HomeMy WebLinkAboutF2021-0384 - Permits11*y City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II FIRE Permit: F2021-0384
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 3 8 a
p Project No : 2015-2021
�, � Permit Counter Phone (949)644-3288
0ca. � Ar
�'�t�w,u`h Inspection Requests Phone (949)644-3255
Job Address: 726 BISON AVE NB Description: SFR FIRE SPRINKLERS 26 HEADS (X2021-0957)
Inspector Area: 4
Owner: CID MANUEL & MICHELE
Address: 726 BISON AVE
NEWPORT BEACH, CA 92660
Phone: 562-666-7174
Applicant:
VU ANTHONY
Address:
9559 NIGHTINGALE AVE
FOUNTAIN VALLEY, CA 92708
Phone:
714-231-5108
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:
V-B-SPR
R3/U
0
0
Legal Description:
N TR 4892 LOT 49
Contractor:
(FIRE PROTECTION
Address:
9559 NIGHTINGALE AVE
FOUNTAIN VALLEY CA 92708
Phone:
714-234-9633
Con State Lic: 1038755
Lic Expire: 04/30/2022
Bus Lic:
BT30067240
Lic Exp Date:
05/31/2022
Worker's Compensation
Insurance
Carrier:
EXEMPT
Policy No:
no employees
Expire:
1 Issued Date: 09/01/2021
0 Setback- Front:
X Rear:
N Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
State Lic:
State Lic:
Designer:
VU ANTHONY
Address:
9559 NIGHTINGALE AVE
FOUNTAIN VALLEY, CA 92708
Phone:
714-231-5108
Special Conditions:
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FEES
Construction Valuation:
$4,400.00
Building PC Fee :
$222.00
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 :
$269.00
TOTAL FEE:
$495.00
Plan Check Fee:
$495.00 Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
)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 (_) 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
mproved 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
rpply 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:
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 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
Irofessions Qpcj@, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature oFPrpq�Ay Owner or Authorized Agent Date
-ICENSED CONTRACTOR'S DECLARATION
f12rQby affirm u m:E. 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
Ind effect. •
,iceRee Class.:**
lass • License No Date Contractor Signature
VORKER%1:.QMPENSATION DECLARATION
{ARNING: FAILURE TO SECURE 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
;OV OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
AZI@py affirm under penalty of perjury one of the following declarations:
3*I have and All 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 thl
Ice ofthe,?Nork for which this permit is issued. Policy No.
and WI maintain workers' compensation insurance, as required by Section 3700 of the Labor Code,
carrjej aQd policy number are:
Policy Number
of Agent
for the performance of the work for which this permit is issued. My workers'
Date
certify that, in the performance 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
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date
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 to enter the above -identified property for inspection purposes.
of Property Owner or Authorized
Date
ACTION
DATE
BY
DECLARATION OF COMPLIANCE MTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE40 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMITEXTENDEO
❑ ASBESTOS M07IRCA770NIS NOTAPPLICABL€TO
PROPOSED DEMOLITION.
PERMIT FINAL
/r^iEvil
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED