HomeMy WebLinkAboutF2022-0064 - PermitsY,un(r4.r City of Newport Beach -Building Division II�IIIIIIIIIIIIIIIIIIIIIIIIIIII II
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 603 IRIS AVE NB
Inspector Area: i
Owner: ADEL YOUSESEF
Address: 1622 E MARKET ST
WARREN OH 44403
Phone:
Applicant: NGUYEN VINCENT
Address: 9182 ALWICK CIR
GARDEN GROVE CA 92841
Phone: 714-231-5108
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:
V-B-SPR
R3/U
0
0
FIRE Permit: F2022-0064
Project No : 0331-2022
Inspection Requests Phone (949)644-3255
Description: MFR FIRE SPRINKLERS (45) HEADS (X2020-1297)
Legal Description:
CORONA DEL MAR BILK 635 LOT 3
Contractor:
XFIRE PROTECTION
Address:
9182 ALWICK CIR
GARDEN GROVE CA 92841
Phone:
714-231-5108
Can State Lic:
1084661
Lic Expire:
12/31/2023
Bus Lic:
BT30077912
Lic Exp Date:
0212812023
Worker's Compensation
Insurance
Carrier:
NO EMPLOYEES
Policy No:
Expire:
3 Issued Date: 0210812022
0 Setback- Front:
X Rear:
Y Left:
Right:
Architect:
�..,.,
Address:
Phone:
State Lic:
W
Engineer:
%]
Address:
Phone:
State Lic:
C)
Designer:
VU ANTHONY
Address:
9559 NIGHTINGALE AVE
FOUNTAIN VALLEY CA 92708
Phone:
714-234-9633
Di
Special Conditions:
FEES
Construction Valuation:
$6,800.00
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
$0.00
Building Investigation Fee:
$0.00
$0.00
$0.00
Fire Plan Check Fee:
$0.00
Public Works PC Fee:
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: c OTkcn DEPARTMENT:
ZONING APPROVAL: - . PLAN CHECK BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUA,JC,� ('P LAST VALID INSPECTION
IWNER-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
1e 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
'rofessions 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
of 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,
lusiness 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
nprovements 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
nproved 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
pply 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).
D I am exempt. from licensure under the Contractors' State License Law for the following reason:
ly 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
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Iignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing "NALPEN
ion 3 of the Business and ro s Code, and my license is in full force
nd effect. icense Class License No Dateontractor SignaturVORKERS'COMPENSATION DECLARATION'ARNING: FAILURETO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECTAN EMPLOYD CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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
yrmgpee of the work for which this permit is issued. Policy No.
and willXrRrR91htsin 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 �hppd Policy number ar
ie of Agent
certify that, in the pI
if I should become
Iatu re of Applicant'o
Date
of the work 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
Iy�kws�corppensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.) I
Ireby affirm under penalty of perjury that there is)t
Ider's Name
my signature below, I certify to each of the follow!
I am the property owner or authorized to act on t
I have read this application and the information I
I agree to comply with all applicable city and cou
I authorize representatives of this city or cg,44ty�
construction lending agency for the performance of the work for which this permit is issued (Section'3097, Civil Code).
Lender's Address
)party owners behalf.
provided is correct.
and statellaws relating to building construction.
yv, identi d property for inspection purposes.
ACTION
DATE
BY I
DECLARATION OF COMPLIANCE KITH CODE OF
FOR OFFICE qSE ONI Y I
FEDERAL REGULATIONS PART 61 OF TITLE40AND
:AQMD RULE 1493.
PERMIT EXPIRED
❑ I SUAMI rrzD ASBESTOS NC17F ICATIONTO:
FJ EPA
❑ AQMD
PERMIT CAN CELLED
PERMIT EXTENDED
❑ ASBESTOS N077FICA77ON IS NOT APPLICABLE TO
DROPOSEDDEMOUTION.
PERMIT FINAL
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