HomeMy WebLinkAboutF2021-0120 - Permits�C*k0City of Newport Beach - Building Division IIII� I I II I IIIIII II IIII I� II 1111II
G 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 1 2 0
H �,n Permit Counter Phone(949)644-3288
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Job Address: 3 ROCKY POINT RD NB
Inspector Area: 6
Owner: FIRST ROCKY PROP LLC
Address: 2530 S BIRCH ST
SANTA ANA, CA 92707
Phone:
Applicant: FIREGUARD SPRINKLER SYS INC
Address: 7907 LEEDS ST
DOWNEY CA 90242
Phone: 714-310-0194
Code Edit: 2019
Type of Construction: V-B-SPR
Ceeupaney
Added /New sq.ft..Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 0
Flood Zone:
Bldg Sprinklers: N
Construction Valuation:
Building Overtime PC Fee:
Building Extention Fee:
Building Investigation Fee
Fire Plan Check Fee:
Fire Permit Fee:
Building Permit Fee:
TOTALFEE:
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
$13,000.00
FIRE Permit: F2021-0120
Project No : 0704-2021
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLER SYSTEM 86 HEADS (X2018-3317)
Legal Description: P BK 95 PG 30 PAR 1
Contractor:
FIREGUARD SPRINKLER SYS INC
Architect:
Address:
7907 LEEDS ST
Address:
DOWNEY CA 90242
Phone:
714-310-0194
Phone:
Con State Lic:
992002
Engineer:
Lie Expire:
0413012022
Address:
Bus Lie:
BT30046886
Lie Exp Date:
0413012021
Phone:
jri®r,
C Aye
State Lie: -
Worker's Compensation Insurance
Designer: VO JOHN
Carrier: FALLS LAKE FIRE & CASUALTY
Policy No. FLA0080008
Address: 7907 LEEDS ST
Expire: 12/2912021
DOWNEY, CA 9
Phone: 714-310-0194
Issued Date: 04/01/2021
Special Conditions:
Setback- Front:
Rear:
Left:
Right:
FEES
$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;
$263.00
$482.00
Plan Check Fee
$0.00
$0.00
$0.00
$0.00
State Lie,
$0.00 Fee Due at Permit Issuance
OTHER DEPARTMENT:
PLAN CHECKED BY::
SAbri APPROVAL TO ISSUE:. L
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
$0.00
$0.00
$482.00
I
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). -
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legaill
sell a structl ,re 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 applicab aw, Section 7044 of the Business and
Professions Goda, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
3,gnature of R3perty Owner or Authorized Agent Date
LICENSED CCIFRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing i Secti n 7,00) of Division 3 of the Busines d P ofession Cade, and my license is in full force
and effect.
License Class _ _ License No Date Contractor Signatur
WORKERS' COMPENSATION DECLARATION
WARNING: FAILUkE 10 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY R TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
CC 3T OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I .` sby affirm under penalty of perjury one of the following declarations:
have end will maintain a certificate of consent to self -insure for workers' compensation, issued by the
.Vance of the work for which this permit is issued. Policy No.
Lve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code,
Tance carrier and policy number are:
"ier Policy Number
Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
for the performance of the work for which this permit is issued. My workers'
Date
1e of Agent I N rI "^'u .
certify that, in the performan a of the ork for which this permit is issued, I shall not employ any person in any manner so as to become subject the workers' compensation laws of California, and
. if I should become subject t the wor ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pl�vi Ions. )n I
nature of Applicant v
CLARATION REGA ING CON R CTION LENDING AGENCY
�reby affirm under pe al erju at there is a construction lending agency for the performance of the work for which this permit is issued Se lion 3097, Civil Code).
lder's Name Lenders Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the pro y owners behalf.
I have read this application and the information have ro ad is correct.
I agree to comply with all applicable city and o ty o inan es and state laws relating to building construction.
I authorize representatives of this city or cou to enI r the ve-identified property for inspection purposes.VL
mature of Property Owner or Authorized Agen Print Property Owners or Authorized Agent's NamL
ACTION I DATE
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED I I IfI ; ,f,' A �
PERMIT FINAL
CER77FICATEOF
OCCUPANCYISSUED
FEDERAL REGULATIONS PART 01 OF TITL€40 AND
AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS IORFICATON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE: