HomeMy WebLinkAboutF2022-0188 - Permits4� 0.;'0 City of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111111
0 100 Civic Center Drive, Newport Beach, CA 92560 F 2 0 2 2 0 1 8 8
w'. l Permit Counter Phone (949)644-3288
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Job Address: 1136 SANTIAGO DR NB
Inspector Area: 3
Owner: BRYANT AUDREY & DAVID
Address: 1136 SANTIAGO DR
NEWPORT BEACH CA 92660
Phone:
Applicant:
VU ANTHONY
Address:
1621 W SUMAC LN
ANAHEIM CA 92802
Phone
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:
V-S-SPR
R3/U
0
0
FIRE Permit: F2022-0188
Project No : 0941-2022
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS 44 HEADS (X2021-1058)
Legal Description:
N TR 4224 LOT 194
Contractor:
IFIRE PROTECTION
Address:
9559 NIGHTINGALE AVE
FOUNTAIN VALLEY CA 92708
Phone:
714-234-9633
Con State Lic:
1038755
Lic Expire:
0413012022
Bus Lic:
BT30067240
Lic Exp Date:
0513112022
Worker's Compensation
Insurance
Carrier:
EXEMPT
Policy No:
no employees
Expire:
1 Issued Date: 04/07/2022
0 Setback- Front:
Rear:
Y Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
State Lic:
State Lic:
FEES
Construction Valuation:
$12,300.00
Building PC Fee :
$222.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$6.00
Building Overtime PC Fee:
$0.00
Planning Counter Review:
$0.00
Building Extention Fee :
$0.00
Planning Zoning PC Fee :
$0.00
$0.00
Building Investigation Fee:
$0.00
$0.00
$0.00
Fire Plan Check Fee:
$0.00
Public Works PC Fee :
Fire Permit as:
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$269.00
TOTAL FEE :
$497.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$497.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTPEP. U-PARTMENT:
FLAN CHUCKED BY
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSU4NCE OR LAST VALID INSPECTION
LDER
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forth a 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).
❑ I, 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 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.feginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby 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. q
License Class e 1 ip License No 10 3 6 7 5�> Date 07 7— Contractor Signatµtg/ �/W
WORKERS' COMPENSATION DECLARATION
NARNING; 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 I$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty 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
oerformance 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 pertormance of the work for which this permit is issued. My workers' compensatior
Insurance carrier and policy number are:
Policy Number
Date
s of Agent Phone #
ertify 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 subject too the wAhkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant' (N" U- b V U Date D L4D 4 O Z Z
CLARATION REGARINNG CONSTRU ON LENDING AGENCY
;reby affirm under penalty of perjury th i here 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 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 count o en)er the ove-iden ified,property for inspection purposes. 1
nature of Property Owner or Authorized Agent /I U Print Property Owners or Authorized Agent's Name _ I AlyTH DNy t/ (A Date
ACT70M
DATE
8
DECLARATIONOFCOMPLIANCE NRTH CODE OF
FEDERAL REGIIIPTInNS PART 61 OF TITLE 40AND
f6QA_4D -RULE 1463.
[] _I SUBMITEDASSE_TOS NOTIFICATION TO:
C EPA
❑ AQMDASBSTOS '
--DC`YOLI ON.HON IS NOT APPLICABLE TO
PROPOSE
SIGNATGRE.
FOR OFFICE USE ONLY
PERMIT EXPI RED
_
PERMITCANCELLED
PERMi'TEXTENDED
PERMIT FINAL
Z-I�I-2.3
CERT(RCATEOF
OCCUPANCYISSUED
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