HomeMy WebLinkAboutF2022-0219 - PermitsCity of Newport Beach - Building Division 'F2022-0219"
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100 Civic Center Drive, Newport Beach, CA 92660
4 r Permit Counter Phone (949)644-3288
Job Address: 26 TIDAL SURF NB
Inspector Area: 6
Owner:
GHAFOURI BAHAR
Address:
26 TIDAL SURF
NEWPORT COAST, CA 92657
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:
R3/U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
2
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:
$1,500.00
FIRE Permit: F2022-0219
Project No : 1086-2022
Inspection Requests Phone (949)644-3255
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Description: SFR ADD (5) SPRINKLER HEADS X2020-2858
Legal Description:
TRACT NO 14859 LOT 47 AND POR LOT 46
Contractor:
FIREGUARD SPRINKLER SYS INC
Architect:
Address:
7907 LEEDS ST
Address:
DOWNEY CA 90242
Phone:
714-310-0194
Phone:
Con State Lic:
992002
Engineer:
Lic Expire:
04130/2022
Address:
Bus Lic:
BT30046886
Lic Exp Date:
0413012022
Phone:
Worker's Compensation
Insurance
Designer:
Carrier:
FALLS LAKE FIRE & CASUALTY
Address:
Policy No:
FLA0080008
Expire:
12129/2022
Phone:
Issued Date: 04/2512022
Special Conditions:
Setback- Front:
Rear:
Left:
Right:
FEES
$222.00
Fire Residential Alarm PC Fee :
$0.00
$0.00
Planning Counter Review:
$0.00
$0.00
Planning Zoning PC Fee :
$0.00
$0.00
$0.00
Public Works PC Fee :
$0.00
$0.00
Public Works Traffic Plan Check Fee;
$0.00
$269.00
6493.00
Plan Check Fee:
$0.00
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
State Lic
State Lic:
VO JOHN
526 N SHADYDALE AVE
WEST COVINA CA 91790
Records Management
Fee Due at Permit Issuance
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Qy
$2.00
$0.00
$0.00
$493.00
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 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 Sectioni 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 L) all of or L) 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, B siness 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: I
'y 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 in
ell 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 appl
'rofessions Cude, is available upon request when this application is submitted or at the following Web site:http://www.leginfa.ca.gov/calaw.html.
lignah're of Property Owner or Authorized Agent
.I,:Ef-SED CUN.!'RACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of I ivision 3 of the Business and
nJ effJct. lj Jl'G
icense Class License No Date ' �'' 2 j Contractor Signature
VORKERS' CSNIPGNSATION DECLARATION
vents covered by this permit, I cannot
law, Section 7044 of the Business and
and my license is in full force
WARNING: FAILUR_- rJ ScCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI 3 AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($I0,000), IN ADDITION TO THE
: J,.1 OF COMPENSAI In N. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I,Er. Ly affirm under penalty of perjury one of the following declarations:
0.I hw!e and mill maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of I dustrial Relations as provided for by Section 3700 of the Labor Code, for the
e ormance of the wor'c for which this permit is issued. Policy No.
avvi and wil, ma,n4n workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pert rmance of the work for which this permit is issued. My workers' compensation
Asurance carrier 3.Id policy number are:
Policy Number
Te of Agent
certify that, in the performan a of the ork for which this permit is issued, I shall not employ any person in any manner:
. if I should become subject the wo rs' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith
nature of Applicant
CLARATION REGA ING CONS RUCTION LENDING -AGENCY
:reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which
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 propert.2 vner's behalf.
I have read this application and the information I have pr ecl, is correct.
I agree to comply with all applicable city and county ordi rites and state laws relating to building construction.
I authorize representatives of this city or county tg.enter he ab ve-identified property for inspection purposes.
of Property Owner or
Date
as to become subject to the workers' compensation laws of California, and agrel
)mply with those provisions.
Date � Cl
its permit is issued (Section 3097, Civil Code)
Name
AC77ON
DATE
BY
DECLARATION OFCOMPLIANCE WITH
CODECIF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 6f OF 1j1TLE
AQMD RULE 1403,
40 AND
I
_
PERMITEXPIRED
❑ I SUBMIT7EDASBFSTOS NOTIFICATION
❑ EPA
❑ AQMD
TO:
PERMIT CANCELLED
PERMIT EXTE^lDED
❑ ASBESTOS NOTIFICATIONIS NOT
PROPOSED DEMOLITION.
SIGNATURE:
PLICABLE TO
PERMIT FINAL
7— ,i-2i
CERTIFICATEOF
OCCUPADICYISSUED