HomeMy WebLinkAboutF2017-0361 - Permits (3)rweipy� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
04 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 7 0 3 6
Permit Counter Phone (949)644-3288
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FIRE Permit: F2017-0361
Project No : 1620-2017
Inspection Requests Phone (949)644.--3255
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Job Address: 12 OLD COURSE DR NB
Description: SFR- FIRE SPRINKLERSIRES ADD 44 HEADS (X2015-1689)
1620-2017
Inspector Area: 8
Legal Description:
N TR 15388 LOT 43
Owner: MURPHY BRIAN
Contractor:
FIREPROOF FIRE PROTECTION
Architect:
Address: 12 OLD COURSE DR
Address:
1101 KINGSTON DR
Address:
NEWPORT BEACH, CA 92660
LA HABRA CA 90631
Phone:
Phone:
714-476-5370
Phone:
State Lic:
Applicant: CASEY MONTY
Con State Lic:
876004
Engineer:
Address: 1101 KINGSTON DR
Lic Expire:
0413012018
Address:
_
LA HABRA CA 90631
Bus Lic:
BT30040107....
Phone: 714-476-5370
Lic Exp Date:
07/3112017
Phone:
State Lic:
Code Edit: 2016
Worker's Compensation Insurance
Designer:
CASEY MONTY ,
Type of Construction: V-B-SPR
Carrier:
EXEMPT
Address:
1101 KINGSTON DR
Occupancy Group: R31U
Policy No:
(NO EMPLOYEES)
LA HABRA CA 90631
Added /New sq.ft. Bldg: 0
Expire:
Phone:
"
Added /New sq. ft. Garage: 0
No of Stories: 2
Issued Date: 07/2112017
Special Conditions:
'
No of Units : 0
Setback- Front:
Flood Zone:
Rear:
Bldg Sprinklers: Y
Left:
Right:
FEES
Construction Valuation: $4,400.00
Building PC Fee :
$190.00
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
Building Investigation Fee:
$0.00
$0.00
Fire Plan Check Fee:
$0.00
Public Works PC Fee:
$0.00
$0.00
Fire Permit Fee :
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$225.00
TOTAL FEE :
$41 .00
Plan Check Fee :
$0.00 Fee
Due at Permit Issuance : $419.00
PROCESSED BY:
ZONING APPROVAL: /
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR 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
ie 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).
1 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,
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).
1 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
Iy 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.
'signature of Property Owner or Authorized Agent Date
.ICENSED CCIA fnACTOR'S DECLARATION
hereby affirm undo, 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
nd ef'a.:t.
icense Class License No Date Contractor Signature
VGRK2RS' COtAPENSATION DECLARATION
'ARNING: FAILURE -0 SFC'JRE 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
OFT OF COMPENSATIGN, LAMAGES 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:
I ha+e and will 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 thf
erformance of the work for which this permit is issued. Policy No.
have and w;:l mai;:tain 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 rolicy number are:
Policy Number Expiration Date
a of Agen, - Phone #
ertify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions:
of
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
;reby 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).
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 Sa _qar a above -identified property for inspection purposes.
ACT70M
DATE
BY
DECLARATION OF COMPLIANCE KgTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE40AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLD
PERMIT EXTENDED
ASBESTOS NOT APPLICABLE TO
❑OS D DEMOLITION.
PERMITFINAL
/Z-/f /7
CERTIFICATE OF
OCCUPANCYISSUED
SIGNATURE: