HomeMy WebLinkAboutF2022-0152 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 1 5 2
Permit Counter Phone (949)644-3288
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Job Address: 14 GLENEAGLES DR NB
Inspector Area: 4
Owner: MAAJED ABAHUSAYN
Address: 14 GLENEAGLES DR
NEWPORT BEACH, CA 92660
Phone:
Applicant: SERHAL DANI
Address: 449 W FOOTHILL BLVD #282
GLENDORA CA 91741
Phone: 909-394-7979
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:
X
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:
$6,500.00
FIRE Permit: F2022-0152
Project No : 0743-2022
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (X2021-3377) 7 HEADS
Legal Description:
N TR 15388 LOT 31
Contractor:
H 2 O FIRE PROTECTION INC
Address:
449 W FOOTHILL BLVD
GLENDORA CA 91741
Phone:
909-394-7979
Con State Lic:
897997
Lic Expire:
06/30/2022
Bus Lic:
BT30064153
Lic Exp Date:
0813112022
Worker's Compensation
Insurance
Carrier:
BENCHMARK
Policy No:
CST5022708
Expire:
12/0112022
Issued Date: 04/06/2022
Setback- Front:
Rear:
Left:
Right:
FEES
Architect
Address:
Phone: State Lic
Engineer:
Address:
Phone:
State Lic:
Designer:
SERHAL DANI
Address:
449 W FOOTHILL BLVD #282
GLENDORA CA 91741
Phone:
909-394-7979
Special Conditions:
$222.00
Fire Residential Alarm PC Fee :
$0.00 Records Management
$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
$497.00
Plan Check Fee :
$222.00 Fee Due at Permit Issuance
r_ DTHEX6EPARTMENT:
P I.AN Ch ECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 0A YS AFTER ISSbAhCE OR LAST VALID INSPECTIOA
$6.00
$0.00
$0.00
$275.00
0
X
LDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indi
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dem
ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License L
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Secti
of more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of tl
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through E
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp
nproved for the purpose of sale).
1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a. licensed Contractor
D I am exempt from licensure under the Contractors' State License Law for the following reason:
iy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one y
all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I un�
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.legini
',ignature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of
nd effect. /� I I Iis e Class License No Date `—I
COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
DST 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:
below by the checkmark(s) I have placed next to the applicable item(s)
or repair any structure, prior to its issuance, also requires the applicant for
hapter 9 (commencing with Section 7000) of Division 3 of the Business and
31.5 by any applicant for a permit subjects the applicant to a civil penalty of
work, and the structure is not intended or offered for sale (Section 7044,
oloyees' or personal effort, builds or improves the property, provided that the
on, the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
that a copy of the applicable law, Section 7044 of the Business and
'calaw.html.
Date
m 3 of the Business and for f SIB s Code, and my license is in full force
Contractor Signatl
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
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
orraance of the work for which this permit is issued. Policy No.
and will ma lta workers' compensation insurance, as requir d by Section 3700 of the Labor Code, for the pe+formance of the work for which this permit is issued. My workers' compensaboi
carr"er and aJ c bar are:. eq ('� [(�} �l (� C/ I V
\ �b 1 Po1iC,1; ,,,F}�,.beb ` So �--- Il JI�V Expiration Date I Z 2
Agent {- y Phone #
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner ID as to become subject to the workers' compensation laws of California, and
if I should become subject tipetheyAlkerV—c5ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. , I , (
nature of ApplEGicant �-Date J I
CLARATION RARD G CONSTRUCTION
TION LENDING AGENCY i-
�reby affirm under pen Ity 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).
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 county to the -identified property for inspection purposes.
nature of Property Owner or Authorized Agen e ovPrint Property Owner's or Aut orized Agenjs��1/i-,1
ACTION
DATE
By
DECLARATION OF COMPLIANCE INIT
CODE OF Is
FOR OFFICE USE ONLY
FLLA FImL rIEGUI-ATIONS PART 61 OF
AQ„ID RULE 1403.
TITLE 40AND
PERMIT EXPIRED
I S't BIr9tTfED A SB'=S rOS NOYFIr'R'70N
❑ EPA
❑ AQMD.
TO:
PERMIT CANCELLED
PERMIT EXTENDED
❑ ASBESTOS NOTIFICATION IS NOT
PRnPOScU OEMWOLITIUN.
APPLICABLE TO
PERMIT FINAL
Z
CER77 FICA TE OF
OCCUPANCYISSUED
SIGNATURE: