HomeMy WebLinkAboutF2022-0285 - PermitsCity of Newport Beach - Building Division "F2022-0285"
�''{{ 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
0
Job Address: 3702 PARK LN NB
Inspector Area: 1
Owner: NIJJARSANJEET
Address: 2046 SEVILLE AVE
NEWPORT BEACH, CA 92663
Phone: 626-806-6437
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:
1861
Added/New sq. ft. Garage:
379
No of Stories:
3
No of Units :
0
Flood Zone:
Bldg Sprinklers:
Y
FIRE Permit: F2022-0285
Project No : 1444-2022
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLER SYSTEM W/ (27) HEADS. (X2021-1556)
Legal Description:
RIVER SECTION BILK 137 LOT 2
Contractor:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
714-476-5370
Con State Lic: 876004
Lic Expire: 0413012024
Bus Lic:
ST30040107
Lic Exp Date:
07/31/2022
Worker's Compensation
Insurance
Carrier:
SECURITY NATIONAL INS
Policy No:
SWC1373758
Expire:
0211512023
Issued Date: 06/06/2022
Setback- Front: 6
Rear: 5
Left: 3
Right: 3
Architect:
Address:
az
Phone:
State Lic:
Engineer:
Address:
'M
Phone:
State Lic:
,
Designer:
FIREPROOF FIRE PROTECTION' a
Address:
1101 KINGSTON DR
x
LA HABRA CA 90631
m
Phone:
714-476-5370
M
Special Conditions:
HIGH DENSITY ZONE
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co
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FEES
Construction Valuation:
$2,700.00
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 as :
$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:
ZONING APPROVAL:
Id10mr-199cif17a1a
3
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
JWNER-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 Cade: 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 U all of or U 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 nre'ho't 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
improved for the pui pose of sale).
7 I, Be owner or she 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 owr,er m property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
71 1 Pm exempt from licensure under the Contractors' State License Law for the following reason:
By my signature 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 legal)
gel; a st-ucture teat' 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://w .leginfo.ca.gov/calaw.html.
Stgnawre of Prtiperty Owner or Authorized Agent Date
LSCCtJSED CONTRACTOR'S DECLARATION
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
3n6 effect. [/ (
!.jcpnse Class License No Date �6 `r 1 1 Contractor Signature %C
410RKERS' COMPENSATION DECLARATION
✓DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS l$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, 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:
111 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
performance of the work for which this permit is issued. Policy No.
9kplave 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' compensatiol
insurance 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 agree
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.. / )
Iature of Applicant /x A',, Date X v/ 0 11 t
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
ereby 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).
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 enter the above -identified property for inspection purposes. u 1 /\
nature of Property Owner or Authorized Agent x et 'n Print Property Owner's or Authorized Agent's Name DatE
ACTION
DATE
BY
DECLARATIONOF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 51 OF TITLE 40 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD'.
PERMIT CANCELLED
PERMIT EXTENDED
-
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION..
PERMIT FINAL
t
CERPRCATEOF
SIGNATURE:
OCCUPANCY ISSUED