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HomeMy WebLinkAboutF2022-0274 - PermitsCity of Newport Beach - Building Division *F2022-0274* r 0 100 Civic Center Drive, Newport Beach, CA 92660 � L Permit Counter Phone (949)644-3288 l g L CTCR Job Address: 413 EDGEWATER PL INS Inspector Area: 1 Owner: FLUTER Address: 413 EDGEWATER PL NEWPORT BEACH, CA 92660 Phone: Applicant: FIREPROOF FIRE PROTECTION Address: 1101 KINGSTON DR LA HABRA CA 90631 Phone: 714-476-5370 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: 3 No of Units : 0 Flood Zone: AE81AOI Bldg Sprinklers: Y FIRE Permit: F2022-0274 Project No : 1383-2022 Inspection Requests Phone (949)644-3255 Description: SFR FIRE SPRINKLER SYSTEM 32 HEADS (X2021-1197) Legal Description: LU Contractor: Address: FIREPROOF FIRE PROTECTION 1101 KINGSTON DR Architect: Address: LA HABRA CA 90631 Phone: 714-476-5370 Phone: State Lic: �. Con State Lic: 876004 Engineer: 0 Lic Expire: 0413012024 Address: Bus Lic: ST30040107 Lic Exp Date: 07/31I2022 Phone: State Lic: Worker's Compensation Insurance Designer: CASEY MONTY Carrier: SECURITY NATIONAL INS Address: 1101 KINGSTON DR Policy No: SWC1373758 LA HABRA, CA 90631 ..,F Expire: 0211512023 Phone: 714-476-5370 Issued Date: 0612212022 Special Conditions: HIGH DENSITY ZONE tL Setback- Front: LIQUEFACTION ZONE Rear: 0 Left: Right: z ; LU FEES Construction Valuation: $3,200.00 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 as : $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $269.00 TOTAL FEE : $499.00 Plan Check Fee : $222.00 Fee Due at Permit Issuance : $277.00 PROCESSED BY: Mal 2 Irk lieff-12=163MI III FIRE APPROVAL: V R OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -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) (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 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from Iicensure 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). ❑ I am exempt from Iicensure under the Contractors' State License Law for the following reason: By my signatllr`e`be,ow 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 &�t 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 Frjf3. sicns Ccde 's available upon request when this application is submitted or at the fallowing Web site:http://www.leginfo.ca.gov/calaw.htm1. (Signature of Property Owner or Authorized Agent Date I, ICkNSED CONTRACTOR'S DECLARATION I he.eby 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 and -effect. 1Lr, % 11 1 g� License Class`License No ate- DContractor Signature WCRKERS')C0M3ENSATION DECLARATION 11 VZ FVING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm and a. penalty of perjury one of the following declarations: n 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 o.gfformance of the work for which this permit is issued. Policy No. ONY've 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' compensation insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑l 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 agre that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.. su/ 1 q Signature of Applicant /< d '1...__ Date /< O DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I 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, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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. 1 authorize representatives of this city or county to enter the above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date A.CTiON DATE BY DECLARATION OF COMPLIANCE V✓!TN CODE OF FOR OFFICE USEONLY FEDERAL REGULATIONS PART 64 OF TITLE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUDMIiTEDASBESTOS NOT1ftCATION' TO: ❑ EPA ❑ AOMD PERMIT CANCELLED PERMlTEX7EM11DE0 ❑ ASBESTOS NOTiRCA7ION iS NOT APPLICABLE 70 PROPOSED DEMOLITION. PERMIT FINAL $ CF4TlFIC.4TE OF SIGNATURE: OCCU PANC1"tS5UE0 .