HomeMy WebLinkAboutF2022-0250 - Permits,�y p.W1•r; City of Newport Beach - Building Division "F2022-0250" FIRE Permit: F2022-0250
,� _ F ✓� 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1242-2022
T �. Permit Counter Phone (949)644-3288
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�.;� y' µfir. Inspection Requests Phone (949)644-3255
Job Address: 2034 E OCEAN FRONT NB
Description: SFR FIRE SPRINKLER SYSTEM W/ (38) HEADS. (X2021-1927)
Inspector Area: 1
Legal Description:
N TR 518 BLK D LOT 9
a
Owner: HARRISON NANCY
Contractor:
FIREPROOF FIRE PROTECTION
Architect:C'1�
Address: 1979 PORT LOCKSLEIGH PL
Address:
1101 KINGSTON DR
Address:
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NEWPORT BEACH, CA
LA HABRA CA 90631
Phone: 9496441962
Phone:
714-476-5370
Phone:
State Lic:
Applicant: CASEY MONTY
Con State Lic:
876004
Engineer:
tea'
3'"'
Address: 1101 KINGSTON DR
LA HABARA, CA 90631
Lic Expire:
Bus Lic:
04/3012024
BT30040107
Address:
C. - _ -
Phone: 714-476-5370
Lic Exp Date:
07/31/2022
Phone:
State Lic:
Code Edit : 2019
Worker's Compensation
Insurance
Designer:
FIREPROOF FIRE PROTECTIOtM a a'
Type of Construction: V-B-SPR
Carrier:
SECURITY NATIONAL INS
Address:
1113 WEST STRUCK AVENUE ;r,
Occupancy Group: R3/U
Policy No:
SWC1373758
ORANGE, CA 92867 M, � -
z— °
Added /New sq.ft. Bldg: 0
Expire:
0211512023
Phone;
866.457-3473
Added /New sq. ft. Garage: 0
®
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No of Stories: 1
Issued Date: 05/10/2022
Special Conditions:
HIGH DENSIT ZONE
No of Units : 0
Setback- Front:
LIQUEFACTION
Flood Zone: X-0.2PCT
Rear:
m
Bldg Sprinklers: Y
Left:
Right:
FEES
Construction Valuation:
$3,800.00
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
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:
$269.00
TOTAL FEE :
$497.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$497.00
PROCESSED BY: 135 OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: G APPROVAL TO ISSUE:
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 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 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 purnose of sale).
❑ 1, as owner of th, groperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
npoly 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 exempr 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
salt 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 Coee, 's svailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Sigh ttlfe of Property Owner or Authorized Agent Date
LICENSED CO ATRACTOR'S DECLARATION
I hereby affirm undo, 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. x /
t icense ,lass License No Date / .� ( 1 1 L Contractor Signature �^—
WORKERS' 012"PENSATION DECLARATION
P; ARNING., FAILURE TO SEnPRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COSY JF COMPENLATIO.J, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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 thi
performance of the work for 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:
Policy Number
of Agent
Date
certify 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 to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
re of
_01-
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty 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).
Lender's Name Lender's Address
By 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 enter the above -identified property for inspection purposes. x
[Signature of Property Owner or Authorized Agent X b_\_--- Print Property Owner's or Authorized Agent's Name Date • 7,
AC77ON
DATE
BY
OECLARATION OF COMPLIANCE KgTN CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
AQMD RULE 1403,
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOIIHCATION TO:.
❑ EPA
❑ AQMD
PERMITCANCELLED
PERAVT EXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSEDDEMOLITION.
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
SIGNATURE: