HomeMy WebLinkAboutF2020-0075 - Permits (3)w�1„y City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIII�IIIIIIIIIII II
o� r* 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 0 0 0 7 5
Permit Counter Phone (949)644-3288
ri<I�FSV 1142�8.
Job Address: 304 NARCISSUS AVE NB
Inspector Area: 5
Owner: LEON LIS
Address: 699 LOMBARDT PL
SAN MARINO CA 91108
Phone:
Applicant: FIREPROOF FIRE PROTECTION
Address: 1101 KINGSTON DR
LA HABRA CA 90631
Phone: 714-476-5370
Code Edit : 2019
Type of Construction:
V-B-SPR
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
FIRE Permit: F2020-0075
Project No: 0337-2020
Inspection Requests Phone (949)644-3255
Description: SFR ADD FIRE SPRINKLERS (X2019-0505) 30 HEADS
Legal Description: CORONA DEL MAR BLK 241 LOT 6
Contractor: FIREPROOF FIRE PROTECTION
Address: 1101 KINGSTON DR
LA HABRA CA 90631
Phone: 714-476.5370
Con State Lic: 876004
Lic Expire: 04/30/2020
Bus Lic:
BT30040107
Lic Exp Date:
0713112020
Worker's Compensation Insurance
Carrier:
NORGUARD INS CO
Policy No:
MOWC148394
Expire:
02/15/2021
Issued Date:
02/1812020
Setback- Front:
Rear:
Left:
Right:
Architect: I �a I S P r-1 r
Address: ' t l.3
Phone: State Lic:
Engineer:
Address:
Phone: State Lic:
Designer: CASEY MONTY
Address: 1101 KINGSTONE DR
LA HABRA CA 90631
Phone:
Special Conditions: '
FEES
Construction Valuation:
$3,000.00
Building PC Fee :
$202.00
Fire Residential Alarm PC Fee : $0.00 Records Management:
$8.00
Building Overtime PC Fee:
$0.00
Planning Counter Review: $0.00
Building Extention Fee :
$0.00
Planning Zoning PC Fee : $0.00
$0.00
Building Investigation Fee :
$0.00
$0.00
$0.00
Fire Plan Check Fee:
$0.00
Public Works PC Fee :
Fire Permit Fee :
$0.00
Public Works Traffic Plan Check Fee; $0.00
Building Permit Fee :
$240.00
TOTAL FEE :
$450.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance :
$450.00
PROCESSED BY:
1n\ I
VLF"
OTHER DEPARTMENT:
ZONING APPROVAL:
PLAN CHECKED BY:: n
Vv
FIRE APPROVAL:
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
IWNER-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
ie 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
of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved for the purpose of sale).
7 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
pply 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:
ly 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,
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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of tBusiness and Professions Cod , and m-lipense is in full force
nd effect. _ � \/
icense Class License No rLOYER
_ - Contr or Signature. ��. _
kORKSRS' COMPENSATION DECLARATION _
IARNING: FAILURE 'i O RECLINE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLTAR518100,0001, INADDITIONTOTHE
OST OF :OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, ANS.
kerety affirm under penalty of perjury one of the following declarations:
a 1 havP and wil, nam(ain 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
Erforr,lance of the work for which this permit is issued. Policy No.
have, and will na'rtain 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
trance carrier and policy number are:
n9r_ _ _ Policy Number Expiration Date
Tie of Agent _� Phone #
certify that, in ilea 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 agree
t,4j should beccmc subject to the workers' comp lion provisions of Section 3700 of the Labor Code, I shall forthwith comply w' revisions.
natu of Ap an L-� D
CLARATI AR ING NSTRUCTI NDING AGENCY
areby affirm under penalty of perjury that the i a construction lending agency for the performance of the work for which this pe 1s 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 r lating to building construction.
I authorize representatives of th' ounit to�r the aabove-identified p party for inspection purposes.
nature of Property Owner o uth = nt\� _-ih'' ^..,. Print Property Owners or Authorized A9qpFsyVa"1TIfl_ ��.r ��.�r
ACTION
DATE
By
DECLARATION OF COMPLIANCE WITH CODED
- - -. _. FOR OFFICE US,EO
FEDERAL REGULATIONS PART 61 OF TITLE40AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ ISUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERM, ITCANCELLED
PERMITEXTENDED
ASBESTOS NOTIFICA
PROPOSED EMOLITON.UONIS NOT APPLICABLE TO
PERMITFINAL
-7,-Z� 'fi\
CERT.TICATE nF
SIGNATURE:
OCCL'PANCYlSSCED