HomeMy WebLinkAboutF2021-0384 - Permits (2)„t>� City of Newport Beach - Building Division IIIIIIIIII'IIIIIIIIIIIIIIIII II FIRE Permit: F2021-0384
�,4 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 3 8 4 Project No: 2015-2021
'- v m; Permit Counter Phone (949)644-3288
�,j, y T
e:r«a:w�+ta Inspection Requests Phone (949)644-3255
Job Address: 726 BISON AVE NB
Description: SFR FIRE SPRINKLERS 27 HEADS (X2021-0957)
Inspector Area: 4
Legal
Description:
N TR 4892 LOT 49
Owner: CID MANUEL R MICHELE
Contractor:
IFIRE PROTECTION
Architect:
Address: 726 BISON AVE
Address:
9559 NIGHTINGALE AVE
Address:
NEWPORT BEACH, CA 92660
FOUNTAIN VALLEY CA 92708
Phone: 562-666-7174
Phone:
714-234-9633
Phone:
State Lic:
Applicant: VU ANTHONY
Con State Lic:
1038755
Engineer:
Address: 9559 NIGHTINGALE AVE
Lic Expire:
04/30/2022
Address:
eeoe
FOUNTAIN VALLEY, CA 92708
Bus Lic:
BT30067240
......
Phone: 714-231-6108
Lic Exp Date:
05/31/2022
Phone:
State Lic:
Code Edit : 2019
Worker's Compensation
Insurance
Designer:
® ® o m o
VU ANTHONY ....
Type of Construction: V-B-SPR
Carrier:
EXEMPT
Address:
9559 NIGHTINGALE AVE • ” • °
oe o
Occupancy Group: R3/U
Policy No:
no employees
FOUNTAIN VALLEY, CA 92708 ....
Added /New sq.ft. Bldg: 0
Expire:
Phone:
714-231-5108 ......
Added /New sq. ft. Garage: 0
No of Stories: 1
Issued
Date: 09/01/2021 Special Conditions:
o•••°. ease°°
No of Units : 0
Setback- Front:
Flood Zone: X
Rear:
0
°°•e°°
Bldg Sprinklers: N
Left:
Right:
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 :
Plan Check Fee : $0.00
Fee Due at Permit Issuance : $495.00
G$495.00
PROCESSED BY: '1 l
V
OTHER DEPARTMENT:
ZONING APPROVAL:
PLAN CHECKED BY::
FIRE APPROVAL:
APPROVAL TO ISSUE:
Rt
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
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
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).
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
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
)rofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htm].
Signature of Property Owner or Authorized Agent Date
-ICENSED CONTRACTOR'S DECLARATION
hereby affirm urader 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
Ipd effect. "" / q
.i 80E!!B-Jlass •• • License No Date I (/� I Contractor SignatureY/ /JrA�N
YQRKEERS' COMPENSATION DECLARATION
I:RIat" 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
:DST OF COMPENSATdQt47AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
laeroby affirm undeiySnalty of perjury one of the following declarations:
II.Wo oe and vtil: trtajrttain 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
erformance of the workk for which this permit is issued. Policy No.
bave•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'
PancQcarrier.dhd.po:cy number are:
ger " ' Policy Number Expiration Date
ertify 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 subject tp the workers' compJefrMation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .
nature of Applicant �� Date '� I / �--�
CLARATION REGARDIN C STRUCTION 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 t ente the above -identified property for inspection purposes. /q�y
nature of Property Owner or Authorized Agent �� Print Property Owner's or Authorized Agent's Name IA 1'r6�
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
AQMD RULE 9403.
PERMfT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMIT EXTENDED
❑ ASBESTOS N077FICA770NIS NOTAPPLICABLE TO
PROPOSEDDEMOLIT70N.
PERMIT FINAL
.2
f n
CERTIFICATEOF
SIGNATURE
OCCUPANCYISSUED
U m
Q
®v
c Zo
fi
U
V ® •s
8 U
y�
N 4
wad,cio
ZI❑❑❑❑❑❑❑❑❑
I
M.
I
ur
i
u
it
IS
eo
1-1
a
11",
V]
�o
m u 3
IT
I
EW
0
0
0
z
Fr
!p
P.
p pr p I:g
0
31
m k 3: K
a.
ypv
cr C)
13
6,vnw
k7
El El El D El El El
re
p