The URL can be used to link to this page

Home My WebLink AboutF2021-0074 - Permits�w City of Newport Beach - Building Division 'F2021 -0074` FIRE Permit: F2021-0074 n4`� 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0450-2021 rw r Permit Counter Phone (949)644-3288 0ii 0 nrcrri µwin Inspection Requests Phone (949)644-3255 Job Address: 702 POINSETTIA AVE NB Description: MFR FIRE SPRINKLERS (40 HEADS) X2020-0449 Inspector Area: 5 Owner: REYNOLDS MARK Address: 5753 E SANTA ANA CANYON RD #617 ANAHEIM, CA 92807 Phone: Applicant: VO JOHN Address: 526 N SHADYDALE AVE WEST COVINA CA 91790 Phone: 714-310.0194 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: Y Construction Valuation: Building PC Fee: Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee TOTALFEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $7,000.00 Legal Description: CORONA DEL MAR BLK 743 LOT 4 Contractor: FIREGUARD SPRINKLER SYS INC Address: 7907 LEEDS ST DOWNEY CA 90242 Phone: 714-310-0194 Con State Lie: 992002 Lie Expire: 04/30/2022 Bus Lie: BT30046886 Lie Exp Date: 04/30/2021 Worker's Compensation Insurance Carrier: FALLS LAKE FIRE & CASUALTY Policy No: FLA0080008 Expire: 12129/2021 Issued Date: 03/0212021 Setback- Front: Rear: Left: Right: FEES Architect: /y� /^ Address: / !rJ �V° , Phone: State Lie: y Engineer: Address: Phone: State Lic: U VOJOHN Add 26�--N SHADYDALE AVE #W7aT COVINA CA 91790 , Phone:Q� J ,,,, Special Conditions: ' M% $217.00 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 $263.00 $484.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $484.00 OTHER DEPARTMENT PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 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 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 (_) all of or (_) 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). ❑ 1, 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). ❑ 1 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 legally 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 Code, is available upon request when this application is submitted. or at the following Web site:http://www.leginfo.ca.govtcalaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 700 of Division 3 of thT and Pr D ession Code, and my license is in full force and effect. License C'ass License No Da ContractWORKERS'CItWENSATION DECLARATION JJARAING. FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER O CRIMINAL PENALTIES AND CIVIL FINHUNDRED TH SAND DOLLARS ($100,000), IN ADDITION TO THE COST OF CVMPENSATIO.i, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S EES. I hereby, affirm unddl penalty of perjury one of the following declarations: I _ haa 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 thl nce of the worK ror 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 policy number are: ef Policy Number Expiration Date J,a Agent Phone # :ertlfy that, in 1he pe'forma ce of he work for which this permit is issued, I shall not employ any person in any manner so as to become subject ttins. a workers' compensation laws of California, and if I sh Id bme subjec to the q�yc\ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provis�J .n,�e ,.rrlFr..�„i 1'1\/r_ nnrA �/ C /?I :reby affirm under penalty of erj 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 Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the no arty owner's behalf. I have read this application and the information I h ve ovided is correct. I agree to comply with all applicable ci nd coup ordi antes a state laws relating to building construction. I authorize representatives of this ci or ounty t enter he 555��v -Idled property for inspection purposes. I,1 I 1I //i7 2 nature of Property Owner or Author' ed A nt Print Property Owner's or Authorize is Name ,- /(,'Y� 1/ Date C- ACTION CIA IF BY DECLARATION OF COMPLIANCE WITH CODE OF FOROFFICEUSEOWY FEDERAL REGULA TIONS PART 61 OF T1ILE40AND AOMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTEDASBESTOS NORFICATION TO:. ❑ EPA ❑ AOMD. PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS N071FICA17ON IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL _ _�� %-VL, CERTIFICATEOF SIGNATURE., OCCUPANCYISSUED