HomeMy WebLinkAboutF2018-0126 - Permits (2)City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII FIRE Permit: F2018-0126
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 8 9 1 2 6 Project No: 0501-2018
Permit Counter Phone (949)644-3288
'rcrvnlm�ta Inspection Requests Phone (949)644-3255
Job Address: 2024 NAUTILUS LN NB Description: SFR FIRE SPRINKLER SYSTEM 40 HEADS (X2017-1111)
PROCESSED BY: �V�.� OTHER DEPARTMENT:
ZONING APPROVAL: i PLAN CHECKED BY::
FIRE APPROVAL: 1 APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Construction Valuation:
Inspector Area: 3
Legal Description:
N TR 3763 LOT 75
Building PC Fee:
$190.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$6.00
Building Overtime PC Fee:
$0.00
Planning Counter Review:
Owner: BRILES RICHARD & KEANNA
Contractor:
MARTINEZ FIRE PROT SYS
Architect:,">��;,,-ij
Planning Zoning PC Fee :
$0.00
Address: 2024 NAUTILUS LN
Address:
888 N. H ST
Address:
+ �-
$0.00
NEWPORT BEACH, CA 92660
$0.00
SAN BERNARDINO, CA 92410,"
$0.00
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'..-•
Fire Permit as :
Phone:
Phone:
909-562-8637
Phone:
State Lie:
$225.00
Applicant: MARTINEZ FIRE PROT SYS
Con State Lie:
955955
Engineer.
..._
Plan Check Fee:
Address: 888 N. H ST
Lie Expire:
12/31/2018
Address:
SAN BERNARDINO, CA 92410
Bus Lie:
BT30049343
Phone: 909-562-8637
Lie Exp Date:
08131/2018
Phone:
State Lie:
Code Edit: 2016
Worker's Compensation
Insurance
Designer:
MARTINEZARMANDO ,,;".yr:.^" °• °
Type of Construction: V -B -SPR
Carrier:
SECURITY NATIONAL INS
Address:
888 N. H ST
Occupancy Group: R3/U
Policy No:
SWC1157661
SAN BERNARDINO, CA 92410
Added /New sq.ft. Bldg: 0
Expire:
08112/2018
Phone:
909-562-8637
Added /New sq. ft. Garage: 0
mome°
No of Stories: 2
Issued Date: 03/02/2018
Special Conditions:
No of Units.: 0
Setback- Front:
Flood Zone:
Rear:
Bldg Sprinklers: N
Left:
°, °
Right:
PROCESSED BY: �V�.� OTHER DEPARTMENT:
ZONING APPROVAL: i PLAN CHECKED BY::
FIRE APPROVAL: 1 APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Construction Valuation:
$6,000.00
Building PC Fee:
$190.00
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
Fire Plan Check Fee:
$0.00
Public Works PC Fee:
$0.00
$0.00
Fire Permit as :
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee :
$225.00
TOTAL FEE :
$421.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$421.00
PROCESSED BY: �V�.� OTHER DEPARTMENT:
ZONING APPROVAL: i PLAN CHECKED BY::
FIRE APPROVAL: 1 APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
)WNER-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
he 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
lot 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
m roved for the purpose of sale). -
1, 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
Ipply 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).
3 1 am exempt from licensure under the Contractors' State License Law for the following reason: - -
3y 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 legall
yell 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 Propb" Owner or Authorized Agent Date
,ICENgED CONTRACTOWS DECLARATION
f era-byeffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit ection 7000) of Division 3 of the Business a Prof oTs Code, a y f rise is in full f
IN effect. .. .. ! C �• y
jCe1 sA Glass License No 2.l 5 ��3 l Dat cam' Z Contractor Signat e
VORKERS' COAMPENSATION DECLARATION
4AT3dINU:FAILURE TP"gURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
POST ®PCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm and ePpe; alty of perjury one of the following declarations:
SwIve and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
ggqff'Q'' aN,ce of Ing wort for which this permit is issued. Policy No.
m�Lve and wI1l maintiain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation
ssLf t$ carrier anQpolicy number are:
:arrier Policy Number Expiration Date
ie of Agent —rnone 8
certify that, in the pert mance of the work f r 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 ub' the workers' compensation ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr Isions.
iature of ADD lica - \,.— De 7—^:> •—/ 5'-
CLARATION REGARDING CONSTRUCTION LENDINGAGENCY r
;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 correc
I agree to comply with all applicable city and cou�n�t' ordinances and to laws r Ing to building construction.
I authorize representatives of this city or county �ptertJTe abov dentified ggrty for inspection purposes.
of Prooertv Owner or Authorized
DATE / I BY
PERMfTCANCEILE0
PERT RE _
OCCUPANCYISSUED
AQMD RULE 1403.
❑ t SUBMfTTEDASBESTOS NOTIFICATION TO:
EPA
❑ AQMD
❑ ASBESTOS N0771FICA7IONIS NOT APPLICABLE TO
PROPOSEDDEMOLITION.
SIGNATURE: