HomeMy WebLinkAboutF2022-0246 - Permits4z�
City of Newport Beach - Building Division *F2022-0246* FIRE Permit: F2022-0246
z100 Civic Center Drive, Newport Beach, CA 92660
x p Project No : 1220-2022
�,+Permit Counter Phone (r49)644-3288 _tIPCTerii;ti Inspection Requests Phone (949)644-3255
Job Address: 2131 CRESTA DR NB
Description: MFR RESIDENTIAL FIRE SPRINKLERS (200) HEADS BLDG 10 (2131,,21i 33
a`3S1 oll 3,)
i
Inspector Area:.
Legal Description:
Owner: SHEA HOMES LP
Contractor:
FIRE SPRINKLER SYSTEMS INC
Architect:
Address: 2 ADA STE 200
Address:
705 E HARRISON #200
Address:
° a •
o.� a -; °o
IRVINE CA 92618
CORONA CA 92879
Phone:
Phone:
800-915-3473
Phone:
State Lic:
•
° °
Applicant: BI HIP JAMIE
Con State Lic:
664600
Engineer:
acao
0 0 0
00 0
Address: 705 E HARRISON ST, STE 200
Lic Expire:
02128/2024
Address:
....
• °
CORONA CA 92879
Bus Lic:
BT30053356
Phone: 951/272-2522
Lic Exp Date:
12131/2022
Phone:
State Lic:
°caco
Code Edit 2019
Worker's Compensation Insurance
Designer:
BISHIP JAMIE
°°°°°•
Type of Construction: V-B-SPR
Carrier:
INS CO OF THE WEST
Address:
705 E HARRISON ST, #200
°
Occupancy Group: RZ/U
Policy No:
WSD503131406
CORONA CA 92879
• co
Added/New sq.ft. Bldg: 0
Expire:
1010112022
Phone:
951-272-2522
;°° °•
°a�CO°
Added /New sq. ft. Garage: 0
No of Stories: 3
Issued Date: 0610312022
Special Conditions:
No of Units : 0
Setback- Front:
Flood Zone:
Rear:
Bldg Sprinklers: Y
Left:
Right:
FEES
Construction Valuation:
$14,745.00
Building PC Fee :
$222.00
Fire Residential Alarm PC Fee :
$0.00 Records Management :
$16.00
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 :
$507.00
Plan Check Fee :
$222.00 Fee Due at Permit Issuance :
$285.00
PROCESSED BY: 17 /
ZONING APPROVAL: r
FIRE APPROVAL: 5 `°
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
ILDER DECLARATION
1 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 700d) 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 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
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). -
❑ 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
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).
.••
El : m•exempt f*•ro � licensure under the Contractors' State License Law for the following reason:
E3)fimy %natureAl8w gacknowledge 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
sell a s,(ructure Mat leh%ve 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:hftp://www.leginfo.ca.gov/calaw.htm].
SSgnaiure of Propestp Owner or Authorized Agent Date
WCEftED c6WTRXCTOR'S DECLARATION
ITlerebq 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
anoefre t.
LJoeaac•Iass •• •• License No Date]C L5'3'ZZ Contractor Signature
®4RW:RS' C0JAPFVSATION DECLARATION 19
vMRNING:4AILURE-no,PCI.I 2E 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
CP%T•(3F.gPMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
111e�rg4y Iffirm u%derpepalty 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 the
performance of the work for which this permit is issued. Policy No.
have 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'
rance carrier and policy number are:
Policy Number
of Agent
Date
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 subiect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant
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
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 enSer the aJboovee-identified property for inspection purposes.
ignature of Property Owner or Authorized Agent )< df'�'�C / "_ Print Property Owner's or Authorized Agent's Name _ . J4y
22
Civil Code).
INC ZZ
ACTION
HATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONSPART 51 OF TITLE40AND
AQMDRULE9403.
-
PERMITEXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATIONTO:.
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMtTEXTENDED
OPOSEDTDEMOLITION OS 7ION lS NOT APPLICABLE TO
ASBESPERMIT
PROPOSED
FINAL
�� a 3
h-Lb \ZYLA
CERTIRCATEOF
SIGNATURE:.
OCCUPANCYISSUED