HomeMy WebLinkAboutF2021-0026 - PermitsCity of Newport Beach - Building Division *F2021--0026*
o 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288 1 N S " EC U"R
Job Address: 301 MILFORD DR NB
Inspector Area: 5
Owner:
PRICHARD JOHN & CAROLINA
Address:
PO BOX 176
CDM CA 92625
Phone:
949-721-4030
Applicant:
BRAYLEY STACEE
Address:
647 CAMIN DE LOS MARES
SAN CLEMENTE CA 92673
Phone:
949-939-7450
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:
3
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:
$6,000.00
FIRE Permit: F2021-0026
Project No : 0136-2021
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (X2019-3005) 70 HEADS
Legal Description:
N TR 3357 LOT 171
Contractor:
CALIFORNIA FIRE PROTECTION
Address:
647 CAMINO DE LOS MARES 9108
SAN CLEMENTE CA 92673
Phone:
949-212-4417
Con State Lic: 1016781
Lic Expire: 08/3112022
Bus Lic:
BT30063097
Lic Exp Date:
05/31/2022
Worker's Compensation Insurance
Carrier:
OHIO SECURITY
Policy No:
XW560230423
Expire:
09/18/2021
Issued Date:
06/03/2021
Setback- Front:
Rear:
Left:
Right:
$217.00
$0.00
$0.00
$0.00
$0.00
$0.00
$263.00
$486.00
FEES
Fire Residential Alarm PC Fee
Planning Counter Review:
Planning Zoning PC Fee :
Public Works PC Fee :
Public Works Traffic Plan Check Fee;
Plan Check Fee :
Architect
Address:
Phone: State Lic:
Engineer:
Address:
Phone: State Lic:
Designer: MITCHELL BRENT ,
Address: 647 CAMINO DE LOS MARES #W8
SAN CLEMENTE CA 92673
Phone:
Special Conditions:
$0.00 Records Management: $6.00
$0.00
$0.00
$0.00
$0.00 $0.00
$0.00
$217.00
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
Fee Due at Permit Issuance : $269.00
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
DWNER-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 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
not more than five hundred dollars ($500).
1, 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 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 Or 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 owne, f 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 groin lirensure under the Contractors' State License Law for the following reason:
By my signature belue: 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
cell a structure tha- 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 Coda, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Pm ertv Cwner or Authorized Agent Date
LICLNSED CONTRACTOR'S DECLARATION
I ke:cty affirm undar penalty of perjury that I am licensed under provisions of Chapter 9 (commencing ritmhiSection 7000) of Division 3 of the BusinessFRED
d 41ice full force
red effect.
I.inPnse Class License No Date '� Contractor SignaturPVORK:�RS'CUMaENSATION DECLARATIONNPPWN4 FAILURE 1d SEedRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY R TO CRIMINAL PENALTIES AND CNIL FINES UP TOONSAND DOLITION TO THE
COST OF �OMPENSITION, CAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEV'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 th(
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:
me of Agent _
I certify that, in the
t, if I should bacon
Policy Number
is issued, I shall not employ any person in any manner so as to become SL
;ions of Section 3700 of the Labor Code, I shall forthwith comply with those
ignature of Applicant'
IECLARATION REG DIRG CONSTIRUCTIbN LENDING A NCY
hereby affirm under enalty of perjury that there is a construct on lending agency for the performance of the work for which this permit is
ender's Name Lender's Address
y 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 provi is correct.
I agree to comply with all applicable city and co my gd1manp# Ind Ste laws relating building construction.
I authorize representatives of this city or county t ti ied o rty inspection purposes.
ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agenl
Date
3097, Civil Code).
SWR)tp�u
California, and
0—�-
ACTION
DATE
BY
DEC&ARATION OF COMPLIANCE IMTH CODE OF
FOR OFFICE US LY
FEDERAL REGULATIONS PART 61 OF T1TLE 40 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION 'TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMIT EXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIFICATE OF
SIGNATURE:
OCCUPANCYISSUED