HomeMy WebLinkAboutF2022-0186 - PermitsCity of Newport Beach - Building Division *F2022-0186*
O 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 1720 KINGS RD NB
Inspector Area: 3
Owner:
WERNER ERIC
Address:
1720 KINGS RD
NEWPORT BEACH, CA 92663
Phone:
Applicant:
VO JOHN
Address:
7907 LEEDS ST
DOWNERY CA 90242
Phone:
714-310-0194
Code Edit: 2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/UU
Added /New sq.ft. Bldg:
5818
Added /New sq. ft. Garage:
640
No of Stories:
2
No of Units :
0
Flood Zone:
X
Bldg Sprinklers:
Y
FIRE Permit: F2022-0186
Project No : 0081-2022
Inspection Requests Phone (949)644-3255
Description: DELTA 1 REVISION & ADD'L SCOPE: ADD (31) FIRE SPRINKLER
Legal Description:
N TR 1221 LOT 15
Contractor:
FIREGUARD SPRINKLER SYS INC
Architect:
Address:
7907 LEEDS ST
Address:
DOWNEY CA 90242
Phone:
714-310-0194
Phone:
State Lie: '
Con State Lie:
992002
Engineer:
Lie Expire:
0413012022
Address:
"
Bus Lie:
BT30046886
Lie Exp Date:
0413012022
Phone:
State Lic:
Worker's Compensation
Insurance
Designer:
FIREGUARD SPRINKLER SYS IN0 °
Carrier:
FALLS LAKE FIRE & CASUALTY
Address:
7907 LEEDS ST
Policy No:
FLA0080008
DOWNEY CA 90242 "..
Expire:
12/2912022
Phone:
714-310-0194
Issued Date: 04107/2022 Special Conditions: REV22-0627 -
Setback- Front:
Rear:
Left:
Right:
FEES
Construction Valuation:
$3,100.00
Building PC Fee :
$222.00
Fire Residential Alarm PC Fee:
$0.00 Records Management:
$2.00
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 :
$493.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$493.00
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: (� PLAN CHECKED BY::
FIRE APPROVAL: ` 1 APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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
:he 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
Tot more than five hundred dollars ($500).
I, 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).
❑ 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).
❑ I am exempt from licensure under the Contractors' State License Law for the following reason:
By 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 legal
sell 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
Professions Coda. is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I h^.reb" affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) of Division 3 of the Business and Prof Ssions Code, and my license is in full force
and effect.
License Class License No Date Contractor Signature
94ORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO ScU.RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THMSANO DOLLARS t$100,00(1), IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
nereoy affirm under penalty of perjury one of the following declarations:
I hava and W I m6liitain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations a5 provided for by Section 3700 of the Labor Code, for
ormance of the work for which this permit is issued. Policy No.
ha,,e 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' compensa
.rance carrier and pciicy numker are: ,
ne of Agent r
certify that, in the pt
if I should become
nature of Applicant ;
Policy Number
Date
of t e 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
the rkem' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisione.( / _
!reby 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, Civil Code).
ider's Name Lenders Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the prope o er's behalf.
I have read this application and the information I have pr ided correct.
I agree to comply with all applicable city and county ordi nces no state laws relating to building construction.
I authorize representatives of this city or county to enter a abo e-identified property for inspection purposes. Y 1 iL
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's NamDate
ACTION
DATE
BY
DECLARATION OFCOMPLIANCE PIRTH CODE OF
FOR OFFICE USE DIVE
FEDERAL REGULATIONS PART of OF TIRE 40 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMfTEX7ENDEO
ASBESTOS
PROPOSED DEMOLITIOCC�TiONIS NOT APPLICABLE TO
PERMIT FWVAL
'�-
CERTIFFCATEOF
SIGNATURE:
OCCUPANCYISSUED