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HomeMy WebLinkAboutF2021-0302 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v $ n'�tapapA�t� Job Address: 207 EVENING CANYON RD NB Inspector Area: 5 Owner: SENK MARSHALL Address: PO BOX 824 CORONA DEL MAR, CA 92625 Phone: Applicant: RESIDENTIAL FIRE SYSTEMS Address: 8085 E CRYSTAL DR ANAHEIM, CA 92807 Phone: 714-666-8450 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 : 1 Flood Zone: X 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: $12,365.00 *F2021-0302* FIRE Permit: F2021-0302 Project No : 1641-2021 Inspection Requests Phone (949)644-3255 Description: SFR NEW FIRE SPRINKLERS 66 HEADS (X2020-2895) Legal Description: N TR 1116 LOT 123 Contractor: RESIDENTIAL FIRE SYSTEMS INC Architect: Address: 8085 E CRYSTAL DR Address: ANAHEIM CA 92807 Phone: 714-666-8450 Phone: Con State Lic: 786965 Engineer: Lic Expire: 11/30/2022 Address: Bus Lic: BT30003809 Lic Exp Date: 0413012022 Phone: Worker's Compensation Insurance Designer: Carrier: CYPRESS INS. CO. Address: Policy No: REWC019434 Expire: 09/01/2021 Phone: Issued Date: 07/22/2021 Special Conditions: Setback- Front: Rear: Left: Right: FEES cc State Lic LU State I -A RESIDENTIAL FIRE SYSTE LO 8085 E CRYSTAL DR ANAHEIM, CA 92807 714-666-8450 $222.00 Fire Residential Alarm PC Fee : $0.00 Records Management : $12.00 $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee : $0.00 $0.00 $0.00 $0.00 Public Works PC Fee : $0.00 $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $269.00 $503.00 Plan Check Fee : $503.00 Fee Due at Permit Issuance : $0.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION IuvoUILUGR UCl. LF1RNI IVIV 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 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-Builderwill 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 Business and Professions Code, and my license is in full force and effect. %'— License Class License No Date 4 072/Zz/z62 1 Contractor Signature A'ORXERS' COMFENSATION DECLARATION NARNING: FAILUR'_'0 SECURE 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 -UST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEPS FEES. hercLy affirm under oenalty of perjury one of the following declarations: I have and wit' ma`ntain 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 +VOrrnance of the work for which this permit is issued. Policy No. have and wii: ,nain�ain 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' rance carrier and policy number are: Policy Number of Agent Date certify that, !r the h=.rformance of the work for which this permit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agree t, if I should become subject "toe orkers' m nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant / Date ow-zy2021 CLARATION REGARDING CONSTRUCTION LENDING AGENCY Ireby 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 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 tpfenter a bove ' ntifed property for inspection purposes. nature of Property Owner or Authorized nature °f Property Owner °r Author1Zed Agent Print Property Owner's or Authorized Agents Name Property Owner's or Authorized Agents Name Civil Code). Scvwf-..r p�e a7 ACTION DATE BY DECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMD RULE 1403. El SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ElASBESTOS NOTIFICATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE:. FOR OFFICE USE ONLY PERANTEXPH ED P€RPAIT CANCELLED PERMITIXTENDED PERIVJIT FINAL Z CERTIRCATEOF OCCUPANCYISSUED ��.,,•.,�r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 3 0 2 r; n Permit Counter Phone (949)644-3288 Job Address: 207 EVENING CANYON RD NB Inspector Area: 5 Owner: SENK MARSHALL Address: PO BOX 824 CORONA DEL MAR, CA 92625 Phone: Applicant: RESIDENTIAL FIRE SYSTEMS Address: 8085 E CRYSTAL DR ANAHEIM, CA 92807 Phone: 714-666-8450 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: Construction Valuation V-B-SPR R3/U 0 0 FIRE Permit: F2021-0302 Project No : 1641-2021 Inspection Requests Phone (949)644-3255 Description: SFR NEW FIRE SPRINKLERS (72) HEADS (X2020.2895) REVISED 11/15/2021 Legal Description: N TR 1116 LOT 123 Contractor: RESIDENTIAL FIRE SYSTEMS INC Architect: Address: 8085 E CRYSTAL DR Address: ANAHEIM CA 92807 Phone: 714-666-8450 Phone: Con State Lic: 786965 Lic Expire: 11/30/2022 Bus Lic: BT30003809 Lic Exp Date: 04/30/2022 Worker's Compensation Insurance Carrier: PACIFIC COMP. INS Policy No: REWC019434 Expire: 09/01/2022 2 Issued Date: 07/22/2021 1 Setback- Front: X Rear: Y Left: Right: Building PC Fee : Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee: Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee TOTAL FEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $12,365.00 FEES State Lic: Engineer: Address: Phone: State Lic: Designer: RESIDENTIAL FIRE SYSTEMS Address: 8085 E CRYSTAL DR ANAHEIM, CA 92807 Phone: 714-666-8450 Special Conditions: REV21-1793 $222.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $12.00 $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee : $0.00 $0.00 $0.00 $0.00 Public Works PC Fee : $0.00 $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 - $269.00 $503.00 Plan Check Fee: $503.00 Fee Due at Permit Issuance : $0.00 u,OTH9A C)EP4'RTMENT: PLAN CAE3KED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER IS7UA; ICE G17 LAoT ;VALID INSPECTION \ Y� UWNtK-tiUILUtK UECLARATION 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). ❑ 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 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.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 Business and Professions Code, and my license is in full force and effect. L t,.,y� License Class License No '1810 Date t` �5�21 Contractor SignatureY 'Fn, ° T �... NORKERS' COMPENSATION DECLARATION NARNING: 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 I$100,0001, IN ADDITION TO THE -OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 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 the )erformance of the work for which this permit is issued. Policy No. and will In 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 a Delicv number are:. _ n 1e of Agent_ C certify that, in the performance of the if I should become sMiect to the wo of 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 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thosgproyisions. 115 IECLARATION REGARD MO CONSTRUCTION LENDING AGENCY T— hereby affirm under p9lihalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Ender's Name Lender's Address ly 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 enter abpve-identified property for inspection purposes. fib( G�rU ignature of Property Owner or Authorized AgenM1F� 9,A-„ Print Property Owners or Authorized Agent's Name e Civil Code). e 1\ 15 ACTION DATE BY DECLARATION OFCOMPLiANCE VYITHCOOE OF FE5Z.7AL RE�3ULAT,'ONSP:.R73Y OF TITLE40AND AQMU RULE 1403, ❑ 75UdM(il_095BEST63NOiIFICATIONTO: -❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO rRGF GSEL DEMOLITIGN. iR-NAI t'RL-: FOR OFFICE USE ONLY PERMIT EXPMED PERMIT CANCELLED PERMITEXTENDED PERMS FINAL CE4TIFIC.4TE OF OCCU PAPIC(lSSUED