HomeMy WebLinkAboutF2021-0185 - Permits (2)City of Newport Beach -Building Division II�IIIIIIII�IIIIIIIIIIIIIIIIII II
7 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 2315 LAUREL PL NB
Inspector Area: 3
Owner:
AULT WILLIAM
Address:
2801 W COAST HWY #385
PALM SPRINGS, CA 92263
Phone:
Applicant:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
714-476.5370
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: F2021-0185
Project No : 1040-2021
Inspection Requests Phone (949)644-3255
Description: NEW SFR FIRE SPRINKLERS (38 HEADS) X2020-2195
Legal Description:
N TR 1188 LOT 4
Contractor:
FIREPROOF FIRE PROTECTION
Address:
1101 KINGSTON DR
LA HABRA CA 90631
Phone:
714-476-5370
Con State Lic:
876004
Lic Expire:
04/30/2022
Bus Lic:
BT30040107
Lic Exp Date:
08/31/2021
Worker's Compensation Insurance
Carrier:
SECURITY NATIONAL INS
Policy No:
SWC1325710
Expire:
02115/2022
2 Issued Date: 05/11/2021
0 Setback- Front:
Rear:
Y Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
I1 SPECT i
State Lic:
State Lic:
CASEY MONTY
1101 KINGSTON DR
LA HABRA CA 90631
FEES
Construction Valuation:
$3,800.00
Building PC Fee :
$217.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$6.00
Building Overtime PC Fee:
$0.00
Planning Counter Review:
$0.00
Building Extention Fee :
$0.00
Planning Zoning PC Fee :
$0.00
Building Investigation Fee:
$0.00
$0.00
$0.00
Fire Plan Check Fee:
$0.00
Public Works PC Fee:
$0.00
Fire Permit Fee :
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$263.00
TOTAL FEE :
$486.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$486.00
PROCESSED BY: 4 OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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, priorto 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 Iicensure 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 L) all of or L) 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 Iicensure 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.htmi.
Signature of Pr^perty Cwner or Authorized Agent Date
LICENSED CON1 RACTOR'S DECLARATION
I hereby affirm nQer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the B Oness and Professions Code, and my license is in full force
and effect. ^
License - Class License No 1 l Contractor nature I/
WORKERS' COMPENSATION DECLARATION — 1
rAR,NING. FAILURE TO SECJRE 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 ATTORNEYS FEES.
hereby, affirm under penalty of perjury one of the following declarations:
have and wil; 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
rm� nce of the wcr!. for which this permit is issued. Policy No.
Bve and wili 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' compensa
3nc3 carrier .and policy number are:
of Agent
Policy Number Expiration Date
Phone #
I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become sub'
ec to the workers' compensation laws of California, and agre
that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro isions.
Signature Icant �' v' Da t ,/ 11 ct
DECLARAofGARDING CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is iss d (Section 3097, Civil Code).
Lender's Name Lender's Address
By 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 to enter the above -identified property for inspection purposes. „ ,,
Signature of Property Owner or Authoriz d�gent � � Print Property Owner's or Authorized Ageflf�� r V I �
ACTION
TE
BY
DECLARATION OFCOMPLIANCE MTFI CODE OF
FOROFFICEUS Y
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
AQMD RULE 1403.
PERMIT EXPfRED
❑ 1 SUBMITTED ASBESTOS N071FICATION TO:
❑ EPA
PERMIT CANCELLED
❑ AQMD
PERMIT EXTENDED
PROPOSED OF OLITIOC�RONIS NOT APPLICABLE TO
PERMIT FINAL
3 13
� 4Y6
CERTIFICATE OF
SIGNATURE:
OCCUPANCY7SSUED