HomeMy WebLinkAboutF2020-0002 - Permitsof vo4T City of Newport Beach -Building Division II II IIIII IIII I III II III III IIII I II
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 0 0 z
Permit Counter Phone (949)644-3288
r,
aearuu���
Job Address: 10 TIMOR SEA NB
Inspector Area: 6
Owner: MARX NANCY
Address: 22 TASMAN SEA
NEWPORT BEACH, CA 92657
Phone: 949-645-5854
Applicant: FIREPROOF FIRE PROTECTION
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: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 0
Flood Zone:
Bldg Sprinklers: Y
FIRE Permit: F2020-0002
Project No : 0003-2020
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (8 HEADS) X2019-2551
Legal Description:
Contractor:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
714.476-5370
Con State Lic:
876004
Lic Expire:
04/30/2020
Bus Lic:
BT30040107
Lic Exp Date:
07/31/2020
Worker's Compensation
Insurance
Carrier:
NORGUARD INS CO
Policy No:
MOWC002750
Expire:
02/1512020
Issued Date: 01/02/2020
Setback- Front:
Rear:
Left:
Right:
Architect: /IVSPpn
Address: T®R
Phone: State Lic:
Engineer:
Address:
Phone: State Lic:
Designer: CASEY MONTY „
Address: 1101 KINGSTON DR - ' -
LA HABRA CA 90631 '
Phone: >
Special Conditions: ' ° • ' , , ' ,
FEES
Construction Valuation:
$1,000.00
Building PC Fee :
$202.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$4.00
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
$0.00
Fire Plan Check Fee:
$0.00
Public Works PC Fee :
$0.00
Fire Permit Fee :
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$240.00
TOTAL FEE :
$446.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$446.00
PROCESSED BY: OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: ITV "�-J APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
DECLARATION
I hereby affirm under penalty of perjury that lam exempt from the Contractors' State License Law for the reasons) 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 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 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).
❑ 1 am exempt 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 legall)
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://www.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 Busirass and Professions Code -art y license is in full force
and effect. ��`��` ////// (J-!cam/
License Class _ License No DAtk 1 Zb Contractor gnature
0109KE.RS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECnRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE
CO3T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
bhereb,j affirm under penalty of perjury one of the following declarations:
;11 1 have and will matotain 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
perfoln,ance of the work for which this permit is issued. Policy No.
and will mainiain 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:
is of Agent
certliy that, io Liv performance of the work for
if Ishou�c=e s ct to the workers' co
iatb/reof Applicant �--�
Policy Number Expiration Date
Phone #
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
�ECLARATION-REGARDING CONSTRUCTIWENDING AGENCY
hereby affirm under penalty of perjury that the l construction lending agency for the performance of the work for which this
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 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 thi or countytcgnter the above -identified property for inspection purposes.
3097, Civil Code).
7—
ACTION
DATE
BY
DECLARATION OF COMPLIANCEINITH CODEOF
FOR OFFICE
FEDERAL REGULATIONS PART 61 OF TIRE 40AND
AQhlD RULE 1403.
PERMITEXPIRED
❑ I SUBMITTED ASBESTOS U077FICATION TO:
❑ EPA
❑ AQMD
PERM;TCANCELLED
PERMITEXTENDED
❑ ASBESTOS M073RCATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMITFINAL
CERTI RCATE OF
SIGNATURE:
OCCUPANCYISSUED