HomeMy WebLinkAboutF2022-0311 - Permits� Nt kr City of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111111
r.. 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 3 1 1
Permit Counter Phone(949)644-3288
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Job Address: 217 GOLDENROD AVE NB
Inspector Are%
Owner: WEBBJOAN
Address: 217 GOLDENROD AVE
CORONA DEL MAR, CA 92625
Phone:
Applicant:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON OR
LA HABRA CA 90631
Phone:
714-476-5370
Code Edit : 2019
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
No of Units
Flood Zone:
Bldg Sprinklers:
V-S-SPR
R3/U
0
0
FIRE Permit: F2022-0311
Project No : 1578-2022
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLER SYSTEM 38 HEADS (X2021-0278) f
Legal Description:
RESUB OF CORONA DEL MAR BLK 133 LOT 7
Contractor:
FIREPROOF FIRE PROTECTION
Architect:
Address:
1101 KINGSTON DR
Address:
LA HABRA CA 90631
Phone:
714-476-5370
Phone:
State Lic
Con State Lic:
876004
Engineer:
Lic Expire:
04/30/2024
Address:
Bus Lic:
BT30040107
Lic Exp Date:
07/3112022
Phone:
State Lic
Worker's Compensation
Insurance
Designer:
CASEY MONTY
Carrier:
SECURITY NATIONAL INS
Address:
1101 KINGSTON DR
Policy No:
SWC1373758
LA HABRA, CA 90631
Expire:
0211512023
Phone:
714-476-5370
3 Issued Date: 06/21/2022 Special Conditions:
0 Setback- Front:
Rear:
M Left:
Right:
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FEES
Construction Valuation:
$3,800.00
Building PC Fee :
$222.00
Fire Residential Alarm PC Fee :
$0.00 Records Management :
$8.00
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 :
$499.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$499.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
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 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 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 o° 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 exemptf-CT licensure under the Contractors' State License Law for the following reason:
'3v my signature b=Iry 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
jell a s6vcture ;ha, 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://www. leginfo.ca.gov/calaw.html.
�ignafare of Property Owner or Authorized Agent Date
LICENSED C.ONTkACTOR'S DECLARATION
. herehy affirm ulcar 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.
License. Class License No Date Ilk 7 IL Contractor Signatur'
WORKERS' COMPENSATION DECLARATION
k'!AFNING. FAILURE'.0 SL.-.JRE 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
LOST OF JOMPENoATION, DAMAGES AS PROVIDED FOR IN SECTION 6706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I have and w:l: 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.
�ve 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' compensation
ce carrier and policy number are:
Policy Number
of Agent
Date
I 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
it, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,
of
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 rdinances and state laws relating to building construction.
I authorize representatives of this city or county nter the above -identified property for inspection purposes.
Signature of Property_Owner or Authorized Agent �� Print Property Owner's or Authorized Agent's Nam Dat 6 6t $ 1
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TI7'LE 40 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AOMD
PERPAIT CAM CELLED
PERN41T EXTENDED
r_1 Ao E TOS N 77FIrCA77ON IS NOT APPLICABLE TO
PERMIT FINAL
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED
LIM