HomeMy WebLinkAboutF2019-0338 - PermitsCity of Newport 13Each - Building Division 1111111111111p111111111111111111111p111p1111111111100 Civic Center Ddae, Wwron Beaah, CA 92660 2 0 1 9 0 3 3 8
(4)
Permit Counter Phone (949)b44-3288
Job Address: 2827 CATALPA ST NB
Inspector Area: 8
Owner:
BEEMER RUSSELL A
Address:
2827 CATALPA ST
NEWPORT BEACH, CA 92660
Phone:
Applicant:
VO JOHN
Address:
526 N SHADYDALE AV
WEST COVINA CA 91790
Phone
Code Edit: 2016
Type of Construction:
Occupancy Group:
Added Mew sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
No of Units
Flood Zone:
Bldg Sprinklers:
FIRE Permit: F2019-0338
Project No : 1279-2019
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS
(X2019-0122) 36 HEADS
i Ja
e f
Legal Description:
N TR 5018 LOT 63
Contractor:
FIREGUARD SPRINKLER SYS INC
Architect
Address:
9643 VICTORIA AVE
Address:
SOUTH GATE CA 90280
Phone:
714-310-0194
Phone:
State Lic:
Con State Lic:
992002
Engineer:
Lic Expire:
0413012020
Address:
Bus Lic:
BT30046886
Lic Exp Date:
0513112020
Phone:
State Lic:
Worker's Compensation Insurance
Designer: VO JOHN
V-B-SPR
Carrier: FALLS LAKE FIRE & CASUALTY
Address: 526 N SHADYDALE AV
R31U
Policy No: FLA0080008
WEST COVINA CA 91790
0
Expire: 1212912019
Phone:
0
2
Issued Date: 0610612019
Special Conditions:
0
Setback- Front:
Rear:
Y
Left:
Right:
FEES
Construction Valuation:
$6,000.00
Building PC Fee :
$202.00
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 :
$240.00
TOTAL FEE :
$446.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$446.00
PROCESSED BY: O OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark,$) I have plac6d 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 stwctwe, 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 subjectstheapplicant 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 srrurture is not intended Lr offered. for save (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or person ial effort, builds or iworoves 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-BuUei wio have the burden of proving that it was not built or
improved for the purpose of sale).
111, 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/caiaw.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 wiWSecion7 00) of Division 3 of the Business and Pr ass ns Code, and my license is in full force
and effect.
License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
✓DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T HUNDRED HOUSAND DOLLARS 1E100,000t, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
rmance of the work for which this permit is issued. Policy No.
and will 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'
carrier and policy number are:
le of Agent
certify that, in the p
. if I should become
of Applicant
Policy Number Expiration Date
Ic 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
to a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proyisipn;. Y��
n k /
hereby 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)
Ender's Name Lenders Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the prope owner's behalf.
I have read this application and the information I have prPviclfd is correct.
I agree to comply with all applicable city and county ord' anc s and state laws relating to building construction.
I authorize representatives of this city or county to ente the ove-identified property for inspection purposes.
of Property Owner
Owner's or Authorized Agent's Name
ACTION
DATE
BY
DECLARATION OFCOMPLIANCE WITH CODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONSPART 61 OF TITLE40AMD
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PERA41TEXPIREO -
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❑ISUBMITTEDASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
ASBESTOS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMITFINAL
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CERTIFICATE OF
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SIGNATURE:
OCCUPANCYISSUED