HomeMy WebLinkAboutf2021-0125 - Permitsw City of Newport Beach - Building Division II�III�IIIUIII�IIIUI�IIllllllllllll�l�lllll�ll
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Job Address: 319 NARCISSUS AVE NB
Inspector Area: TIRE 15
Owner:
RAPP VIOLET & MICHAEL
Address:
319 NARCISSUS AVE
CORONA DEL MAR, CA 92625
Phone:
Applicant:
IFIRE PROTECTION
Address:
9559 NIGHTINGALE AVE _
FOUNTAIN VALLEY CA 92708
Phone:
714-234-9633
Code Edit: 2019
Type of Construction:
V-BSPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
3
No of Units:
0
Flood Zone:
Bldg Sprinklers:
Y
Construction Valuation
Building PC Fee:
Building Overtime PC Fee:
Building Extention Fee:
Building Investigation Fee
Fire Plan Check Fee:
Fire Permit Fee,
Building Permit Fee:
$5,300.00
FIRE Permit: F2021-0125
Project No: 0733-2021
Inspection Requests Phone (949)644-3255
Description: NEW SFR FIRE SPRINKLERS (X2020-1675) 32 HEADS
Legal Description: CORONA DEL MAR BLK 240 LOT 19
Contractor: [FIRE PROTECTION Architect:
Address: 9559 NIGHTINGALE AVE Address:
FOUNTAIN VALLEY CA 92708
Phone: 714-234-9633 Phone:
Con State Lie: 103874/0 Engineer:
Lie Expire: 04/30/2022 CO� ?- Address:
Bus Lip: BT31120240 Y�A �0-aTION Phone:
Lie Exp Date: OS/31/2021 i�
Worker's Compensation Insurance
Carrier: EXEMPT (�A g'34 Ad r
Policy No: no employees r!!
Expire: �� OA ` Phone:
Issued Date: 0410612021 Spa I Conditions:
Setback- Front:
Rear:
Left:
Right:
$217.00
$0.00
$0.00
$0.00
$0.00
$0.00
$263.00
TOTAL FEE : $480.00
PROCESSED BY: L /L�
ZONING APPROVAL:
FIRE APPROVAL: L.J+z
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:
State Lie:
....
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State Lie:
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9559 NIGHTINGALE AVE
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FOUNTIAN VALLEY CA 92708
714-231-5108
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$0.00 Records Management :
$0.00
$0.00
$0.00 -
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance :
$480.00
OTHER DEPARTMENT:
PLAN CHECKED BY:: in
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) 1 have placed next to the applicable iteni
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 L) 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
rnproved 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 legaiii
;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 Code! imvailable upon request when this application is submitted or at the following Web site:http:lfwww.leginfo.ca.govfcalaw.htmi.
signature of Prop¢Gy owner or Authorized Agent Date
-ICEdSED GQWTRACTOR'S DECLARATION
hereby affirm urWor ilenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Zthe Bus' e C y license is in full force
hW elffpct.
.icense Class License No Date Contrar ature
NpRISERS' CQrfP£NSATION DECLARATION
rARAMG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN SNIP OVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
YJ.s7DF comPEaIS/Ci A.DAMAGES AS PROWDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTOR V'S FEES.
Jr4i%by affirm'undbl'penalty of perjury one of the following declarations:
ySh$ve 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 th1
a�e o ce dIhe work for which this permit is issued. Policy No.
arKernd 411 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' compensatiol
nce cand policy number are:
:arrier Policy Number Expiration Date
of Agent
ertify that, in the p+otance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject
if I should - u c ' n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prpi
of
!reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit
ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to acAtroperty owner's behalf.
I have read this application and the informavided is correct.
1 agree to comply with all applicable city anances and state laws relating to building construction.
I authorize representatives of this city or coparty for inspection purposes.
nature of Property Owner or Author] Print Property Owner's or Authorized Agf
xkers' compensation laws of California, and
aG i gom
(Section 3097, Civil Code).
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WJTH CODE OF
FOR MICE USE ONLY
FEDERAL E0U3ATtONSPART 610FTtRE40AND
AQMDRULE 1403
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PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
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