The URL can be used to link to this page

Home My WebLink AboutF2021-0144 - PermitsCity of Newport Beach -Building Division FIRE Permit: F2021-0144 ¢ 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0841-2021 r Permit Counter Phone (949)644-3288 .emu,..,,. >.. �4;,)yyS�` Inspection Requests Phone (949)644-3255 Job Address: 2626 BASSWOOD ST NB Description: SFR - FIRE SPRINKLERS (37 HEADS) X2019-0393 10 Inspector Area: 4 Legal Description: N TR 4893 LOT 7 Owner: PATIF FAMILY TR Contractor: CITYCO FIRE PROTECTION Architect: Address: 2626 BASSWOOD ST Address: 2445 W 237TH PL Address: NEWPORT BEACH, CA 92660 TORRANCE CA 90501 Phone: Phone: 3101453-5597 Phone: State Lic: Applicant: CAPINCHIO FRANK Con State Lic 586042 Engineer: Address: 2445 W 237 PL Lic Expire: 04/30/2022 Address: .... TORRANCE CA 90501 Bus Lic: BT30070969 ' °-,,, • Phone: 3101953-5547 Lic Exp Date: 0212812022 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: .... Type of Construction: V-BSPR Carrier FALLS LAKE FIRE Address: • . ° . °. Occupancy Group: R3/U Policy No: FLA016035 • ° ° ° ' Added /New sq.ft. Bldg: 0 Expire: 08/1412021 Phone: • �: Added /New sq. ft. Garage: 0 , e • ° No of Stories: 2 Issued Date: 04/1912021 Special Conditions: ', °, • o • ... No of Units: 0 Setback -Front: Flood Zone: Rear: Bldg Sprinklers: Y Left: • Right:'° ° • aB6. FEES ° Construction Valuation: $1,500.00 Building PC Fee: $217.00 Fire Residential Alarm PC Fee: $0.00 Records Management: $4.00 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 : $484.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $484.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: t_ /) _ /� A APPROVAL TO ISSUE:�d 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 U 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). ❑ 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 .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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: iBy 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 sell a structure that 1 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/c.alaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CAN TRACTOR'S DECLARATION I 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 my license is in full force and effect. IritBrlSp Clase 0 0 License No Date ''201 f Contractor Signature ALI � OIiKERS' CISIOANSATION DECLARATION (WRR1dWb: 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 COST OF COMPENSATIONNAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. affirm under p realty of perjury one of the following declarations: nave and.Ull.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 rrice of tbb Wbrk 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' compens¢ Inj a Carrier and policy number are: 1. Policy Number Expiration Date Agent......: Phone # 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 sub' the woo rrs, compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prowslon . lature of Applicant ..f C��Ytw`� Date 4 // 4 e ZO Z O =reby affirm under pe61ilty 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). 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 o mantes and state laws relating to building construction. I authorize representatives of this city or county to ab e-i property for inspection purposes. d /' inature of Prooeriv Owner or Authorized ADent � Print Prooertv Owners or Authorized ADent's Name .® T & Mk CAA D ACTION DATE BY yr r-vrerusvrr.c rrnn uvu yr MR urriLE use UNLY FEDERAL REGI1LATIONSPART 67 OF 117LE40AN0 PERMIT EXPIRED AQMD RULE 1401 ❑ 1SUBMITTEOASBESTOSA0017FICATIONTO: PERMIT CANCELLED ❑ EPA PERA41TEXTENDED ❑ AQMO ❑ ASBES70S NOYIRCA17ON IS NOT APPLIC48LE TO PERMITRNAL 2 ?2 S PROPOSEDUEMOLITION. C€RTIFICATEOF OCCUPANCYISSUED SIGNATURE: