HomeMy WebLinkAboutF2020-0180 - Permitsx,+r„wI City of P,s-rpert Bench - Building Division II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII'l II
T 10C. Civic Center Drive, Newport Beach, CA 92660
E,••.h. Permit Counter Phone (949)644-3288
Job Address: 1220 W BAY AVE NB
Inspector Area:'- f10
Owner: SENIZERGUES PIERRE ANDRE
Address: 2912 LAFAYETTE AVE
NEWPORT BEACH, CA 92663
Phone:
Applicant: RESIDENTIAL FIRE SYSTEMS INC
Address: 8085 E CRYSTAL DR
ANAHEIM CA 92807
Phone: 714-666-8450
Code Edit : 2016
Type of Construction: V-B-SPR
Occupancy Group: R31U
Added INew sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 0
Flood Zone:
Bldg Sprinklers: Y
FIRE Permit: F2020-0180
Project No : 0724-2020
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS 148 HEADS (X2018-2870)
Legal Description: TR 626 LOT 8 BILK 3(AND SELY 30 FT LOT 7 BILK 3
Contractor: RESIDENTIAL FIRE SYSTEMS INC
Address: 8085 E CRYSTAL DR
ANAHEIM CA 92807
Phone: 714-666-8450
Con State Lie: 786965
Lie Expire: 11/30/2020
Bus Lie:
BT30003809
Lie Exp Date:
04130/2021
Worker's Compensation
Insurance
Carrier:
CYPRESS INS. CO.
Policy No:
REWC019434
Expire:
09/01/2020
Issued Date: 0811912020
Setback- Front:
Rear:
�\ O
Left:
!�'
Architect:
Address:
Phone:
Engineer:
State Lie:
,( PTe! State Lie:
esigne/ _`\Odd essrNONEZ MAX
1 8085 E CRYSTAL DR
(� V ANAHEIM CA 92805
J
CC ` Phon
Special Co \ high density _
INSF
FEES
Construction Valuation:
$33,790.00
Building PC Fee :
$217.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$18.00
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 :
$263.00
TOTAL FEE :
$498.00
Plan Check Fee :
$202.00 Fee Due at Permit Issuance :
$296.00
A_
PROCESSED BY: OTHER DEPARTMENT:
i
ZONING APPROVAL: �'� PLAN CHECKED BY::
FIRE APPROVAL. �',i�, APPROVAL TO ISSUE:
i
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 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 fiie 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 Cod0or 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'ivc hundred dollars ($500).
0 I, as owner cf 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,
Bu„ ;,less and Profe,�ions 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
mpnvements are no, intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or
in iprnved for the purpose of sale).
n I as owner o. ineoroperty, 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' Stale License Law).
D I sm exempt from licensure under the Contractors' State License Law for the following reason:
By my signature bs: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 legalll
sell a structure tnat 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.html.
Signature of Propt,Gy 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 Busin4HDRED
n Code, and my license is in full force
and effect. �7
License Class License No Date \ Z� %iy Contractor Signa
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOOUSAND DOLLARS (E100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
hereby affirm under penalty of perjury one of the following declarations:
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,
Trance of the work for which this permit is issued. Policy No.
qva 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' compensatiot
3 Ce carrier and policy number are: v1 1
�r f � `y_e25 f Policy Number Tn: w C— 2 )C-1 Expiration Date
is of Agent ' A'JVV/ PJ /F'r ('T
certify that, in the performance of the work
if I should become subject to the wyfk"
of Applicant
Phone # (-A ( La — tQ I U flj `5 I K
h 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 agree
Isation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
�-
CLARATION REGARDINO'CO"TJ{CIET]ON LENDING AGENCY / x I
:reby affirm under penalty of perjury t at there is a construction lending agency for the performance of the work for which this permit is issued act on 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 ordina a and state laws relating to building construction.
I authorize representatives of this city or county toff Its a bove-identified property for inspection purposes.
of Property Owner or Authorized
ACTION
OATf
BY
DECLARATION OF COMPLIANCE IMTN CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE40AND
AQMD RULE 1403.
PERMIT EXPI RED
❑ I SUBMITTED ASBESTOS M071FICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIRCAT10N1S NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIRCATEOF
2
OCCUPANCYiSSUED
SIGNATURE: