HomeMy WebLinkAboutF2022-0239 - Permits (3)City of Newport Beach - Building Division `F2022-0329"
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 412 HELIOTROPE AVE NB
Inspector Area: 5
Owner: GREWAL KRISPAL
Address: 412 HELIOTROPE AVE
CORONA DEL MAR, CA 92625
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:
Construction Valuation
V-B-SPR
R3/U
0
0
FIRE Permit: F2022-0329
Project No : 1655-2022
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS (34) HEADS X2021-0875
Legal Description: CORONA DEL MAR BLK 336 LOT 14
Contractor: FIREPROOF FIRE PROTECTION
Address: 1101 KINGSTON DR
LA HABRA CA 90631
Phone: 714-476-5370
Con State Lic: 876004
Lic Expire: 0413012024
Bus Lic: BT30040107
Lic Exp Date: 0713112022
Worker's Compensation Insurance
Carrier: SECURITY NATIONAL INS
Policy No: SWC1373758
Expire: 02/15/2023
3 Issued Date: 0612912022
0 Setback- Front:
Rear:
Y Left:
Right:
Building PC Fee:
Building Overtime PC Fee:
Building Extention Fee:
Building Investigation Fee
Fire Plan Check Fee:
Fire Permit Fee :
Building Permit Fee
TOTAL FEE
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
$3,400.00
$222.00
$0.00
$0.00
$0.00
$0.00
$0.00
$269.00
$495.00
FEES
Fire Residential Alarm PC Fee
Planning Counter Review
Planning Zoning PC Fee
Public Works PC Fee
Public Works Traffic Plan Check Fee;
Plan Check Fee :
Architect:
Address:
Phone: State Lic:
Engineer:
Address:
Phone: State Lic
Designer: CASEY MONTY
Address: 1101 KINGSTON DR
LA HABRA CA 90631
Phone:
Special Conditions:
$0.00 Records Management
$0.00
$0.00
$0.00
$0.00
$0.00
OTHER DEPARTMENT:
Fee Due at Permit Issuance
PLAN CHECKED BY::
APPROVAL TO ISSUE: l
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
$4.00
$0.00
$0.00
$495.00
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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 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.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 rofessions Code, and my license is in full force
and effect.
License Class License No Dater/ �I1S' 11 Contractor Signature
WORKERS' CO.Y,F'ENSATION DECLARATION
'.V.1n1:ILE: FAILURE TO 3CCU RE 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
iOST OF COMPENSAI ION, 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 fallowing declarations:
0 1 have and v ill 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 IN
'.nerrormance of the wont for which this permit is issued. Policy No.
have and wi;; Tlair.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 policy number are:
Policy Number
Date
'Ie ci Agent _ rnone s
certfy that, in the performance of the work forwhich 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
if I should become. subjf>e o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant
21,
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).
rder'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 to ter the above -identified property for inspection purposes. p ,,
nature of Property Owner or Authorized Agent l�___ Print Property Owner's or Authorized Agent's Name �1" t • w �-4 ��
ACTION
DATE
RY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMIT EXTENDED
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
—
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED