HomeMy WebLinkAboutF2018-0444 - PermitsCity of Newport Beach - Building Division 111111 m 11111111111111111111111111111111111111111111 Jill
100 Civic Center Drive, Newport Beach, CA 92660 F 2 8 1 8 8 4 4 4
r: Permit Counter Phone (949)644-3288
Job Address: 800 W OCEAN FRONT NB
Inspector Area: 1
Owner: GREUBELJEROME
Address: 800 W OCEAN FRONT
NEWPORT BEACH CA 92662
Phone:
Applicant: VO JOHN
Address: 526 N SHADYDALE AVE
WEST COVINA CA 91790
Phone: 714-310-0194
Code Edit: 2016
BT30046886
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:
Building Overtime PC Fee:
Bldg Sprinklers:
Y
Description: RES FIRE SPRINKLERS (30) X2018.0434
FIRE Permit: F2018-0444
Project No: 1915-2018
Inspection Requests Phone (949)644-3255
Legal Description: EAST NEWPORT LOT 4 SLK 7 AND LOT 5 BLK 7 ELY112 OFLOTS
Contractor: FIREGUARD SPRINKLER SYS INC Architect:
Address: 9543 VICTORIA AVE Address:
SOUTH GATE CA 90280
Phone: 714-310-0194 Phone:
Con State Lie: 992002
Lie Expire: 04/30/2020
Bus Lie:
BT30046886
Lie Exp Date:
04130/2019
Worker's Compensation Insurance
Carrier:
FALLS LAKE FIRE & CASUALTY
Policy No:
FLA0080008.00
Expire:
12129/2018
Issued Date: 08/13/2018
Setback- Front:
Rear:
Left:
Right:
Engineer:
Address:
IN'S
State Lie.
Phone:
State Lie:
FEES
Designer:
VO JOHN
$5,000.00
Address:
526 N SHADYDALE AVE
Building PC Fee :
$190.00
Fire Residential Alarm PC Fee:
WEST COVINA CA 91790
... °
Building Overtime PC Fee:
Phone:
Planning Counter Review:
$0.00
°
Building Extention Fee:
$0.00
0000
$0.00
Special Conditions:
PERMIT REVISED 09-26-18
00 0
00 0
$0.00
0 00
0o0c
0 0
Public Works PC Fee:
$0.00
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PROCESSED BY: '--"� OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: —.�-- APPROVAL TO ISSUE: �.,.
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FEES
Construction Valuation:
$5,000.00
...... °
000°cc
Building PC Fee :
$190.00
Fire Residential Alarm PC Fee:
$0.00 Records Management :
° ° ° .:S4.00
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 as:
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee:
$225.00
TOTAL FEE :
$419.00
Plan Check Fee :
$419.00 Fee Due at Permit Issuance :
$0.00
PROCESSED BY: '--"� OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: —.�-- APPROVAL TO ISSUE: �.,.
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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).1 have placed next to the applicable item(s)
lection 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
professions 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 U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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
n roved 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
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).
] I am exempt from licensure under the Contractors' State License Law for the following reason:
y 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
all 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.gov/calaw.htmi.
ignature of Property Owner or Authorized Agent *a,
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seftion 7000) of Division 3 of a slness and my license is in full force
nd effect. ^ 7l /1 e_1 t8. _I 1 ...icense Class License No Da C actor Signature
IORKERS' COMPE,��IN'''SATION DECLARATION
ARNING: FAILURE,Ta%gftEWORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE RS ($700,000), IN ADDITION TO THE
OST OF COMPENSAIIGM SAMAGES AS PROVIDED FOR IN SECTION 5705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
verslar affirm u ndaf penalty of perjury one of the following declarations:
haye and wi114dIntain 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
,e,,rfd'rgl.aAce of the Nork for which this permit is issued. Policy No.
and wig 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'
carrier ElnL policy number are:
Policy Number Expiration Date
that, in jhe pagfor ank of the work forwhich this permit is issued, I shall not employ any person in any manner so as to becc
mid beeamG eubj Ffto In wopAers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with
• \ //II
of Annliea
CL71TtATION-RW4gRDIN(YCOJJSTRUCTION LENDING AGENCY
;reby-affirm under penalty 6U6rjury 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 act on th p arty owner's behalf.
I have read this application and the information I ave ovided is correct.
I agree to comply with all applicable t and cou ty ordi ances and state laws relating to building construction.
I authorize representatives of-thi Ity or c my o enter t e^abo+`,py'd��-�Elad property for inspection purposes.
nature of Pronedv Owner -or ori l W U Print Prooertv Owners orAh�AGE
to the workers' compensation laws of California, and
(Section 3097, Civil Code).
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ACTION DATE 1 / BY
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FEDERAL REGULA71ONS PART 61 OF TITLE40AND
AQMDRULE 1403.
PERMITEXPIRED
❑ 1 SUBMfTTEDASBESTOS N07fFICATION T0:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMIT €XTENDED
❑ ASBESTOS NORRCARONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PFRMITRNAL /•1/�/ S'
CERTIRCAT€OF
SIGNATURE'
OCCUPANCYtSSUED