HomeMy WebLinkAboutF2022-0194 - Permits(9)
City of Newport Beach - Building Division *F2022-0194*
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288 N S � �
Job Address: 2320 CLAY ST NB
Inspector Area: 3
Owner:
HEINFELD DAN
Address:
2320 CLAY ST
NEWPORT BEACH, CA 92663
Phone:
Applicant:
CASEY MONTY
Address:
1101 KINGSTON DR
LA HABRA, CA 90631
Phone:
714-476-5370
Code Edit : 2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
4007
Added /New sq. ft. Garage:
744
No of Stories:
2
No of Units :
0
Flood Zone:
X
Bldg Sprinklers:
Y
FIRE Permit: F2022-0194
Project No : 0975-2022
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLER SYSTEM W/ (44) HEADS. (X2021-2298)
Legal Description:
FIRST ADD TO NEWPORT HEIGHTS BILK 38 LOT 1
Contractor:
FIREPROOF FIRE PROTECTION
Architect:.
Address:
1101 KINGSTON DR
Address:
LA HABRA CA 90631
Phone:
714-476-5370
Phone: State Lie:
Con State Lie:
876004
Engineer:
Lie Expire:
04130/2024
Address:
Bus Lie:
BT30040107
Lie Exp Date: 07/31/2022
Phone:
State Lie:
Worker's Compensation Insurance
Designer:
FIREPROOF FIRE PROTECTION
Carrier: SECURITY NATIONAL INS
Address:
1101 KINGSTON DR -
Policy No: SWC1373758
LA HABRA CA 90631
Expire: 02/15/2023
Phone:
714-476-5370
Issued Date: 06/06/2022
Special Conditions:
SFR: X2021-2298
Setback- Front:
Rear:
Left:
Right:
FEES
Construction Valuation:
$4,400.00-
Building PC Fee :.
$222.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
:-" S6.409
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 :
$222.00 Fee Due at Permit Issuance :
$275.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
T3*5
-3G
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
7WNER-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
:he 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 Iicensure 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
Tot 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 (_) 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:// ✓ .leginfo.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. Z Contractor Si X ��
License Class License No Date gnature
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES DP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENS. ICY, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I nereoy affirm u:Tcfer penalty of perjury one of the following declarations:
❑ I ITave 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 tht
oerfomnance of th'a work for which this permit is issued. Policy No.
yp f,ave and Nill 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' compensation
insLrance carrier anu policy number are:
Policy Number
of Agent
Date
certify thatin 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
6 1 shou:d be-ome subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of A,)plicnnt
C /C/1z
DECLARATION RE{iARDING 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 3C97, 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 center the above -identified property for inspection purposes. ff
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's. Name Date 6 T
ACTION
DATE
BY
DECLARATION OFCOMPLIANCE MTHCODEOF
FOR OFFICE U5E ONLY
FEDERAL REGULATIONS PART 61 OF R TLE 40 AND
AQMD RULE 1403.
PERMi7 EXPf RED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMVTCANCELLED
PERPAIT EXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION,
PERMIT FINAL
CERTI R CA TE CF
SIGNATURE:
OCCDPANCY'ISSUED