HomeMy WebLinkAboutF2022-0316 - PermitsCity of Newport Beach - Building Division *F2022-0316*
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 112 CORAL AVE NB
Inspector Area: 2
Owner:
GRAF VICTORIA
Address:
PO BOX 5049
NEWPORT BEACH, CA 92662
Phone:
Applicant:
XFIRE PROTECTION
Address:
9182 ALWICK CIR
GARDEN GROVE CA 92841
Phone:
714-231-5108
Cade 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:
3
No of Units :
0
Flood Zone:
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
TOTAL FEE
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
$3,700.00
FIRE Permit: F2022-0316
Project No : 1589-2022
Inspection Requests Phone (949)644-3255
Description: NEW FIRE SPRINKLERS (30) HEADS X2020-1036
Legal Description: BALBOA ISLAND SEC 2 BLK 5 LOT 24
Contractor:
XFIRE PROTECTION
Architect:
Address:
9182 ALWICK CIR
Address:
GARDEN GROVE CA 92841
Phone:
714-231-5108
Phone: State Lic:
Con State Lic:
1084661
Engineer:
Lic Expire:
12/31 /2023
Address:
Bus Lic:
BT30077912
Lic Exp Date:
02/28/2023
Phone: State Lic:
Worker's Compensation Insurance
Designer: VUY ANTHONY
Carrier:
NO EMPLOYEES
Address: 1621 W SUMAC LN
Policy No:
ANAHEIM CA 92802
Expire:
Phone:
Issued Date: 0612212022
Special Conditions:
Setback- Front:
Rear:
Left:
Right:
$222.00
$0.00
$0.00
$0.00
$0.00
$0.00
$269.00
$495.00
FEES
Fire Residential Alarm PC Fee :
$0.00
Planning Counter Review:
$0.00
Planning Zoning PC Fee :
$0.00
Public Works PC Fee :
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Plan Check Fee : $0.00
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
Records Management
Fee Due at Permit Issuance :
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
$4.00
$0.00
$0.00
$495.00
DWNER-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) 1 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 bivil 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 (_) 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 1t was not built or
improved for the purpose of sale).
❑ 1, 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 Iegaill
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 :finder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business an rofessions Co e, and my license is in full force
and effDct.
License Class _ _ License No Date G 2 ntractor Signature
YJOEKERS' t OMPENSATION DECLARATION
WAR l'NG: FAILURE 10 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1E100,0001, IN ADDITION TO THE
COST OF COMPENLATIC9, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I herety affirm rcder l,enalty of perjury one of the following declarations:
F1 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 th
nerforrnance of ile work for which this permit is issued. Policy No.
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'
carrier and policy number are:
,,a of Agent
certify that, in the pi
, if I should become
lature of Applicant -
Policy Number
Date
4worke
or 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 agree
compensation provisions of Section 3700 of the Labor Code, I Shall forthwith comply with those provisions.DateN LENDING AGENCY
hereby affirm under penalty of perjury that It ere is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7, Civil ode).
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 t property owner's behalf.
I have read this application and the information I I ave provided is correct.
I agree to comply with ail applicable city and co n y ordinances ind state laws relating to building construction.
I authorize representatives of this city or count tc enter the abo -identified property for inspection purposes. A
icnature of Prooertv Owner or Authorized ACED( Print Property Owner's or Authorized Agent's Name Date �Glti �2
ACTION
DATE`
v BY I
FEDERAL REGULATIONS PART 61 OF TITLE 40 ANO
1vn I
AQMD RULE 1403.
❑ f SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA'
❑ AQMD
❑ ASBESTOS N07 HCA77ON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
'$ M `
PERMIT EXMRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
0- -'(�
CERTB°I'CATEOF
OCCUPANCYISSUED