HomeMy WebLinkAboutF2021-0302 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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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