HomeMy WebLinkAboutF2021-0305 - PermitsCity of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111111 Jill
100 Civic Center Drive, Newport Beach, CA 92660 - F 2 0 2 1 0 3 0 5
x Permit Counter Phone (949)644-3288
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Job Address: 700 MALABAR DR NS
Inspector Area: 2
Owner:
OUTLOOK RESOURCES INC
Address:
14930 ALONDRA BLVD
LA MIRADA, CA 90638
Phone:
Applicant:
SCHROEDERANTON
Address:
1325 N RED GUM ST STE 10
ANAHEIM, CA 92806
Phone:
714-630-3916
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:
1
No of Units :
0
Flood Zone:
X
Bldg Sprinklers:
Y
FIRE Permit: F2021-0305
Project No : 1653-2021
Inspection Requests Phone (949)644-3255
Description: SFR NEW FIRE SPRINKLERS 74 HEADS (X2019-2890)
Legal Description: TR 1701 LOT 91(AND POR LOT 93
Contractor: ACT FIRST FIRE PROTECTION INC
Address: 1325 N RED GUM STREET #10
ANAHEIM CA 92806
Phone: 714-630-3916
Con State Lic: 830883
Lic Expire: 03/31/2022
Bus Lic:
BT30030288
Lic Exp Date:
11/30/2021
Worker's Compensation
Insurance
Carrier:
SECURITY NATIONAL
Policy No:
SWC1188764
Expire:
03/12/2022
Issued Date: 07/2912021
Setback- Front:
Rear:
Left:
Right:
Architect:
Address:
Phone: State Lic
Engineer:
Address:
Phone:
State Lic:
Designer:
SCHROEDERANTON
Address:
1325 N RED GUM ST STE 10
ANAHEIM, CA 92806
Phone:
714-630.3916
Special Conditions:
A 2-0 —r
FEES
Construction Valuation:
$5,000.00
Building PC Fee :
$222.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$8.00
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 :
$269.00
TOTAL FEE :
$499.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$499.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
O?QER VEfART•MBNT.:..
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PLIN d ILCK'EdB?::1
J� APPROVAL TO ISSUE: o•
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PERMIT EXPIRES 180 DAYS AFTER ISSUANCE 9RIAS oVQL1.0 INSPEeTION o 0
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IWNER-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
m 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 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).
3 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,
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
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).
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
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 exempt from licensure under the Contractors' State License Law for the following reason:
ly 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.
signature of Property Owner or Authorized Agent a
.ICENSED CONTRACTOR'S DECLARATION
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 Profes ' s de, d my license is in full force
nd effect. `J Zq Z ,
icense Class License No —Date,/ Contractor Signe) e
VORKERS' COMPENSATION DECLARATION ``'� \�
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TI OUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
arMance 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:
1e of Agent
certify that, in the performer
, if I should become subject
Iature of Applicant/ e
Policy Number
Date
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
npensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those,provisions. , f
;reby affirm under penalty of pe)j ry that there is a construction lending agency for the performance of the work for which this permit is
lder'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 pr(
I have read this application and the information I have
I agree to comply with all applicable city and county or
I authorize representatives of this city or count to en
mature of Property Owner or Authorized Agen
is behalf.
correct.
;d ate laws relating to building construction.
e tified property for inspection purposes.
(Section 3097, Civil Code).
Name
1 LJR Date
AC77ON
DATE
BY
DECLARATION OF COMPLIANCE VATN CODEOF
FOR OFFICE USE ONLY
fF El'fAL REGULATIONS PART 61 OF T17LE40 AND
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PERn�ItTl=xatRED
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CI• I Sf3BMITTED ASBESTOS NOTIFICATION TO.,
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PERMIT CANCELLED
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PERMITEXTENDED
ElASBESTOS NOTIRCA770M IS NOT APPLICABLE TO
, PROPV SED DEMOLITION,
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PERMIT FINAL
CERTIRCATEOF
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