HomeMy WebLinkAboutF2021-0336 - PermitsCity of Newport Beach - Building Division
't 100 Civic Center Drive, Newport Beach, CA 92660
W Permit Counter Phone (949)644-3288
Job Address: 3423 QUIET COVE NS
Inspector Area: 6
Owner: GRANDE WENDY
Address: 3423 QUIET COVE
CORONA DEL MAR, CA 92625
Phone:
Applicant: MARTINEZ ALEC
Address: 123 E CENTRAL AV
MONROVIA CA 91016
Phone: 626-357.4045
Code Edit : 2019
Type of Construction: V-B-SPR
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 0
Flood Zone: X
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
TOTALFEE
PROCESSED BY:
ZONING APPROVAL:
tQJ
FIRE APPROVAL: tJ�`
$2,800.00
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FIRE Permit: F2021-0336
Project No : 1786-2021
Inspection Requests Phone (949)644-3255
Description: SFR FIRE SPRINKLERS - 3 HEADS (X2021-0268)
Legal Description:
N TR 6228 LOT 47
Contractor:
CRAIG FIRE PREVENTION INC
Architect:
Address:
123 E CENTRAL AVE
Address:
MONROVIA CA 91016
Phone:
626-357-4045
Phone:
State Lic:
Con State Lic:
1037827
Engineer:
Lic Expire:
0413012022
Address:
Bus Lic:
BT30048335
Lic Exp Date:
08/30/2021
Phone:
State Lic:
Workers Compensation
Insurance
Designer:
MARTINEZ ALEC
Carrier:
AMERICAN FAMILY HOME
Address:
123 E CENTRAL AV
Policy No:
2EA5WC000051802
MONROVIA CA 91016
Expire:
0211112022
Phone:
626-357-4045
Issued Date: 08/05/2021
Special Conditions:
Setback- Front:
Rear:
Left:
Right:
I K 1 C
$222.00
$0.00
$0.00
$0.00
$0.00
$0.00
$269.00
$493.00
M
FEES
Fire Residential Alarm PC Fee
: $0.00 Records Management :
$2.00
Planning Counter Review:
$0.00
Planning Zoning PC Fee :
$0.00
$0.00
Public Works PC Fee:
$0.00
$0.00
Public Works Traffic Plan Check Fee; $0.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$493.00
OTHER DEPARTMENT:
`
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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
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 Iicensure 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
not more than five hundred dollars ($500).
❑ 1, 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,
Business 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
improvements 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
Improved for the purpose of sale).
❑ I, 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 Iicensure 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 Iegalh
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.govicalaw.htm].
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 with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect.
License Class License No Date S . �( Contractor SignatureY, lk/
NORKERS' COMPENSATION DECLARATION
NARNING: 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
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:
❑ I 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 th
Arformance of the work for which this permit is issued. Policy No.
have 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'
rance carrier and policy number are:
ier Policy Number _ Expiration Date
1e of Agent Phone #
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 ag
if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant
-�-Z
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 Lender's Address
y 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. y
I authorize representatives of this city or county to e�nt�er�r�the�,a,,b�ove..-Jid-e—dtifie l property for inspection purposes. �D %� ✓
ignature of Property Owner or Authorized Agent [.r ceti-/z[W!/,[erN.� Print Property Owner's or Authorized Agent's Name A4I -
ACTION
DATE
BY
DECLARATION OFCOMPLIANCE WITHCODEOF
FEDERAL REGULATIONS PART 61 OF TITLE dO AND
AOMD RULE 1403.
❑ I SUBMITTED ASBESTOS NOTIFICATIOM ?O:
❑ EPA
❑ AOMD
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
F OFFICE USEONLY
PERMLVEXPMED
PERMtT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
/�.2 -2
CERTIFICATEOF
OCCUPANCYfSSVED