpply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contmctors' State License Law). I am exempt from licensure 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 Iegall; 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, Sectien 7044 of the Business and rrofessions Code, is available upon request when this application is submitted or at the following Web site:httpY/w w .leginfo.ca.gwlcalaw.hfml. 3ignature of Property Owner or Authorized Agent _ICENSED CONTRACTOR'S DECLARATEON Dale 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 Professions Code, and license is in Puff force Ind effect. .iense Class License No Dal e-,n��_ Contractor Signsturgo VORKERS' COMPENSATION DECLARATION ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL MES UP TO ONE HUNDRED THOUSAND I§100,000), DST OF COMPENSATION, DAMAGES AS PROVIDED MR IN Sao nON 3706 OF THE LABOR CODE, INTEII AND ATTORNErs FEES. DOLLARS IN ADnRtON TO THE hereby affirm under penalty of perjury one of the following declarations: 7 I have and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for IN eermance 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 Expiration Date of Agent _. 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 agre if f should become sub' rkers' comp sailor p ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iature ofApplicant Date :LARATION REGARDING CONST CTION LENDIN EFICY reby affirm under penalty of perjury that there is a eon n lending agency for the performance of the work for which this PEI is issued (Section 3097, Civil Code). der's Name I.....,..,. ,,...___ ny signature below, I certify to each of the following: f 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 staWJa I authorize, representatives of this city or county t?vnter M_abpvk identified AC770AF I DATE I BY PERMITIXPIRED OCCU.PANCYISSUED to building construction. rc inspection purposes. ❑ ISU+W7 EDASB%T@S MOFFICAjIb(d TO: EPA . . Ci A3BEMSNb1PFCVQN1SWTAPPLICABLET0 PROPOSWDErMOLIMIL e 000 •ee eo • a Bee ee