HomeMy WebLinkAboutF2021-0283 - Permits'aNrrrt,Y, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
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100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 2 a 3
Permit Counter Phone (949)644-3288
Job Address: 912 E OCEAN FRONT NB
Inspector Area: 1
Owner: KHALIL MORCOS
Address: 17221 BLUE SPRUNCE LN
YORBA LINDA CA 92886
Phone:
Applicant: MARTIN/FIRE SPRINKLERS
Address: 705 E HARRISON ST #200
CORONA CA 92879
Phone: 951-272-2522
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:
3
No of Units :
0
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
$8,058.00
FIRE Permit: F2021-0283
Project No : 1540-2021
Inspection Requests Phone (949)644-3255
Description: MFR FIRE SPRINKLERS (33) HEADS (X2020-0887)
Legal Description:
BALBOA TR BILK 14 LOT 21
Contractor:
FIRE SPRINKLER SYSTEMS INC
Address:
705 E HARRISON #200
CORONA CA 92879
Phone:
800-915-3473
Con State Lic: 684600
Lic Expire: 02/28/2022
Bus Lic:
BT30027990
Lic Exp Date:
05/31/2022
Worker's Compensation Insurance
Carrier:
INS CO OF THE WEST
Policy No:
WSD503131405
Expire:
10/01/2021
Issued Date:
07/08/2021
Setback- Front:
Rear:
Left:
Right:
FEES
$222.00
Fire Residential Alarm PC Fee
$0.00
Planning Counter Review:
$0.00
Planning Zoning PC Fee:
$0.00
$0.00
Public Works PC Fee
$0.00
Public Works Traffic Plan Check Fee;
$269.00
$499.00
Plan Check Fee
Architect:
Address:
Phone: State Lic
Engineer:
Address:
Phone: State Lic
Designer: GUERRERO JESUS
Address: 705 E HARRISON ST #200
CORONA CA 92879
Phone: 951-272-2522
Special Conditions:
$0.00 Records Management
$0.00
$0.00
$0.00
$0.00
$0.00 I Fee Due at Permit Issuance
PROCESSED BY: - DTHE VEPARTMENT:
ZONING APPROVAL: - u PL:,N Z;HECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 VAYS AFTE:41SSU1NOE OR LAST VALID INSPECTION
X
U
LU
M/
U)
L
$8.00
$0.00
$0.00
$499.00
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).
111, 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 Business and Professions Code, and my license is in full force
and effect. r /� ��
License Class t i �� License No �Y� li/^� Date � �' i Contractor Signature��-
WORKERS' COMPENSATION DECLARATION
WARNING: 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 ($100,000), 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:
111 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[
oerOrmance of the work for which this permit is issued. Policy No.
have and will�rng�main 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 a d 0 licy number a*D'1 _ A n
ie of Agent IZZVKU�
certify that, in the performanceof
if I should become subje o the
lature of Aoolica
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
49mgMisation provisions of Section 00 of the Labor Code, I shall forthwith comply with thos(IrK Lisions. r yf
hereby 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, Civil Code).
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 owners 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 courr�v�to enter ove-id Tied pro y for inspection purposes.
linnatllre of Pronertv Owner or Authorized ADent' Y Print Property Ownel's or Authorized Agent's Name 4 `
-7
ACTION
DATE
BY
DECLARATION OFCOMPLIANCE WITH CODEOF
FOR OFFICE USE ONLY
FEI)FR1l gEGUL4RONSPART 61-,OFTITLE40AND
AQ,YID RULE 1403. O ❑ I suBmiTTEASE'_c STOS NCTIFf -A90N TO:
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❑ AQMD
PERMIT EXPIRED
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIRCATION IS NOT APPLICABLE TO
PRO00SH'DEPfOLIPON.
SIGNATURE:
PERMIT FINAL
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