HomeMy WebLinkAboutF2022-0101 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII II FIRE Permit: F2022-0101
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100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 1 0 1 Project No : 0535-2022
Permit Counter Phone (949)644-3288
cy:
Inspection Requests Phone (949)644-3255
Job Address: 24 SANDY COVE NB
Description: SFR FIRE SPRINKLER (29) HEADS (X2021.0444)
Inspector Area: 5
Legal
Description:
N TR 15445 LOT 12
t"
11�i
Owner: WALLS TINA
Contractor:
FIREPROOF FIRE PROTECTION Architect:
Address: 24 SANDY COVE
Address:
1101 KINGSTON DR Address:
NEWPORT COAST, CA 92657
LA HABRA CA 90631
Phone:
Phone:
714-476-5370 Phone:
State Lie:
Applicant: CASAEY MONTY
Con State Lie:
876004 Engineer:
Address: 1101 KINGSTON DR
Lie Expire:
0413012022 Address:
LA HABRA CA 90631
Bus Lie:
BT30040107
Phone: 714-476-5370
Lie Exp Date:
07/31/2022 Phone:
State Lie:
Code Edit: 2019
Worker's
Compensation
Insurance Designer:
CASEY MONTY
Type of Construction: V-B-SPR
Carrier:
SECURITY NATIONAL INS Address:
1101 KINGSTON DR
Occupancy Group: R3/U
Policy No:
SWC1325710
LA HABARA CA 90631
Added /New sq.ft. Bldg: 0
Expire:
02/15/2023 Phone:
714-476-5370
Added /New sq. ft. Garage: 0
No of Stories: 1
Issued
Date: 03/01/2022
Special Conditions:
LANDSLIDE, HFHSZ,
No of Units : 0
Setback- Front:
SPECAIL FIRE PROCTECTION
Flood Zone: X
Rear:
Bldg Sprinklers: Y
Left:
Right:
FEES
Construction Valuation: $2,900.00
Building PC Fee :
$222.00
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
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 :
$495.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance :
$495.00
PROCESSED BY:
o *U'fHFR DEPARTMENT:
ZONING APPROVAL:
`_ -PLAN CHECKED BY::
FIRE APPROVAL:
APPROVAL TO ISSUE:
_
PERMIT EXPIRES 180 JAYS AFTErc IS SU 4ACE Ord LIST 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 L) 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 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://www.leginfo.ca.gov/calaw.htm].
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 an�fessions Code, and my license is in full force
and effect.
License Class License No Dat 1 1 (, Contractor Signature
WORKERS' COMPENSATION DECLARATION
✓DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 16100,0001, 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:
❑ 1 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 ti
performance of the work for which this permit is issued. Policy No.
and %y"aintain 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'
le of Agent X V 1Z N.N
certify that, in the performance of thep`erformance of the
if I should become sub$ct to the wo
lature of Applicant
Date
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 ag
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iECLARATION REGAVDING CONSTRUCTION LENDING AGENCY '
hereby affirm under p nalty 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).
ender'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 a er the above -identified property for inspection purposes.
Signature of Property Owner or Authorized AgentPrint Property Owner's or Authorized Agent's Nampa( ('" \ • T Y �`!•u/ at I t`
ACTION
DATE
BY
DECLARATION OF COMPLIANCE INtTH CODE OF
FOR OFFICE USE ONLY
FEJc,_�AL R.EGUL 4 PONS PART 61 OF TITLE 40 AND
AQA"D RUr.E 1403.
PERMfTEXPIRED
❑- 1 %8MITTED ASBESTOS NOTIFICATON TO:
❑ EPA
❑ AQMD
PERM IT CANCELLED
PERMIT EXTENDED
❑ ASBES TOS NOTIFICA TION IS NOT APPLICABLE TO
PROPOSED DEMOUT/7N.
PERMIT FINAL
JIL. 0 •
CERTIF!CATEOF
SIGNAT•JRE:.
OCCUPANCYISSUED