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HomeMy WebLinkAboutF2020-0132 - Permits�sr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 1 3 2 E, n: Permit Counter Phone (949)644-3288 Job Address: 912ALDER PL NB Inspector Area: r� o Owner: WOOTEN DAVID C Address: 912 ALDER PL NEWPORT BEACH, CA 92660 Phone: Applicant: CASEY MONTY Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-5370 Code Edit: 2019 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: No of Units Flood Zone: Bldg Sprinklers: Construction Valuation V-B-SPR R31U 0 0 FIRE Permit: F2020-0132 Project No: 0562-2020 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLERS (X2019-2122) 26 HEADS Legal Description: N TR 4705 LOT 3 Contractor: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-5370 Con State Lie: B76004 Lie Expire: 04/3012020 Bus Lie: BT30040107 Lie Exp Date: 07131/2020 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: MOWC148394 Expire: 02115/2021 1 Issued Date: 03/31/2020 0 Setback- Front: Rear: Y Left: Right: Building PC Fee: Building Overtime PC Fee: Building Edention Fee: Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee: Building Permit Fee: TOTALFEE: PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $3,500.00 FEES Architect: Address: Phone: State Lic: Engineer: Address: Phone: State Lie Designer: CASEY MONTY Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: Special Conditions: rem $202.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $4.00 $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee: $0.00 $0.00 $0.00 $0.00 Public Works PC Fee: $0.00 $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $240.00 $j46.00 Plan Check Fee : $202.00 Fee Due at Permit Issuance : $244.00 OTHER DEPARTMENT PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION INER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exen UT the Contractors' State License Law for the im rove, deruolis� orbelow repair any structure, Pthe riorlto its issuaence, also requirreapplicable applcant for action 7031,5, Business and Professions Code: Any city or cburty that requires a permit to Construct, alter, p Perm to gle a signed statement that he Or she is licensed. pursuant b sis the provisions of the Contractors State License Law 031.5 by (commencing r a Section 7000) of applicant 3 ofthea Business and rFassl it to &' a orthathe or she is exemptheOr he I license end the basis for the provisions exemption. Any violatien of Section 71731.5 by anyapplicant for e,permiF subjects the applicant:{o a civil penalty of t more than five hundred dollars ($500). I. I, as. owner of the property, or my employees with wages as their sole compensation, will do ro all of or Who, throughtemplo emhe work, ployees' or personal effortd the Structure Is nbullds oot r Improves he propered or offered for salety, provided that the siness and. Professions Code: The.Contractors' State License Law does not apply to an owner of property Y P proements are not intended or offered for sale. if, however, the building or improvement Ia sold within one year of completion, the Owner -Builder will have the harden of provingthat It Was natbUllt or proved for the purpose of sale). 1 1, as owner of the property, am exclusively contracting with licensed Contracts o -t construct the project (Section 7044, Business and Professions Co tEds Li Contense Law). State License Law does not )Ply to an owner of property who builds orimproves thereon, and who contracts for -the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 1 a I exempt from Ileensure under the Contractors' State. License Law for the following reason: y my signature pelow.l acknowledge that, exceptfor my personal. residence In which I must have resided for at least one ysarpdor to completion of the improvements covered. by this permfL I cannot Iegelit r.application is submitted or at the following Web she:hftp,,Itwww-ieginfo,ca.gov/Calawhtml- �11 ali a atructrtureure below I have built le an chat C) uilder If it has not been constructed in its enthaty by licensed contractors. I understand that a copy of the applicable law, Section 7044 ofthe Business and rofessions Code, is avallable upon request when this ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby efflmt under penalty of Perjury that 1 am licensed under provisions of Chapter (commencingpwith SectionDivision Contractor Sig etas and Professions mY license Is to all force ind affect. License No -icense Class NORKERS' COMPENSATION DECLARATION UNLAWFUL, AND SHALL �MINAL PENFLTES AND QVI FINES UP TOONE MUNOREO TNOnaAnNIN ADDITION TO THE NAiTOSErpEVJMPATION IAND naTbFaOMPeNE N. bE6�OwE SeiON36bFTHaLAabRrAOR t` hereby affirm under penalty of perjury one. of thefollowing declarations:. rt cate, of consent to self -insure for workers' c I have and will maintain a ceompensation, issued by the Director of industrial Relations as provided for 6y Section 3700 of the Labor Code, for th e ormance of the work for which this permit is issued. Policy No. I 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' compensatioi ins In carrier and policy number are: policy Number Expiratlon Date Phone # ter Name of Agent not that Ifrl shouffy at, become in insp rformctt theonctworkers'compensatlon provisionslof Sec0onssued I 113700 of he Labor Code, lI shall forthwith comply manner so as to bwith those provisioth�a workers' compensation laws bf Ca ifom a, and ogre nature of Appncan 6LARATION RE6 DIG NSTRUCTIDN L DING AGENay DLA ATIO under penalty of perjury that uc-nO a is on ruction lending. agency for the performance of the work for which this permit is issued (Section 3097, Civil ITSby affirm Address rder's Name to each of the fallowing: my signature below, I certify 1 am the prop" owner cr authorized to act on the property owner's behalf - and .theinformation I have provided is correct. 1 agree to this S with tli applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city. or countytoe teF\t�a6o4,yaTidenttfad Property focinPnn Poope' °miners or Authored Agent's Nama rz AC aOly I DATE © •.• SVBWTTERASEESTO5 NORFJCAiION IO; j� EPA AQMD 0 ASBESTOS N077F€CAT/ON1S NOT APPi ICAr#.F TO PROPOSED DEMOLITION. . S1GNA7DRE- - J ° - i• ` (,=PANCYISSUED