HomeMy WebLinkAboutF2021-0236 - Permitsw� City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
s
t'rz?aa�v:�
Job Address: 417 HELIOTROPE AVE NB
Inspector Area: 5
Owner: BILLINGS THOMAS
Address: 13681 NEWPORT AV #8-316
TUSTIN CA 92780-4689
Phone:
Applicant: ACT FIRST FIRE PROTECTION INC
Address: 1325 N RED GUM STREET #10
ANAHEIM CA 92806
Phone: 714-630.3916
Code Edit: 2019
Type of Construction:
V-B-SPR
Occupancy Group:
R31U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
3
No of Units :
0
Flood Zone:
Bldg Sprinklers:
N
*F2021-0236*
FIRE Permit: F2021-0236
Project No : 1352-2021
Inspection Requests Phone (949)644-3255
Description: MFR FIRE SPRINKLER SYSTEM 50 HEADS (X2020-0908)
Legal Description: CORONA DEL MAR LOT 13 BLK 334(NELY 5 FT LOT 11 BLK334
Contractor:
ACT FIRST FIRE PROTECTION INC
Architect:
Address:
1325 N RED GUM STREET #10
Address:
ANAHEIM CA 92806
Phone:
714-630.3916
Phone:
Con State Lic:
830883
Engineer:
Lic Expire:
03/31/2022
Address:
Bus Lic:
BT30030288
Lic Exp Date:
11/3012021
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
SECURITY NATIONAL
Address:
Policy No:
SWC1188764
Expire:
03/12/2022
Phone:
Issued Date: 06/16/2021 Special Conditions:
Setback- Front:
Rear:
Left:
Right:
State Lic:
State Lic:
NAEVE KENTON
1325 N RED GUM #10
ANAHEIM, CA 92806
714-630-3916
000•
0 0
ovoa
oeo•o•
0
0 0
o•o
0 0
0
0 0000
0
•
omomeo
0 0
•
•
®moo
0
mm•m
0•mm••
aoo
oo•o•
om0000
om •
o 0 0
• •
0 om
momao•
m
omoom•
o
aamo
FEES
Construction Valuation:
$5,800.00
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:: e
FIRE APPROVAL: APPROVAL TO ISSUE: d
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 items)
iection 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
le 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 ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness and,jYi$Pesslons 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
npro vements S MTIDt 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
Rpreued for this jeRJose of sale).
I as owner of fig 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 fo 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 fro m-licensure under the Contractors' State License Law for the following reason:
y MIN 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 legalll
ellVstructure fttl,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
mfessions Ced2,1s• 0vailable upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi.
igRature of Property Owner or Authorized Agent AtEn
WIRNSED CONTRACTOR'S DECLARATION
12reL}y affirm•Jnd¢r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business a ofessio Co a my license is in full force
no act. •.
censR Class License No Date 1 Contractor Signature
VOR
✓ORKERS' COMPENSATION DECLARATION
'ARNING: 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 th
erfonnance 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 oolicv number are:
me of Agent
I certify that, in the performance
it, if I should become u ct to
mature of ADDlicant
Policy Number
Date
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p/j�o ions. I {' j
hereby affirm under penalty of perjury that there —is a construction lending agency for the performance of the work for which this permit is issd"ed ((Section 3097, Civil Code).
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 ow/nereLawsrelating
I have read this application and the information I hav providede
I agree to comply with all applicable city and count ordinancese to building construction.
I authorize representatives of this city or couno nterthe nfor inspection purposes.
ACTION
DATE
BY
DECLARATION OF COMPLIANCE IMTH CODE OF
FOR OARCE USE ONLY
FEDERAL REGULATIONSPART 61 OF TI7LE40ANO
AQMD RULE 1403.
PERMITEXPIRED
❑ / SUBMITTEDASBESTOS NOnFICATiON' TO:.
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMITEXTENDED
❑. POSED DEMOLI. CAnON IS NOT APPLICABLE TO
M.
PERMITRNAE
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED